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Job OpportunitySeeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the opportunity...

The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely...

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 process. To learn how to apply for a faculty or staff...

Offering a part-time PRN opportunity, the Georgia Licensed Registered Nurse will provide quality nursing services in a virtual environment, focusing on patient care coordination, advocacy, and performance improvement initiatives.Key...

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...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Pager Health℠ redefines how members navigate to care and wellness, validated by clinicians and powered by AI. Our solutions help people get the right care at the right time in the right place and stay healthy, while...

Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time position. The role involves applying medical necessity criteria to reviews, documenting findings, and interfacing with providers and members to...

Overview Nurse Navigator - Per Diem The oncology nurse navigator is a professional registered nurse with oncology specific clinical knowledge who offers individualized assistance to patients, families,...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

Air Evac Lifeteam seeks a licensed RN to write clinical insurance appeals and support medical necessity justifications for air transport evaluations. The role involves processing and submitting appeals, ensuring timely updates, and protecting...

Senior Specialist, Quality Improvement (Registered Nurse) Reason for opening: FTE support needed for "Q4 Push" to close Medicare/MMP gaps in care with member & community events Will this role be fully remote? Yes Are there...

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

POSITION SUMMARY Reporting to the Director, Ambulatory Services of the Martin Luther King, Jr. Los Angeles (MLK-LA) Healthcare Corporation, the Ambulatory Clinical Supervisor is responsible for successfully managing day to day...

Type: Clinic Somerville , MA SkyBridge Healthcare is currently seeking Registered Nurse with Clinic experience for a 13-week contract in MA. SkyBridge Healthcare is a premier staffing firm dedicated to matching outstanding talent...

Building Location: 32nd Avenue Building Department: 3012500 EMERGENCY SERVICES TECH - 32ND HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and...

Adjunct Lecturer in Online Nursing PMHNP Program Fully Remote • Remote-USA - x, MA 00000 Overview Position Type Adjunct Description The Richard and Sheila Young School of Nursing is seeking applicants for...

Clinical Professional Opportunity At Prenuvo, we are on a mission to flip the paradigm from reactive "sick-care" to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and...

Assistant Professor, Nursing Evaluator Remote Are you a nurse who is passionate about being an integral part of educating the next generation of nurses? Have you been dreaming about being part of an organization that really cares...

Become a part of our caring community The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources...

Description The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotional, spiritual needs, and appropriate care strategies throughout the lifespan. This position...

Quality Manager - RN Nursing leaders are encouraged to consider a full-time Quality Manager position with Liberty Healthcare. This is a key management role with new statewide initiative to improve the efficiency and effectiveness...

We are looking for a L&D Nurse to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. Physicians & Advanced Practice...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

Community Health Network is seeking an Ambulatory Triage Registered Nurse to join the Family Medicine Care team. The RN will perform phone triage, patient education, scheduling, prior authorizations, prescription refills, referrals and care...