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Job Description Make a difference every single day! When the work you do every...

Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Nurse (RN) will review medical records for medical necessity, authorization compliance, and payer guideline alignment while supporting appeal submissions...

Job Description: This position is full time, with openings on both day shift and night shift. 6:00 am - 6:30 pm. Weekend rotation varies - every other to every third weekend. Self scheduling is offered in this position. Are you searching for a...

RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...

Community Health Network is seeking a Post-Acute Care Coordinator LPN for a fully remote role supporting adults with complex mental health needs. You will coordinate assessments, referrals, and care plans, and monitor treatment in collaboration...

JOB DESCRIPTION This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient. Candidates...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

*Job Summary and Responsibilities* As our Director Nursing Perioperative Services at California Hospital, you will be responsible for Surgical Services including Main OR, Pre-Op, PACU, GI, and SPD. We have 7 operating rooms and a robust surgical...

Harris Health System, Inc. is looking for a Nurse Clinician for their Hospital at Home program. This role involves providing high-quality acute care at home, coordinating patient enrollment, and engaging in quality improvement projects. Candidates...

Vaya Health in North Carolina is seeking a registered nurse to support adults transitioning from Skilled Nursing Facilities back to the community. This remote, home-based role requires NC residency within 40 miles of the NC border and NC RN...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Provides direct nursing care including: assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of...

Pager Health℠ redefines how members navigate to care and wellness, validated by clinicians and powered by AI. We connect people to the right care at the right time, closing care gaps, reducing total cost of care, and...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

A healthcare organization is looking for a Case Manager Nurse Advocate in the Greater Charlotte Area, NC. The role involves aiding clients in navigating their healthcare needs while working remotely. Candidates should possess a nursing license,...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and...

Become a part of our caring community Humana Gold Plus Integrated is seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and...

Select how often (in days) to receive an alert:Service Access Nurse - Inpatient/Surgery Preservice Verification (100% Remote PositionWork Arrangement:Requisition Number: 273488Regular or Temporary: RegularLocation: Durham, NC, US, 27710Date: Aug...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Job Description Make a difference every single day! Cedars-Sinai Marina del Rey...

Harris Health seeks a Nurse Manager to lead the operational management and care delivery for one or more clinics or units. This role oversees human resources, quality, and financial performance within the assigned area.You will work with the...

Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must Have requirements: RN,...

Community Health Network is seeking an Ambulatory Triage Registered Nurse to join the Family Medicine Care team. The RN will perform phone triage, patient education, scheduling, prior authorizations, prescription refills, referrals and care...

A healthcare technology company in the United States seeks a Clinical Appeals Nurse to train AI models. This role involves evaluating AI chatbot outputs for accuracy and providing them with complex healthcare-related problems. The ideal candidate...