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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...

Position overview Position title: Section Chief of Surgical Critical Care Salary range: The posted UC (University of California) salary scales set the minimum pay determined by rank and step at...

RN Educator Critical Care ED Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit...

Supports the values of service excellence, teamwork, and integrity while managing patient care.Acts as a liaison among patients, caregivers, multidisciplinary teams, and payers.Qualifications:Requires a current RN license, nursing diploma or...

Position description The Department of Surgery, Division of General Surgery at the David Geffen School of Medicine at University of California, Los Angeles (UCLA) invites applications for the position of Section Chief of Surgical...

Delivering high-quality nursing care from a remote setting, the full-time Remote Care Nurse II will conduct patient assessments, develop care plans, and coordinate with multidisciplinary teams to optimize health outcomes using telehealth...

Humana is seeking an Utilization Management Nurse to support the coordination, documentation and communication of medical services and benefit determinations. This role requires interpreting criteria and policies to determine the best care and to...

The Monitor Technician works cooperatively with all members of the health care team in performing clerical and receptionist duties and assists clinical personnel with nonclinical duties.Core Competencies Acts as a resource for patients and...

Clinical Educator - Critical Care (ICU/ED) Job Summary Provides education leadership across ICU and Emergency Department services. Responsible for structured orientation, routine in-services, mock...

Location: San Diego, California, United StatesCompany: AAPCPosted: UC San Diego Health's Revenue Cycle department seeks an experienced coder specializing in anesthesia, pain management and critical care. Under supervision, perform in-depth...

Family Advocate Support Care - 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...

Guideway Care is seeking an experienced and compassionate Registered Nurse to join our remote triage team. This RN will provide high-quality assessment, guidance, and care coordination to patients by phone and secure messaging, working remotely in...

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...

Job ID: 32839 *Description* The Pediatric Pain & Palliative Care Nurse Practitioner (NP) is an advanced practice provider who delivers comprehensive, family-centered care to infants, children, adolescents, and young adults with acute,...

Clinical Educator – Critical Care (ICU/ED) Provides education leadership across ICU and Emergency Department services. Responsible for structured orientation, routine in-services, mock codes, advanced resuscitation training, competency...

CVS Health is seeking an Utilization Management Nurse Consultant who applies clinical expertise to assess, plan, coordinate, monitor and evaluate healthcare services for members in a collaborative setting. You will gather information,...

Advocate Health's GCMG Virtual Critical Care team is seeking a Registered Nurse for a 36-hour work week on the 7p–7a night shift with 90% remote work. This telehealth role emphasizes high-level patient care and strong collaboration across the...

Baptist is seeking a tele-nurse with strong ICU expertise to provide remote or direct patient care for critically ill adults across multiple ICUs. You will apply the nursing process, coordinate care, and serve as a clinical role model while...

Building Location: Building B - St Marys Medical Center Department: 2003900 SMMC 9-CRITICAL CARE - SMMC HOSP Job Description: Education Qualifications: Responsible for organizing and providing nursing care to patients through the process of...

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 better. Come build the health care system...

Physicians East, P.A. is seeking a part-time QEC Pre-Procedure Screening Nurse for remote work in the United States. You will review patient charts, perform pre-procedure screening, and coordinate with care teams to ensure proper evaluation...

The Veterans Health Administration is seeking a Registered Nurse (Case Manager/Care Coordinator) at the Charleston VA Medical Center in the Nursing, Specialty department. The role focuses on complex patient management, discharge planning, and...

Care Ally, SW/LPN/RN Case Manager - Remote - PST Hours Location US-Remote Position Type Full-Time At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults—and we're...

Actalent is seeking a dedicated LVN Nurse Consultant for a fully remote telephonic nursing role. You will contact patients or caregivers, including those in nursing homes, to ensure adherence to prescribed therapies and resolve issues.

Yoh is seeking a Utilization Management Nurse Coordinator (RN or LVN) for a 6+ month remote contract with a managed care client based in Northern California. Training occurs onsite in Fairfield or Redding for three weeks, then transitions to fully...