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Optum is seeking a Utilization Review Nurse, RN, to lead inpatient utilization management, applying evidence-based guidelines and criteria to determine medical necessity for admissions and authorizations. The role requires 3+ years of...

At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital...

As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The Registered Nurse is accountable for the coordination of patient care and education to the patient and...

A leading medical institution in Beverly Hills is looking for a Virtual Care Nurse. This role involves coordinating remote patient care activities and requires advanced assessment and communication skills. Candidates must have an ADN, California...

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 children in our community who count on the hospital for high...

RN Clinical Documentation Integrity Specialist Remote Key Responsibilities: Ensuring Clinical Documentation Meets Quality And Regulatory Standards. Working With Medical...

Harris Health is seeking a Nurse Manager to oversee operations and care delivery for one or more clinics or units. You will manage human resources, quality, and financial aspects while aligning with nursing leadership and professional practice...

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...

Staffmark Group is recruiting a Registered Nurse for a remote role. Primary duties include reviewing peer review reports, ensuring evidence-based rationales, and ensuring compliance with client, contract, and regulatory standards. The ideal...

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...

Nurse Navigator 1 The University of Miami/UHealth Department of Medicine has an exciting opportunity for a Full-Time Nurse Navigator 1 to work in the UHealth Campus. Core Job Summary: The Nurse Navigator 1 (H) liaises...

Cadence, the clinical AI company automating chronic disease management, is hiring an RN Manager, Alerts to lead nursing teams responsible for alert review and triage across our chronic care population. You will own staffing, scheduling, and...

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be...

Optum is seeking an Inpatient Care Management Nurse to assess and interpret member needs, guiding utilization of health services to improve outcomes. You will collaborate with clinicians, perform case reviews, and support discharge planning from...

Job Description We are hiring an RN at our Primary Care Shoal Creek location! Monday - Friday, 8am-430pm No Nights, No Weekends, No Holidays Remote opportunity every other week after 4 months MO and KS RN license required BLS required Previous...

Job Description: RNs at Intermountain Healthcare are committed to providing patient centered care while demonstrating our values and mission. If you are interested in contributing to our mission of helping people live the healthiest lives...

UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based...

A healthcare organization in Connecticut is seeking an HCC Documentation Lead (RN) to coordinate and oversee documentation specialists. The ideal candidate must have a valid RN license, relevant coding credentials, and a minimum of three years'...

Providence Home Services Oregon is seeking a Clinical Documentation Specialist, Registered Nurse (RN) for a full-time, day-shift remote role open to multiple states. You will review OASIS admission documents and Plans of Care to ensure CMS...

Remote Miami, FL Full time R100100336 Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here ( to log in to Workday to use the internal application...

Job Description: The Nurse Clinical Leader provides leadership and clinical expertise during their shift and within their department. They manage unit resources and supervise personnel to ensure appropriate staffing levels based on the unique...

Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department: HS -...

Get AI-powered advice on this job and more exclusive features. This range is provided by Medix. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $37.00/hr...

EMD Serono is seeking an experienced RN to join the Patient Support Hub as a remote RN, West Coast-focused. You will provide individualized clinical education, product training, and ongoing support to patients and caregivers, leveraging AI-enabled...

Unknown CDI team is seeking a Clinical Documentation Integrity (CDI) Specialist – RN for a 100% remote position based in the United States. You will drive accurate inpatient documentation, engage physicians, and ensure alignment with quality and...