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TriHealth is seeking a Utilization Nurse to evaluate medical necessity and ensure care is delivered at the appropriate level in collaboration with physicians, care management, and payers. The role requires RN licensure, 3–4 years of...

Your Health seeks an experienced Registered Nurse to provide telephone-based clinical triage for patients in our growing primary care practice. The RN will assess symptoms remotely, determine appropriate level and urgency of care using...

Sensorum Health Patient Monitoring and Triage Nurse Job Description ABOUT SENSORUM HEALTH Sensorum Health (sensorum.ai) enables better proactive and preventative healthcare for older adults living at-home.

Employment Type: Full timeShift: 12 Hour Night Shift Description: This is not a remote position The licensed Registered Nurse (RN) plans &...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: ClinicDiscipline:...

Find your calling at Mercy! Performs as an (RN) Nurse in the Mercy Virtual triage program in accordance with all applicable Federal, State, and Mercy rules, regulations, policies, and procedures, and performs all duties assigned by Medical...

Registered Nurse (RN) – Quality Assurance The RN Quality Assurance is responsible for evaluating healthcare services and processes to ensure compliance with standards and regulations. This role involves data analysis, auditing patient...

Centene Corp. in California seeks a remote nurse reviewer to handle medical necessity grievances, appeals and denials. The role requires CA RN/LPN/LVN licensure and 2+ years of clinical nursing experience, with NCQA and InterQual knowledge...

MDS Solutions, a division of Key Rehabilitation, seeks a remote MDS Coordinator to plan, organize, and coordinate MDS completion under current Federal and State Regulations. The role requires an RN license (LPN not eligible) and involves...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

SCAN Health Plan Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists...

Medicare and Medicaid managed care plans helping members stay independent.Supports Elderplan's SNP line of business.Responsibilities:Advocate for patients during care transitions.Collaborate with discharge planners and case managers via...

Job Overview: Pay Range: $46.76hr - $51.76hr Requirement/Must Have: 5+ years Clinical nursing experience. 2+ years Care Management. Bachelor's Degree in Nursing. In...

Companion Caregiver for Alzheimer's ClientMake a meaningful impact supporting a vibrant 70-year-old woman living independently in Beverly Hills/Los Angeles with early-stage Alzheimer's disease. She values her independence, lifestyle, and...

Valeris, Inc. is seeking an experienced registered nurse to provide telephonic education and support to patients, caregivers, and health care providers across multiple disease states. The role emphasizes accurate record keeping,...

RelateCare | Care is in our name is seeking a registered nurse with an active compact license to join our telephonic triage team, working night shifts remotely. The role focuses on virtual patient assessments, medical advice, and referrals,...

Job Summary: Under the direct supervision of a Registered Nurse or physician, performs a variety of patient care functions as assigned and in accordance with the legal scope of competency and within established standards of care, policies...

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To:...

IV Infusion Specialist Assessment Nurse The IV Infusion Specialist Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires...

Purpose Statement/Position Summary: The Registered Nurse II Specialist conducts patient assessments, participates in the development of the plan of care, implements and evaluates care according to patient specific age and/or developmental...

Company Overview: About Function & Ezra Function Health was founded with a singular focus: empower you to live 100 healthy years. We're doing that by using the best available...

Sagility is seeking a seasoned Registered Nurse to join as Senior Care Specialist in a work-from-home capacity. You will assess members remotely, develop care plans, provide education, and coordinate services to improve health outcomes for...

Michael Hill, MD and Associates (MHMDAA) is seeking a Nurse Auditor Coder (RN + CRC or CIC) for a 100% remote, U.S.-based engagement as a 1099 contractor. The position requires Monday–Friday availability of at least 15 hours, in blocks of four...

Intermountain Health is seeking an RN Utilization Review Care Management I for remote, part-time coverage across enterprise regions. The role focuses on utilization review, evaluating care plans, and ensuring compliant, efficient, and...

BJC HealthCare is seeking an experienced Healthcare Recruiter to join our fast-paced talent acquisition team. This role focuses on full-cycle recruitment for clinical and non-clinical healthcare positions, especially Medical Assistants, Patient...