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A healthcare organization in California seeks a Utilization Review Nurse to oversee inpatient utilization management. This position requires clinical expertise alongside experience in Utilization Management. The candidate should have a current RN...

Genie Healthcare is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Long Term Acute...

Quality Assurance Registered Nurse This is a contract to hire position based out of Raleigh, NC. The pay range for this position is $29.00 - $31.25/hr. Eligibility requirements apply to some benefits and may depend on your job...

Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...

Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health is currently hiring for a Utilization Review Nurse- Remote in VA! Status: Full-time, permanent...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic...

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 The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

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...

The Ohio State University Wexner Medical Center's mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care and supportive services directed towards...

Host Healthcare is seeking a local contract nurse RN ICU - Intensive Care Unit for a local contract nursing job in Columbus, Ohio. Job Description & Requirements Specialty: ICU - Intensive Care...

Medical Solutions is seeking a local contract nurse RN OR - Operating Room for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: OR -...

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...

A leading health organization is seeking a Nurse Reviewer I to manage preauthorization and diagnostic imaging treatment reviews. With a focus on quality member outcomes, the role allows for virtual work with defined responsibilities, including...

Location: Avera McKennan Hospital Worker Type: Regular Work Shift: Rotating days/evenings ights/weekends/holidays (United States of America) Pay Range: The pay range for...

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...

Premier Medical Staffing Services is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Grove City, Ohio. Job Description &...

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...

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...

Overview $5,000 sign-on bonus and $5,000 relocation (for greater than 100 miles) or $2,500 relocation (for greater than 50 miles) for nurses with 1 or more years experience - External...

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 Join TriHealth as a Clinical Documentation Specialist and partner with interdisciplinary teams to improve documentation accuracy, support quality outcomes, and elevate patient care. Work Hours...

RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.

ReynoldsburgOH43068G/TFlexible days, 1-2 evening shifts/week AND weekend daysDays, evenings Maxim Healthcare Services is seeking a Registered Nurse (RN) to assume responsibility and accountability for the application of the nursing process and...