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Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review nurse, you will assist patients through the continuum of care in collaboration with the patient's primary care physician,...

CVS Health is hiring for an Utilization Management Nurse Consultant (RN) for remote work. The role focuses on concurrent review and ensuring timely, cost-effective care through evidence-based decision-making. Candidates need active RN...

Registered Nurse Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) Join our team today! Higher Pay Scales and Sign-On...

Elevance Health is seeking an experienced nurse to review complex cases for medical necessity, applying clinical guidelines and nursing judgment. The role involves collaboration with physicians, case managers, and Medical Directors to optimize...

GQR Healthcare is seeking a travel nurse Correctional for a travel nursing job in Commerce, California. Job Description & RequirementsSpecialty:...

This position offers an opportunity for a registered nursing professional to contribute to patient care within a healthcare environment focused on quality, collaboration, and innovation. The role involves coordinating telehealth...

Trillium Health Resources is seeking a Compliance Nurse to perform clinical compliance reviews and evaluate claims to ensure adherence to regulatory and coverage requirements. The role requires an Associate's degree in Nursing, NC RN licensure,...

Psychiatric / Behavioral Health Nurse Job Overview As a Psychiatric / Behavioral Health Nurse, you will help provide comprehensive mental health care for Soldiers, their families, and military retirees. You will also care for those in emotional...

Saint Joseph Health System is seeking an RN Utilization Review specialist for a part-time, remote PRN role that requires on-site training in Mishawaka, Indiana. The position emphasizes reviewing medical necessity, insurance requirements, and...

CareHarmony is hiring a Licensed Practical Nurse (LPN) in Oklahoma City to join their team in delivering value-based care management. The role involves conducting health assessments, coordinating resources for chronic care, and educating patients.

MEDLOGIX, LLC is seeking a Precertification Nurse-LPN/RN for a full-time remote position in NJ/PA. The role involves determining medical necessity for services related to Auto No-Fault injuries, with training to be conducted at the Hamilton, NJ...

Compensation: $85,000 – $92,000 Hourly Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (typically 1st shift) CLIENT NOTES / EXPECTATIONS Candidates must meet required AND preferred...

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 includes its Los Angeles...

TEKsystems is seeking a Clinical Quality Assurance Nurse for a contract-to-hire position based out of Orlando, FL. The role focuses on ensuring high-quality case reports in compliance with client contracts and regulatory standards. Pay...

Providence Tarzana Medical Center in Tarzana, CA is seeking a Certified Nursing Assistant for the Cardiovascular Unit. This Full-Time role requires CA Nursing Assistant Certification, BLS, and completion of the Nursing Assistant course, with...

CenterWell Home Health is seeking a qualified RN to join our remote team. This full-time role focuses on patient navigation, post-acute care planning, and admissions coordination to place the right patient in the right care setting.

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Work Schedule 12hr nights or day ight rotating shifts...

Job Description Work Schedule: 100% FTE, Day shift, this is a hybrid position in person work location will be 2550 Charles St Additional components of compensation may...

PIH Health seeks a Nursing Instructor to teach in the Associate Degree Nursing program at Cerritos College and PIH Health during academic breaks. The instructor will deliver didactic and clinical instruction, participate in curriculum development,...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

About Us At Prenuvo, we are on a mission to flip the paradigm from reactive "sick-care" to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no...

Registered Nurse (RN) - Home Infusion Therapy AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity.

Centene Corporation in the United States is seeking a Nursing professional to analyze prior authorization requests and determine medical necessity and level of care in line with standards and coverage. You will collaborate with medical teams to...

Registered Nurse (RN)- Commerce,CA Local Pay: $52.65/hour - (W2) Join our team and make a meaningful impact by delivering exceptional care in a professional healthcare setting. We're looking for a...

NTT DATA, Inc. seeks a Clinical Reviewer Specialist to perform clinical and medical necessity reviews for member and provider appeals, evaluating records against NCQA standards and Medicaid requirements. Role offers remote work within...