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Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Downey, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration:...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

Sanford Health Careers Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility:...

Overview Facilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS.

Job Summary: This Utilization Review (UR) Registered Nurse (RN) position supports the Mission of Pipeline Health through the provision of distinctive and compassionate care to our patients. This position is responsible for...

Clinical Specialist As a Clinical Specialist, you will use your practical or vocational nursing experience and knowledge of medical and behavioral health conditions to support timely disability claim decisions. You will identify and...

Utilization Management Nurse We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for...

Psychiatric Nurse Practitioner (PMHNP) – Remote Telehealth, MarylandAugust Rose Health Center | Part-Time Contract (1099)About Us August Rose Health Center is a CARF-accredited outpatient mental health center and...

Salvo Health is taking a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. Our patients are assigned a "whole patient" care team and have seven...

Angel Care Hospice and Palliative is currently seeking an experienced Hospice LVN to provide compassionate end-of-life care for our patients and their families in the Inland Empire area. The ideal candidate lives in and around Bloomington, Colton,...

Billet Health seeks Licensed Practical Nurses to deliver compassionate home health care to geriatric patients. You will assess patient needs, work with the RN case manager and Director of Nursing, and travel to patient homes to provide care within...

Pediatrics Specialty Triage Phone LVNJoin Our Dedicated Team!Glendale Pediatrics (physician-owned private practice) is seeking a Licensed Vocational Nurse (LVN) to join the team as a full-time Pediatric Triage Phone & Administrative Nurse. In this...

Medical Necessity Review Nurse Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of...

Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia! Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of...

About Company: Connect America and our family of brands, including Lifeline, have helped aging individuals and at-risk populations live safely and independently in their homes for more than 40 years. As North America's...

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...

Oakmont Management Group's Ivy Park at Palos Verdes is seeking a Health Services Director (LVN/RN) to coordinate resident care and medication management under physician direction, maintaining resident independence. The role oversees nursing...

Description Nursing Assistant at Providence Little Company of Mary Medical Center San Pedro in San Pedro, CA. This position is Part-time and will work 12-hour, Night shifts. Providence Little Company...

Ambulatory Care Coordinator RN Could you be our next Ambulatory Care Coordinator RN at Main Line HealthCare? Why work as a Ambulatory Care Coordinator RN with Main Line Health? Make an Impact! Coordinating the care of a patient's...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

Overview Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state's most vulnerable and underserved residents. Founded in 1999, we've...

Maxim Healthcare is seeking a Licensed Vocational Nurse (LVN) for homecare assignments. The role emphasizes direct patient care in the home, medication administration, and support of care plans. Flexible schedules aim to provide stable hours and...

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,...

Benefits: Health insurance Paid time off 401(k) Competitive salary About the Role: Bell-Clinica Familiar Medical Corp is looking for a passionate and dedicated Nurse Practitioner to join our growing healthcare...