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These roles involve patient care, including assessment, diagnosis, treatment, and follow-up. May work across various healthcare settings, such as hospitals, clinics, long-term care facilities, and community health organizations. Responsibilities...

Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

Overview Why Mindpath Health? Join Mindpath Health as we expand access to high quality mental health care in the communities we serve. We provide a well-supported outpatient practice setting where we...

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

Become a part of our caring community and help us put health first Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to...

Job Description Our Primary Care clinic in Overland Park is seeking a RN to join our team! KS & MO RN License required M-F Days; 8:30a-5p No weekends, No...

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

Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of...

Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families...

RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow...

About Umpqua Health At Umpqua Health, we're more than just a healthcare organization; we're a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of individuals and families throughout our...

Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders, established hospital and departmental policies and procedures, American Nurses Association Standards of...

RELOCATE TO VIRGINIA OPPORTUNITY Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care. UVA Health is an integrated...

Clinical Review Nurse - Concurrent Review (Remote) *Must Be Located in Texas* Schedule: Training: Monday-Friday, 8 a.m.-5 p.m. PostTraining: Tuesday-Saturday, 8...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

Details Client Name Ohio State University Hospital Job Type Travel Offering Nursing Profession RN Specialty...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...

1.0 FTE (40 hrs/wk); Monday - Friday, business hours. This position requires initial on-site training, and then will transition to a fully remote role once training is completed. On-site training will be located at the 455 Phalen...

Job Description Job Description: Nightingale's List is seeking U.S.-based Registered Nurses with diabetes care experience for a short-term remote project supporting the development of healthcare AI...

Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals, denials or...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...

Overview Position: Nursing Assistant (NA) Location: Select Specialty Hospital - Columbus South (South High Street) Schedule: Full-time / 12-Hour Shifts / NightsCompensation: $18.05 -...

About Scene Health Scene is reimagining medication adherence with our 360° model of care, bringing the gold standard of Directly Observed Therapy into the digital age. Through personalized video coaching, engaging...

Live the Mission The RN Infection Preventionist evaluates the quality of resident care and outcomes as they relate to Healthcare Acquired Infections (HAI) and Community Acquired Infections (CAI) in accordance with all...