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Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Clinical Documentation Improvement Specialist - RN Job Category: Outpatient Nursing Requisition Number: CLINI017160 Full-Time Remote Hourly Range: $28.71 USD to $40.19 USD Description Job Overview: Day-to-day...

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...

As an integral member of the patient care team, the Registered Nurse supports the Chief Nursing Officer in leading the patient care team in providing for the safety, recovery and comfort of patients by implementing the nursing process (assessment,...

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,...

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...

Job DescriptionMake a difference every single...

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...

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...

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...

PIH Health, Inc. is seeking a Registered Nurse (RN) Clinical Educator to educate and train nursing staff. The role focuses on ensuring competence and proficiency, using various teaching methods to enhance staff professional development and...

Overview Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Our employees are the...

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...

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...

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

Cooperstown Center is hiring a Registered Nurse (RN) in Cooperstown, NY.Now offering a $5,000Sign-On Bonus!!We now offer Daily Pay through a trusted third-party provider giving you faster access to your earnings.DUTIESAs a Registered Nurse (RN),...

Job Title Provides support for healthcare services clinical auditing activities. Job Summary Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired...

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...

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...

Prospective Review RN Department: Utilization Management Location: Children's Health- Trinity Towers Shift: Full-time, Monday through Friday Job Type: Remote, with some occasional onsite attendance required Why...

Clinical Documentation Specialist The Clinical Documentation Specialist is responsible for the quality review of all OASIS documents and review of key elements of the Plan of Care to ensure CMS program compliance is met. The Clinical...

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 Transition Educator is responsible for providing clinical education and training to ensure successful transition of patients to an Option Care Health care delivery model. The role also partners with the sales team to increase the...