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RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8) | 08:00 – 16:30 PAY DETAILS (72 HOURS / 2 WEEKS) Pay Rate: $65/hr...

Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...

RN JobClinical Policy Nurse RN IIShift: Full TimePay Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)Job ID: 13084Location: Los Angeles, 90017Job DescriptionThe Clinical Policy Nurse RN II is responsible for analytical research,...

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

Elevance Health is seeking a Nurse Appeals RN to work virtually full-time, with in-person training required. The role involves investigating medical necessity appeals requests and requires a high school diploma and 2+ years of managed care...

Job Description The Division of Metabolism, Endocrinology and Nutrition has an excellent opportunity for a Registered Nurse 2 - Research to join their team. This is an hourly position with a variable shift. Located in...

Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to...

Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...

Kindred Hospital Los Angeles helps patients return to the lives they love. At our hospital, our physician-led care teams provide critically ill patients with the specialized acute care and rehabilitation they need, for the time they need it -...

Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...

Job DetailsPosition SummaryThe Quality Assurance Registered Nurse is a professional responsible for all quality activities of the organization. The role includes accountabilities for the monitoring, implementation, and evaluation of processes and...

Details Client Name CSMN - 1102080 - TACRI Clinical Job Type Travel Offering Nursing Profession Registered Nurse (RN)...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Description Risk Management Analyst RN at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This position is Full-time and will work Day shifts. Providence Cedars-Sinai Tarzana Medical Center, recognized...

RN - Clinic Nurse Out-patient clinic nurse City: Los Angeles State: CA Start Date: 01/06/2025 End Date: 04/07/2025 Duration: 13 Week(s) Shift: 5X8 Days Shifts Per Week: 5 Scheduled...

Description Location: UCHealth UCHlth Poudre Valley Hospital, US:CO:Fort Collins Department : PVH Ctr For GI Sp Work Schedule: Part Time, 40.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's...

City/State Virginia Beach, VA Work Shift Second (Evenings) Overview: Sentara is hiring Registered Nurses for the Innovative Inpatient Care Model in the Brand-New Centralized Virtual Acute...

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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...

The RN Clinical Educator, Ancillary Services is an advanced clinical expert in Cath Lab and procedural-based services who supports...

Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)...

Do you crave a career that truly makes an impact in people's lives? Do you thrive on problem-solving and finding solutions? Join a dedicated, tight-knit team that creates an immediate and meaningful impact every day. Leidos QTC Medical...

The Clinical Quality Specialist (RN) plays a key role in advancing the quality, safety, and effectiveness of the member experience at Included Health. This position focuses on evaluating and improving how members engage with care across all...