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Nurse Practitioner (DOM Occupational Health) The Division of Occupational and Environmental Medicine is seeking a Nurse Practitioner to manage clinical and administrative coverage at the Latham & Watkins on-site clinic in Los Angeles,...

Clinical Nurse Professional Development Educator Advanced How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At...

Care Coordinator/LPNEmpassion is one of the most impactful and exciting start ups in health care. We are focused on improving the experience and lowering costs for seniors at end of life. Specifically, we provide palliative and hospice care for...

Grace Community Care & Homes seeks a part-time Psychiatric Mental Health Nurse Practitioner (PMHNP) for planned New Jersey mental-health and substance-use services. The role includes psychiatric evaluations, prescribing, medication follow-ups and...

Integra Partners in Michigan seeks an Utilization Management Nurse Supervisor to lead the UM nursing team, balancing hands-on operations with strategic leadership and ensuring compliance with CMS, NCQA, and state requirements. You will...

Location This is a hybrid role. Applicants must be able to commute to or travel to Mitchell and Dougherty counties, GA, when required. About Us The Columbus Organization is a nationally...

PharmD Live is seeking a compassionate Licensed Practical Nurse (LPN) to remotely support patients in chronic care and population health programs. This role conducts telephonic and virtual encounters, delivers education on disease management,...

Clinical Reviewer, Inpatient RN Duration: 4 months contract (with possible extension) The Clinical Reviewer, Inpatient RN is a licensed professional expected to function independently in her/his role and is responsible for managing...

Jobgether is seeking a Coding Consultant Outpatient – PRN based in the United States. This remote, part-time role focuses on accurate outpatient coding, review of documentation, and ensuring proper APC and reimbursement details. The...

Job Title Job Requirements: Experience: 3 years acute care case manager experience CA RN License Certs: BLS FLU VACCINE (no exemptions) Flu season starts September Special Requirements: EPIC highly preferred Due to nature of the role,...

Travel Case Manager Registered Nurse (RN) This Case Manager travel nurse job in Los Angeles, California, with Advantis Medical is a 13-week Travel Case Manager Registered Nurse (RN) contract at Dignity Health - California Hospital Medical...

Improve the lives of others while Caring. Connecting. Growing together.Job Description - HSS Clinical Coordinator RN - Telecommute in Texas (2391171)HSS Clinical Coordinator RN - Telecommute in Texas - 2391171At UnitedHealthcare, we are...

CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote capacity. The role reviews inpatient and outpatient services using evidence-based criteria, authorizes care with providers, and escalates cases as needed.

Landmark Health Care Opportunity Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

Utilization Review Nurse Auditor Fully Remote • Mount Laurel, NJ 08054 Salary Range $33.00 - $46.00 Hourly Position Type Full Time Travel Percentage 10% ExamWorks is looking for a Utilization Review Nurse Auditor to join...

Job Title Employment Type: Full time Shift: Rotating Shift Description: This is a remote position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

Employment Type: Full time. Shift: Day Shift. Description: Purpose Work Remote Position The Nursing Support (NS) colleague (uncertified, certified, unlicensed, or licensed) provides safe, quality health care services & / or...

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...

Job Profile Summary Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's...

Responsive recruiter Benefits: Competitive salary Opportunity for advancement Paid time off Training & development Wellness resources This role is...

CareHarmony is seeking an experienced Licensed Practical Nurse – LPN to join our remote Intake team. The role focuses on comprehensive care coordination for chronic patients, conducting initial assessments, and guiding patients through their...

Job Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, or Operating Room to perform utilization review duties. The Registered...

Where You'll Work Founded in 1887, Dignity Health - California Hospital Medical Center is a 318-bed, acute care, nonprofit hospital located in downtown Los Angeles. The hospital offers a full complement of services including...