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CVS Health is seeking an RN Utilization Management Nurse Consultant for a 100% remote role. The incumbent coordinates, documents and promotes utilization/benefit management to ensure appropriate care and timely discharge planning, in a workload...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make...

Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Downey, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment...

Cunningham Children's Home in Urbana, IL is seeking a Nurse Case Manager to support youth in emotional, psychological, and physical care across residential services. This role emphasizes medical case management, screening, education, counseling,...

Pomelo Care is a leading virtual pediatric and women's health practice delivering care across pregnancy, postpartum, pediatrics, and more nationwide. We are hiring a full-time pediatric triage RN to provide patient-centered care across chat, phone...

Virginia Mason Medical Center in the Puget Sound region seeks a Clinical Documentation Review Specialist (RN) to clarify patient records for appropriate reimbursement and care complexity. You will conduct concurrent reviews and engage with...

Join Cedars-Sinai!Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed among the very best in...

Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the identification of diagnoses, conditions, and procedures that are representative of the...

Children's Mercy Job Opportunity Do you envision finding a meaningful role with an inclusive and compassionate team? At Children's Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the...

Trillium Health Resources is seeking a Compliance Nurse to perform clinical compliance reviews and evaluate claims to ensure adherence to regulatory and coverage requirements. The role applies clinical judgment to assess documentation, determine...

Job Description Provides support for clinical facility site reviews. Under the supervision of leadership, uses clinical judgement within appropriate scope to independently conduct reviews and other monitoring activities for primary care...

JOB DESCRIPTION - REGISTERED NURSE (A) Job Summary: The Registered Nurse provides patient care on a supplemental basis to our client facilities. With the delivery of safe, quality patient care as...

The RN Clinical Educator, Ancillary Services is an advanced clinical expert in Cath Lab and procedural-based services who supports...

Job Description: Flight Nurse – Pediatric Focus (PICU/Pediatric ED Experience Preferred) Join Our Life Flight Team | Elevate Your Nursing Career Are you a highly skilled critical care nurse with a passion for pediatric care and a sense of...

Instructor - Full Time Pediatrics Grand Canyon University! One of Arizona's leading institutions of higher learning. Located in the Valley of Sun in the heart of Phoenix, Arizona, GCU is a regionally accredited, private, nondenominational...

IPRO in New Rochelle, NY seeks a Nursing Home Surveyor/Complaint Investigator to assist NYSDOH with surveillance and investigations at nursing homes and TCUs. The role involves reviewing abuse eglect allegations, preparing reports, and ensuring...

Akron Children's Hospital is seeking a Part-Time Evening RN to assess and care for pediatric patients within approved medical protocols. You will interact professionally with families and providers to ensure individualized care and document...

Equip, a fully virtual eating disorder treatment program, seeks a Family Nurse Practitioner licensed in Massachusetts to join its 100% telehealth team. You will assess and treat pediatric to adult patients, coordinate with a multi-disciplinary...

About the Role: Our client, a leading telehealth platform, is expanding rapidly and looking for a dedicated Nurse Practitioner to join their virtual care team. You will provide exceptional primary care services to a diverse patient...

Pediatrics Specialty Triage Phone LVNJoin Our Dedicated Team!Glendale Pediatrics (physician-owned private practice) is seeking a Licensed Vocational Nurse (LVN) to join the team as a full-time Pediatric Triage Phone & Administrative Nurse. In this...

LVN/LPN Opportunity At St. Francis Medical Center St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000...

Licensed Vocational Nurse HHPThe Licensed Vocational Nurse supports the physician and nursing staff in the delivery of healthcare by performing patient care assessments, and a variety of medically related tasks. The LVN is a licensed nurse who...

Case Manager LVN Days Join our team in Los Angeles, CA, as a Case Manager LVN, focusing on patient care coordination and discharge planning. Position Details: Contract: 13 weeks, 40 hours/week, 9am-5:30pm, includes...

Sagility is hiring an RN Utilization Management Reviewer for a fully remote, home-based role in the United States. You will perform day-to-day clinical and service authorization reviews for medical necessity and ensure compliance with CMS...

Spectraforce Technologies, Inc. is seeking a Clinical Review Nurse - Prior Authorization for a 12-month assignment. The role is remote (PST/CST) with scheduling across multiple shifts, supporting national guidelines and contractual requirements.