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JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Seeking several BE/BC Psychiatrists to join a well-established, growing Psych / Behavioral Health group. Most details on the table for discussion Some info/details/FAQs below New Residents welcome Interventional...

1st TIME OK/ 2 YR EXP required for Utilization Review RN every other weekend required or more depending on unit needs no call or floating required MUST HAVE experience with Milliman Care Guidelines and Acute Hospital Experience!! The Emergency...

Payment Integrity Nurse I Work from home within Oregon, Washington, Idaho, Utah, or North Dakota Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We...

To support the Home Health Senior Care team, the remote North Carolina RN Clinical Support Specialist will review Oasis and Homecare Homebase documentation, mentor clinical managers, and assist in developing new policies and procedures while...

Namely is seeking California Based Nurse Care Managers for remote work to support members through their healthcare journey, ensuring needs are met with leading interventions. The position requires a Bachelor of Science in Nursing, 5+ years...

Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

Now Hiring: RN LTAC - Los Angeles, CA Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in Los Angeles, CA and make a real impact in patient...

Resource Nurse- ICU Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Adult Psychiatrist – Knoxville, TN (Remote Position) We are seeking an Adult Psychiatrist to work in a brand-new comprehensive inpatient behavioral health facility in Knoxville, TN. The facility provides acute behavioral health care and...

OptumCare seeks a National On Call advanced practice clinician (APC) for remote telehealth care. You will provide telephonic/telehealth care, coordinate with care teams, and support members 24/7 including holidays. Requires NY NP license, MSN/DNP,...

Registered Nurse (RN) - Corrections (Medication-Assisted Treatment): Los Angeles, CA Job Type : Assignment City : Los Angeles State : CA Job...

Telephonic RN Case Manager Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically...

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to...

Description CentralCare is seeking a highly skilled and experienced Pediatric Registered Nurse (Pediatric RN) to provide full-time services at the 61st Medical Squadron located at Los Angeles Air Force Base. This is an...

Oscar Medical Group is hiring fluent Spanish-speaking Nurse Practitioners to join our remote Virtual Health Assessment team. You will work with Oscar Health Insurance members in evaluation and management visits, reporting to the Director of...

NMC Registered Band 5 Triage Nurse We are delighted to offer an excellent opportunity for a NMC Registered Band 5 Triage Nurse to join our friendly and supportive East Staffordshire Care Coordination Centre in Burton. We are...

Pediatric Nurse Practitioners - NPs Practice From AnywhereTelehealth | Arizona | Remote & Flexible Great care doesn't always require an exam room. EasyHealth is expanding our Telehealth Nurse Practitioner network and seeking...

Clinical Care Representative Includes weekday, Saturday and Sunday shifts SUMMARY: The Clinical Care Representative (CCR) is a telephone triage nurse, providing a variety of services and information to patients over the phone in a...

Overview Answer with Care. Guide with Compassion. Support Every Step. We are seeking a dedicated Telephonic Triage RN to join our clinical call center team. This position is responsible for providing...

Job Title: License Vocational Nurse Reports To: Center Manager Summary: The Licensed Vocational Nurse (LVN) is clinically responsible for all patients in a department. He/she/they delegate(s) tasks to ancillary back-office...

A healthcare auditing firm is seeking a Hospital Bill Audit Nurse Supervisor to lead a remote team responsible for hospital bill audits. The candidate should have a nursing background with at least 5 years of experience in acute settings and be...

Registered Nurse - Case Management Duration:13 Weeks Start:03/10/2025 Job Type: Travel Minimum Guaranteed Hours: 40 Jobs Notes: Day Shift, inpatient RN CM Acute hospital experience,...

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