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Actalent is seeking an experienced Utilization Review RN for a remote MondayFriday opportunity with a CA-based license requirement. The role reviews clinical information, applies criteria, and makes first-level recommendations to ensure regulatory...

A healthcare staffing company in Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year of Home Health experience and must possess an active CA RN License. Responsibilities...

Explore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care,...

Registered Nurse (RN) Lake Regional Healthcare is currently seeking Registered Nurses (RN) to deliver the best possible nursing care in LRH's patient-focused setting. Summary: Utilize the nursing process to identify patient...

CVS Health is seeking a dedicated RN Case Manager in Massachusetts to coordinate comprehensive care for members, develop care plans, and communicate with providers and families. The role focuses on monitoring progress, advocating for patients, and...

Bestica is seeking a travel nurse RN Short Stay for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Short...

First Connect Health is seeking a travel nurse RN Short Stay for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Short...

Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Registered Nurse (Utilization Management) .Candidate must be authorized to work in USA without requiring sponsorshipLocation: 100% Remote for California...

Job Title Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is...

Dialysis experience required Western Regional Float, MULTI-STATE travel required PURPOSE AND SCOPE: The professional...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the bedside while still making a massive impact on patient care? We are seeking a dedicated Utilization Review Nurse to join our...

Carle Health seeks a Registered Nurse to deliver high-quality care within the Illinois RN scope and to guide patients, families, and care teams. The role includes a required six months of in-office training at the Champaign location before...

About This Role As a Clinical Grievances Nurse, you will review incoming retrospective cases to determine if appropriate care was given and ensure members' immediate needs are addressed. This role is ideal for those who can work PST hours...

CEI is seeking an RN/Managed Care Coordinator in Columbia, SC. The role trains onsite for 4 weeks, then remote work is possible under a hybrid model. W2 contracting with pay of $34/hour plus optional benefits. Responsibilities include...

RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...

Compensation: $85,000 – $92,000 Hourly Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (typically 1st shift) CLIENT NOTES / EXPECTATIONS Candidates must meet required AND preferred...

#SRNThis position represents 2 openings. Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the...

RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...

Inova Schar Cancer Institute is seeking a Registered Nurse for a fully remote PRN role. The position supports Oncology clinics with a flexible M-F schedule, 8:00–4:30 or 8:30–5:00, with no weekend, night shifts, or on-call hours. Inova...

TEKsystems seeks a Clinical Quality Assurance Specialist (RN/LPN) for a 100% remote, full-time role in the United States. The position offers a competitive hourly rate and a four-day work week with comprehensive benefits for full-time employees.

Clinic Registered Nurse (RN) Setting: Healthcare Facilities Job Type: Contract - Full Time Pay: $48 / Hour Hours: 40.00 Location: Peoria, IL The Registered Nurse – Clinic/Wellness/Immunization works in a variety of either remote or clinic...

DataForce by TransPerfect · Project listing Registered Nurse (California, Remote) Listed on DataForce by TransPerfect as “Registered Nurse (California, Remote)” Original posting from DataForce by TransPerfect Work...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...