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Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior...

Per Diem Psychiatrist – Remote Telepsychiatry Employer: CFG Health Network Location: Remote / Telepsychiatry Employment Type: Per Diem CFG Health Network is seeking a New Jersey-licensed Psychiatrist to provide per diem, remote...

A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role...

Public Health Nurse We are pursuing qualified candidates to fill Public Health Nurse positions within the Department of Public Health. This position provides public health nursing services in a facility or in the field, at the individual,...

AltaMed Infusion Nurse Practitioner If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed – it's nurtured,...

Santa Monica Healthcare Center in Santa Monica, California seeks a Certified Nursing Assistant to care for residents under the direction and supervision of a registered nurse or licensed practical nurse.The role requires graduation from a...

Reproductive Psychiatrist Ohel's Early Childhood Mental Health (ECMH) program is seeking a Reproductive Psychiatrist to join our dedicated team. This is a unique opportunity to make a meaningful difference in the lives of women often from...

Centene is seeking a Nursing professional to perform concurrent reviews from a home-based setting, ensuring appropriate care levels and discharge planning. Requires an Iowa license (or compact) and nursing degree with 2–4 years of related...

Duke Nursing Opportunities At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we...

Duration: 2.5 Months (10 Weeks) Job Description: We are seeking compassionate and dependable Registered Nurses (RNs) to join our nationwide immunization program. In this role, you will administer vaccines to adult and...

Registered Nurse Carson, California Full-time Our Clinic Nurse, RN plays a vital role by caring directly for our participants in the clinic including support with clinic overflow, day center triage, checking vital signs,...

Are you looking for an opportunity to advance your career while working with an extraordinary team? At LumiCare, a member of the Merakey family of companies, we connect people to the care and guidance they need through...

About the job Nurse Practitioner Bilingual Nurse Practitioner (NP) - Part-Time or Full-Time Japanese / English Location: Torrance, CA...

Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...

Primary Care Physician At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work...

Advanced Practitioner Opportunity Kernow Health CIC is seeking skilled and motivated Advanced Practitioners to join our Cornwall 111 Integrated Urgent Care Service (IUCS). This is an exciting opportunity for experienced Paramedics or...

A healthcare organization is looking for a Senior Clinical Reimbursement Analyst to provide analytical guidance across segments. This role requires reviewing Medicare/Medicaid documentation, ensuring accuracy in MDS coding, and training staff on...

Details Client Name PROVIDENCE LITTLE CO OF MARY TRANSITIONAL CARE CTR Job Type Travel Offering Nursing Profession RN...

Nurse Practitioner Gardena, CA 90249 Overview Salary Range $90.00 - $117.00 Hourly Level Experienced Position Type Part Time Job Shift Day Description The Nurse Practitioner (NP) is responsible for...

Nurse Practitioner | Psychiatry - General/Other Location: Pennsylvania Employer: AAS Locum Tenens Pay: Competitive weekly pay (inquire for details) Start Date: ASAP About the Position We are seeking an experienced Psychiatric Mental Health Nurse...

Contract – W2 Urgent Care Registered Nurse (RN) Job Location: Los Angeles, California Start Date: October 12, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1698.09 – $1793.09 Duration: 13 weeks Specialty: Urgent...

Ensemble is seeking a Virtual Utilization Review Specialist to join our remotely-based team. The role requires at least 1 year in denials management and 5+ years of acute care clinical experience, with RN licensure and Epic EMR familiarity.

Seeking a full-time bilingual RN, Clinical Operations to provide telephonic education, clinical assessments, and patient support remotely, ensuring adherence to clinical protocols and enhancing patient outcomes.Key responsibilitiesConduct clinical...

School Nurse Position This is a part-time School Nurse position, starting immediately. Placement on Certificated Salary Schedule with starting salary between $75,315 (Step 1) - $114,714 (Step 10), pro-rated to 60%. Requirements /...