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A health services organization is seeking a Prior Authorization RN to join their Wisconsin Medicaid Market team. This role involves reviewing clinical appropriateness of prior authorization requests in accordance with Medicare/Medicaid guidelines.

Summary Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes responsibility for the...

Registered Nurse, Quality Assurance Reviewer The Registered Nurse, Quality Assurance Reviewer will work in conjunction with the Quality Manager and will be responsible for completing quality reviews for the Clinical Services and Provider...

Job Posting Summary Baptist Health is looking to add a Registered Nurse (RN) to our Hospital at Home team. Baptist Health is opening an innovative Hospital at Home program that allows patients to...

Medical Solutions is seeking a local contract nurse RN Labor and Delivery for a local contract nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12...

Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and...

Overview Registered Nurse (RN), Clinical Decision Unit Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-profit hospital and member...

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Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...

A healthcare management company is seeking a remote Nurse Advocate to provide care management for high acuity members in renal care programs. The role requires a native fluent bilingual in Spanish and a minimum of 3 years of RN experience. The...

LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 03/02/2026 Duration: 8 weeks 40...

JOB DESCRIPTION Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

A growing healthcare provider in Texas is seeking a compassionate Registered Nurse (RN) to provide after-hours triage support for hospice patients. This remote role requires an active multistate RN license, with preference for candidates...

Amergis Healthcare Staffing, Inc. is seeking a travel nurse RN Rehabilitation for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Rehabilitation Discipline: RN Duration: 20 weeks 36 hours per week Shift: 12 hours...

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in...

About Outpatient Clinics Corewell Health operates over 300 outpatient clinics across Michigan, bringing a multitude of care options to the communities that we serve. There are over 40 different types of primary care and specialty...

Bridge Nurse Requirements Normal 0 false false false EN-US X-NONE X-NONE Graduate of an accredited school of nursing required. Licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the State of Ohio required. A minimum of one-year...

MUST HAVE VALID INDIANA RN LICENSE Our Nursing Team is growing in Indiana! Great Benefits after 30 days! PTO & Holiday Pay after 90! Summary: Our Staff Nurse's are responsible for conducting...

Welcome to GSC! About Us At Geriatric Specialty Care of Reno, we're expanding our model for caring for seniors that provides high-quality, comprehensive in-home...

A leading academic healthcare institution in Chicago is seeking a Patient Logistics RN to assign patients to beds and coordinate transfers within the hospital. The role requires a BSN and at least 5 years of clinical experience, strong...

PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of...

A healthcare organization is hiring a skilled Nurse Advice Line Clinical Triage Nurse for a part-time position. The role involves performing clinical triage and coordinating care based on inbound calls. The ideal candidate must hold an RN License...

A healthcare solutions company is seeking a Clinical Guide Population Health RN to provide care coordination, clinical triage, and education to members. This role involves engaging with high-risk patients, assisting them in navigating the...

This range is provided by Insight Global. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range $140,000.00/yr - $170,000.00/yr Direct message the job poster from...

Start Your Career with Help at Home - Now Hiring Registered Nurses! Make a Lasting Impact in Your Community - Apply Today! Why Choose Help at Home? At Help at Home, we are a...