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Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

Description WHAT IT'S LIKE AT SGMC HEALTH Purpose. No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

JOB SUMMARY The Utilization Review (UR) Nurse is a registered nurse who provides clinical review against nationally recognized medical necessity criteria for the purpose of evaluating medical necessity or hospitalization...

A leading healthcare provider is seeking a Registered Nurse Patient Flow Coordinator to join their hybrid team in Charlotte, NC. Responsibilities include triaging admissions for internal medicine hospitalists and collaborating with physicians...

UTILIZATION REVIEW NURSE HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than...

We are looking for a Travel PICU RN for a great Travel nursing job in Columbus, OH. This PICU Travel nursing job pays for 36 hours a week for 13 weeks. With Wanderly you can compare...

Description Location: UCHealth UCHlth Leprino Building AMC, US:CO:Aurora Department: EE Health and Wellness Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $33.61 - $52.10 / hour. Pay is dependent on applicant's...

Cabell Huntington Hospital is seeking a full-time Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and driving...

Description Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the...

The function of the Registered Nurse- Residential MHMR is to ensure the provision of a comprehensive program of preventative, intervention and emergency medical care for the individuals. Essential Duties and...

A leading home health services provider is seeking a Nurse Manager/Clinical Supervisor (RN) in Tewksbury, MA, to lead and support field staff in delivering exceptional patient care. You will be responsible for patient assessments, developing care...

Employment Type: Full timeShift: 12 Hour Night Shift Description: The licensed Registered Nurse (RN) plans & provides professional nursing services &...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

BJC HealthCare is seeking a Registered Nurse (RN) Assistant Manager for a nursing job in Saint Louis, Missouri. Job Description & Requirements Specialty: Assistant Manager Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health,...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

Director Of Nursing The Director of Nursing is responsible for planning, organizing, and directing the delivery of quality general and psychiatric nursing care consistent with the facility's goals and objectives. Duties include...

We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire...

Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", may be the place for you! Alliant is recruiting...

About Us: Tribeca Pediatrics was founded by Dr. Michel Cohen, in 1994, and has grown into New York City's largest and most respected primary care pediatric practice. With over 50 locations in vibrant neighborhoods throughout the New York...

Location: BROOKLYN HEIGHTS Biweekly Hours: 80.00 Shift: Day/Evenings 7:00 AM-730 PM, 9:00 AM-9:30 PM, 11:00 AM-11:30 PM-Rotating weekends/holidays The MetroHealth System is redefining health care by going...

Anticipated End Date: 2026-04-21 Position Title: Transitions of Care RN 100% Virtual, CareBridge - Bilingual Preferred Job Description: Transitions of Care RN 100% Virtual, CareBridge -...

A healthcare organization in Springfield, Massachusetts, is seeking a Primary Care Nurse to work in a hybrid model, partnering with care providers to deliver patient-centered care. The role requires an active RN licensure and a diploma in nursing,...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Join the Patient Management Unit at a key moment in our history as we strengthen our clinically-driven, patient-centered preadmission pathway for DSH patients! Under direction of the Chief Psychologist of the Patient Care Coordination...

Description Location: UCHealth Anschutz Inpt Pavilion, CO,Aurora Department: UCHA Care Management Work Schedule: PRN, 0.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant experience...