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RESP & QUALIFICATIONS Purpose The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to...

Kindred Hospital Paramount and Acute Rehabilitation Unit (ARU) is 177-bed hospital. With 159 long-term acute care hospital (LTACH) beds, we offer the same in-depth care you would receive in a traditional hospital, but for an extended recovery period.

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...

Health Advocates Network is currently seeking a Licensed Vocational Nurse to work at a facility in Downey, California. These are registry positions with our company. Pay Rate: $30 /...

How you'll change lives...

Provides direct nursing care including assessment, plan of care, education, and evaluation for patients certified as having a terminal illness who have elected the Hospice...

To support a growing cardiology practice, the part-time Registered Nurse, Stress Testing will assist in planning, implementing, coordinating, and evaluating patient care, including administering stress tests and monitoring vital signs in a remote...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

**A government contract requires that this position be restricted to U.S. citizens. This position requires a Common Access Card (CAC), and the ability to pass the U.S. Department of Defense (DoD) clearance process to...

Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and...

Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing...

Join TEKsystems in Indianapolis as a Clinical Quality Assurance Coordinator responsible for ensuring high-quality peer review reports and compliance with regulations. You will conduct thorough quality assurance reviews, collaborate with peer...

LanceSoft is seeking a local contract nurse RN Vaccination for a local contract nursing job in Tarzana, California. Job Description & Requirements Specialty: Vaccination Discipline: RN Start Date: 08/23/2026 Duration: 14 weeks 40 hours per week...

Overview Carenet Health is not authorized to hire in certain states due to internal business considerations: CA, CO, NY, NJ, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto RicoAre you a compassionate, self-motivated registered nurse with...

A community-focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical service requests, conducting prior authorization reviews, and collaborating with...

Hcpoftexas is seeking Full Time Registered Nurses (RN) in the SW Houston area to provide compassionate home health care. Utilizing modern tools to enhance care efficiency, you will focus primarily on patient care while reducing paperwork burden...

Shift: Monday - Friday, 8am - 5pm Work Arrangement: Remote - after training (up to one month) Department: MU Virtual Care Clinic Compensation: •...

City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Prevention Nurse Specialist! This is a remote part-time position within day...

aitrainer is seeking a Remote Registered Nurse (RN) to conduct health screenings for a health study. This role involves remote assessments, eligibility determination, and scheduling onsite sessions, all while ensuring HIPAA...

Self Fund Health Nurse Navigator Remote · Full time The Nurse Navigator is a remote WI-based RN who acts as the member's single point of contact through the healthcare system — coordinating care, advocating for patients, and steering...

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...

A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare...

Vets Hired is seeking a Registered Nurse (RN) to provide after-hours clinical support and triage services for assisted living communities in Edina, Minnesota. This role involves assessing urgent resident situations, providing clinical guidance,...

Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...