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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...

Molina Healthcare is seeking an RN Care Manager to support AZ Medicaid members transitioning from hospital to home or post-acute care. The role blends phone outreach with in-person interactions, requiring strong EMR and HIPAA competence and...

Description: FAMILY NURSE PRACTITIONER JOB SUMMARY Provides continuous and comprehensive services necessary for the promotion of optimal health, prevention and treatment, in an underserved community clinic. To perform a variety of advanced clinical...

Corewell Health is seeking a Telehealth Registered Nurse to provide remote patient care from the Care Center Breton in Kentwood. You will work evenings with 36 hours per week, delivering patient assessments, education, and follow-up via telehealth...

Abbott is seeking a CORONARY, CLINICAL SPECIALIST to promote vascular products through education and sales support within a defined territory. You will travel to hospital accounts to educate physicians, nurses and staff on product usage and...

Registered Nurse Specialist Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Nights, Variable Job Description Join a team...

Centene Corp. is seeking a Clinical Review Nurse - Prior Authorization (Hospice) to analyze medical necessity and determine the appropriate level of care. This remote role supports patients nationwide and collaborates with medical directors...

Piper Companies is seeking a Clinical Appeals Nurse for a fully remote, long-term contract role focused on clinical review, appeal resolution, regulatory compliance, and member/provider support within a complex health insurance environment.

AIS Healthcare in the Syracuse, NY area is seeking a Home Infusion RN to perform infusions in patients' homes for Pediatric and Adult patients. This fully remote PRN role offers 2-3 days per week and the chance to practice outside a hospital...

STRENGTHEN YOUR SKILLS AS A CRNA IN ARMY MEDICINE If you are looking to pursue a career in nursing that combines science with patient care. Being a Certified Registered Nurse Anesthetist (CRNA) and Officer in the U.S. Army Nurse Corps will offer you...

Description Location: UCHealth Anschutz Inpatient Pavilion - Aurora Department: Labor & Delivery Metro Denver Women and Infants (W&I) Float Pool RNs will support patients and teams at Highlands Ranch Hospital, Longs Peak Hospital, and University...

Authorization Nurse Do you have clinical care experience? Are you an RN looking to grow your career? UPMC is hiring a full-time Authorization Nurse. This position works Monday through Friday, as well as rotating weekends (typically 1...

Trinity Health is seeking a Night Shift RN Utilization Review in Grand Rapids, MI, offering full-time work with remote options. You will review assigned cases against criteria and payor guidelines to ensure proper reimbursement and medical...

Hey Jane is seeking a compassionate Registered Nurse to support medication abortion care via telemedicine. This remote, full-time role emphasizes trauma-informed, patient-centered care and clear communication with patients during stressful...

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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...

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.

After Hours Service Answer Line Rn The Answer Line After Hours Service provides after-hours exchange and nurse triage services for over 300 subscribing community pediatricians in the St. Louis and surrounding areas. Answer Line RNs...

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...

Description RN - Quality Assurance located at Providence Willamette Falls Medical Center (primary location) and Providence Milwaukie Hospital (secondary location), with rare travel to Providence Newberg Medical Center. The position does not...

Humana Inc. is seeking a Telephonic Registered Nurse Care Manager to support patients transitioning into and out of services from a remote work setting. You will guide post-acute options, ensure continuity of care, and act as a liaison with...

Job Description & Requirements Women's Health Nurse Practitioner (NP) StartDate: ASAP Available Shifts: Day 8 Pay Rate: $82.45 - $89.25 This facility is seeking a Women's Health Nurse Practitioner (NP) for locum tenens support...

Overview TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing clinical cases, identifying potential quality or safety...

Prolific is seeking Registered Nurses to train and evaluate AI models. If successful, you'll be invited to join Prolific as a Domain Expert participant, where you'll get paid to train and evaluate powerful AI models. Researchers paying up...