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Cleveland Clinic is seeking an Utilization Management RN Reviewer to support remote operations from home. The role covers admission and concurrent reviews, and ensures medical necessity criteria are applied to hospital stays and discharges.

Outpatient Health Non-Profit Clinic Registered Nurse Required Skills & Experience California Registered Nurse (RN) license 1+ year of recent RN experience in one of the following settings: urgent care, primary care, non profits,...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack...

Medix is seeking a highly skilled Utilization Review Nurse Specialist for a fully remote role in the United States. The RN will assess medical necessity and level-of-care decisions, collaborating with physicians and payers to ensure appropriate...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...

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Outpatient Clinic RN Required Qualifications: • 1+ years of experience in an outpatient clinic/ambulatory setting • Strong Ortho experience • CA RN License - no temp or pending • BLS (AHA or ARC only) • Flu vaccination (no...

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...

Job Description Registered Nurse Med Surg Oncology-Lake Main Campus Baton Rouge, La We are hiring immediately for a full time, RN and offering a $10,000 sign on bonus! What Makes Us Different?

Registered Nurse PreOp PostOp - PRN United Pacific Surgery Center in Tarzana, CA is seeking a Registered Nurse PreOp PostOp - PRN to join our team! United Pacific Surgery Center is a fast-paced, multi-specialty Ambulatory Surgery...

Find your calling at Mercy! The Nurse Navigator is a leader providing support, mentorship, and guidance to those who provide direct patient care. The Nurse Navigator coordinates the delivery of patient care by...

Job Description Why VITAS Healthcare and What Do We Offer? VITAS Healthcare is the nation's leading provider of end-of-life care. We provide our employees with opportunities for professional growth and...

Medical Necessity Review Nurse Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of...

Job Title: Infusion Registered Nurse (RN) Location: Pasadena, CA (Surrounding areas) Job Type: Per-diem Position Overview We are seeking a skilled and detail-oriented Infusion Registered Nurse (RN) with strong vascular access...

RN Clinical - Internal Medicine Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union) Los Angeles, CA Job Description As an integral part of the multidisciplinary team, the Registered Nurse utilizes the nursing process...

Thank you for considering a career at Conduit Health Partners! Scheduled Weekly Hours: 40 Work Shift: Evenings (United States of America) The RN Triage Specialist provides...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

Medix is seeking a Remote Utilization Review Registered Nurse (UR RN) to bridge clinical care and hospital operations from a remote setting. Join a team optimizing patient care while safeguarding revenue integrity, with a compressed 4-day week,...

Telephonic Registered Nurse We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

Type: Urgent Care Los Angeles , CA SkyBridge Healthcare is currently seeking Registered Nurse with Urgent Care experience for a 13-week contract in CA. SkyBridge Healthcare is a premier staffing firm dedicated to matching outstanding...

100% REMOTE PAY: $47-$52/hr REQUIRED: Must have current RN licensing Post market medical device experience in either medical assessment, complaint handling, post market reporting – preference is actual medical device assessment Highly prefer...

UnitedHealth Group is seeking a Clinical Grievances Nurse to review retrospective cases for appropriate care and address members' immediate needs. The role embraces remote PST hours with an on-site base in Mesa, AZ, requiring CA residency and an...

Registered Nurse Opportunity At Golden Haven Care Center Golden Haven Care Center (formally known as Glen Oaks) is looking for a Registered Nurse (RN)! Come join our winning team! Pay: $50 - $55 per hour DOE Part Time: NOC...