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Description Join UCLA Health's Nuclear Medicine team and play a critical role in delivering cutting-edge diagnostic and therapeutic services to both adult and pediatric patients. As a Registered Nurse in Nuclear Medicine,...

To enhance the quality of clinical documentation, the full-time Washington State RN Clinical Documentation Specialist will interact with healthcare providers to facilitate modifications and ensure appropriate reimbursement for services rendered,...

Real Job 3266306 *Works with any dept, if a patient complaint arises* *Experience in Critical Care or ED is a plus* *weekends will not typically be required UNLESS survey is on site* *2 years experience required, hard stop* *First time travelers...

Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations for post-acute care services including SNF, home health and DME.

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. LVN Full Time Clerical Beverly Hills, CA, US 3 days ago Requisition...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...

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...

Registered Nurse - Utilization Management I The Registered Nurse - Utilization Management I is responsible for supporting specific utilization management (UM) program functions within the Clinical Operations department. UM program...

Arkansas Blue Cross Blue Shield is seeking a qualified Utilization Management Nurse to perform clinical review of prior approvals, network exceptions, and benefit inquiries. You will assess medical necessity and promote quality care while...

Health Care Position We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply,...

Immediate need for a talented Utilization Management RN - Prior Authorization. This is a 12+ Months Contract opportunity with long-term potential and is located in US (Remote). Please review the...

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...

Advocate Health in Mint Hill, NC is seeking a registered nurse to join our care team. You will use evidence-based nursing processes to assess, plan, implement, and evaluate patient care, coordinating with physicians, therapists, and families.

Job Title Real Job *Works with any department, if a patient complaint arises* *Experience in Critical Care or ED is a plus* *Weekends will not typically be required unless survey is on site* *2 years experience required, hard stop* *First...

Vail Health in Colorado is seeking a Registered Nurse with triage experience to assess patients and coordinate care across services. The role involves documenting assessments, following protocols, and ensuring timely appointments and patient...

This is a fully remote position, open to candidates based in United States. Pay: $60–$70/hr Role Title: Registered Nurse Role Type: Contractor Location: United States,...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...

St. Luke's University Health Network in the United States seeks a Clinical Triage Specialist (RN) to support the Access Center. The CTS uses nursing judgment to triage patient calls, provide appropriate guidance, and coordinate care...

Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

Centene Corp. is seeking a fully remote nurse reviewer to evaluate concurrent care plans and determine appropriate levels of care for members. The role prefers an active NY State RN license and requires availability Monday–Friday, 8:30 AM–5:00...

Educator Position The Educator is accountable to the Education Department Director. The instructor responsibility is to plan, provide and/or facilitate professional growth and development of hospital staff through the didactic process,...

RN - Wound Care Registered Nurse - Health Advocates Network is urgently hiring Wound Care RNs with at least 3 years of recent experience! IMMEDIATE STARTS! Travel packages up to $3194 weekly Shift: 10...

American Health Plans Franklin, TN 37067, USA Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors...

Registered Nurse (RN) Lake Regional Healthcare is currently seeking Registered Nurses (RN) to deliver the best possible nursing care in LRH's patient-focused setting. Summary: Utilize the nursing process to identify patient...