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Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals,...

Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless patient flow. This role is challenged...

This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

Position Type:PRN, exempt Compensation: Up to $165,000 annually Job Location: In person Job Highlights 6-Hour Shifts Daily:...

At Midi Health, we're on a mission to revolutionize healthcare for women at midlife-to relieve their symptoms, support their wellbeing, and ensure they feel seen, heard, and cared for. Our care is personalized, evidence-based, and covered by...

We are looking for an experienced home care RN to work in a Full-Time hybrid role- both field and office hours. Enhanced rate! Find flexibility & balance - take control of your career, your schedule, and your future with...

We are looking for experienced Inpatient Case Managers, Full-time, afterhours, weekends and nights. This is a remote position. They will follow-up appointments in the authorization notes and will communicate the same to the Vital Care Case...

Explore opportunities at The Corvallis Clinic, part of the Optum family of businesses. For more than 75 years, our multi-specialty group has been committed to delivering exceptional care to our patients and fulfilling careers to...

Associate Chief Nursing Officer, Inpatient Nursing Under the direction of the Chief Nursing Officer, the Associate Chief Nurse Officer (ACNO) is responsible for the practice of nursing at the OSU Wexner Medical Center by ensuring...

What Makes This Role Unique Few roles offer the chance to shape how an entire team delivers care. As a Nurse Practitioner with Esperta Health, you'll elevate the standard of care across a growing patient population by...

HJ Staffing is seeking a highly detail-oriented HEDIS Data Reviewer to join our team in support of our client. Working under the direction of the Manager of Medical Record Review Operations, you will...

Licensed Psychiatric Nurse PractitionerWage: $89–$203 per hour.About the roleProvide psychiatric care as a licensed psychiatric nurse practitioner. Start, grow, or maintain a private practice while focusing on patient...

LPN Care Coordinator with Skilled Nursing Experience (Fully Remote) (Spanish Speaking Required) Overview: The Care Coordinator is responsible for developing and providing care coordination services directly to Alopex...

$10,000 Sign On Bonus! As the Wound Care Nurse, you will provide primary skin care to guests, with an emphasis on treatment and therapy of skin disorders. You will also assist in modifying the treatment regimen to meet the...

Overview Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and...

About the Job MedStar Health is seeking an experienced Nurse Practitioner with a minimum of four years of post-graduation cardiology experience to join our Hybrid Outpatient Cardiac Clearance team. The ideal candidate...

Amaze Health is a virtual healthcare company unlike any other. We provide concierge-style virtual care at the touch of a button. It's like having that “doctor friend” everyone wishes they had for anything health-related (current health...

Entity: Owensboro Health Regional Hospital | Department: Virtual Care | Work Hours: 7P - 7:30A | Weekend Requirements: One | 0.9 FTE Job Summary: Provides direct nursing care in accordance with established policies,...

Job Description Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal...

City/State Lynchburg, VA Work Shift First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Charlottesville & Roanoke Virginia...

HCS 247 Travel is seeking a travel nurse RN Hospice Palliative Care RN for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Hospice Palliative Care RN Discipline: RN Start Date: 06/29/2026 Duration: 13 weeks 36 hours...

Job Summary: The Clinical Nurse Educator is responsible for assisting in identifying learning and development needs for clinical staff. Assesses competencies, need for additional training and education, and develops and delivers...

Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...

Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through...

Hours: Full time (37.5 hours per week), Day and Night Shifts available, 12.5-hour shifts, 3 days per week, with every other weekend rotation Location: multiple locations surrounding Lynchburg, VA 24501 $5000 Hiring Bonus...