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TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services.

About Clarity Pediatrics Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD. After successfully launching our virtual clinic for ADHD and anxiety, we are expanding our pediatric care platform to...

Job Description Nemours is seeking an RN in Jacksonville, FL. The RN II provides and coordinates nursing care in partnership with the child and family and other community resources that is individualized to meet the...

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...

Care Career is seeking a travel nurse RN Hospice for a travel nursing job in Glendale, California. Job Description & RequirementsSpecialty: HospiceDiscipline:...

GLC On-The-Go is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN...

About the Job SUMMARY The Clinic RN will demonstrate Christ-like behavior and attitude in all job duties and responsibilities, as well as adhering to policies, procedures, standards and regulations of the RN...

Senior Clinical Admin Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the...

Full-Time Case Manager(LPN/LVN)Are You Ready to lead in Healthcare? We are currently seeking a Full-Time Case Manager(LPN/LVN) to join our outstanding healthcare team!Salary Range: $83,200.00 per yearWe are passionate about providing high-quality...

Title: QIC Part A Nurse Consultant Location: Remote Duration: 6 months Shift time: Hours; 8:30 am - 5:00 pm EST (Monday - Friday) Pay rate: 30.00/hr Job Description Essential Duties and...

Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning...

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...

Job Description: The Hospitalist Coordinator RN plays a vital role in supporting the delivery of safe, efficient, and patient-centered care for hospitalized patients at St. Mary's Regional Hospital. Serving as a key partner to physicians, care...

Senior Helpers South Valley Caregiver OpportunityAre you an experienced caregiver, CNA, or HHA who's ready for something better than rotating shifts and facility caseloads?Senior Helpers South Valley is looking for skilled, compassionate...

LVN Clinical Liaison - Los Angeles AreaReliance Hospice and Palliative Care is looking for self-driven, experienced and passionate LVN Clinical Liaison to join our growing Los Angeles area team. Hospice experience is required for the position.This...

RN Triage Nurse (Full-Time) Anchor Health is looking for a compassionate RN Triage Nurse to join a strong supportive team of professionals that provide hospice/palliative care. Position Purpose: Under the general supervision...

Job Description The Clinical Documentation Integrity Specialist II(CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of provider-based...

Home Health Registered Nurse (RN) Experience a work culture where nurses are valued, management backs you and you're empowered to be a patient's advocate. At Interim HealthCare®, these are just a few of the rewards you'll enjoy as a Home...

Schedule Available: 9:00 AM to 5:00 PM, Monday - Friday * With additional hours during evenings, weekends, and on-call; as needed. Benefits Include: Low patient-to-nurse...

Utilization Review RN - Remote Utilization Review RN - REMOTE position. This position is Part time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Job Description Harborview Medical Center has an outstanding opportunity for an experienced Registered Nurse to join our Care Management Team. WORK SCHEDULE: 80% FTE (4 days a week)...

Description Patient Business Services Provide clinical review, audit, analytical, and quality improvement support for utilization management, medical necessity determinations, and denial prevention...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

UnitedHealth Group is seeking a Care Coordinator to apply clinical knowledge in coordinating care for medically complex members. The role involves telephonic and in-person assessments, care planning, and collaboration with Case Management,...

About the Job All Care Home Health Provider is committed to caring. Serving the community for 30 years, we help educate our nurses with continuous clinical skills training for your home care career advantage. About the...