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Overview Registered Nurse (RN), Clinical Decision Unit Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-profit hospital and member...

Join Encompass Health: Where Nursing Meets Heart, Home, and Healing. Are you looking for a fulfilling nursing career that resonates with your passion for care? At Encompass Health, we provide a transformative experience where your skills as a...

Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS at our CP-NORTH HILLS HEALTH CENTER facility. This job is ON - SITE. FTE: 0.400000 Standard...

Building Location: Support Services Building Department: 1005110 NURS PROF DEV AND CLIN EX - EH SS Job Description: Acts as a clinical expert in the...

A leading pharmacy company is seeking a Clinical Outcomes Quality Assurance Nurse to ensure the quality of documentation and implement clinical best practices. Responsibilities include managing outcomes forms and communicating with patients and...

Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership...

JOB DESCRIPTION Job Summary The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with...

Overview Join a Company That Puts People First! Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we're proud...

Nursing Care Coordinator Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...

Job Description Under broad direction from the Centralized Utilization Management Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant, pediatric,...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Remote Clinical Review Nurse Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full?Time About the Role We are seeking an experienced Registered Nurse to join our team...

A healthcare solutions company is seeking a Clinical Review RN (Independent Dispute Resolution) to provide remote case determinations for Independent Dispute Resolution. This role requires a licensed RN in New York State with a minimum of two...

Location: Avera Medical Group Pulmonary & Sleep Medicine-Sioux Falls Worker Type: Regular Work Shift: Pay Range: The pay range for this position is listed below. Actual pay rate...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

Overview Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You'll...

Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...

Type: Full-time, salaried, FLSA exempt Pay: $80,000 - $85,000 annually, plus bonus potential Location: US, remote; some evening hours, weekend hours, and travel are required...

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JOIN TEAM TRILOGY: At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive...

A healthcare organization is hiring a skilled Nurse Advice Line Clinical Triage Nurse for a part-time position. The role involves performing clinical triage and coordinating care based on inbound calls. The ideal candidate must hold an RN License...

Description Location: UCHealth Anschutz Inpatient Pavilion - Aurora Department: Virtual Health Center - Quality program This position is an onsite role and does not offer a hybrid or remote...

Summary Job Description: Baptist Health Louisville is hosting a Virtual Interview Day on December 22 for New Grad RNs. Baptist Health Louisville has wonderful opportunities for new graduate nurses. New...

Job Description Salary Range: $40 - $42/Hourly Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty-one that blends clinical expertise with deep human connection?