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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 medically appropriate clinical...

A major healthcare provider is seeking a Clinical Advisor, RN for a remote position. This role involves analyzing population health data, delivering impactful presentations to clients, and making strategic recommendations to improve healthcare...

Description RN Utilization Review at Irvine, CA. This position is Part- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our...

American Medical Staffing is seeking a local contract nurse RN Psychiatric for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

FLSA STATUS Exempt QUALIFICATIONS EDUCATION Medical School graduate where Western Medicine is practiced EXPERIENCE One year of clinical experience preferred ...

Wolters Kluwer is a global leader in professional information services that combines deep domain knowledge with specialized technology. Our portfolio offers software tools coupled with content and services that customers need to make decisions...

Job Title: Utilization Review Nurse Location: 100% Remote Duration: 3 Months+ (Possible Extension) Pay Rate: $43/hr. on (W2) Schedule: After 6 weeks of...

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...

A healthcare provider is seeking a Clinical Specialist to work remotely from Melville, NY. This role involves collaborating with healthcare teams to ensure compliance and patient care standards, preparing documentation for care levels, and...

Job Description Please review: This role is solely virtual care for urology but ONSITE Under minimal supervision, provides nursing care to patients virtually through the Urology Clinic Virtual Call...

A healthcare organization is seeking a remote Case Manager I to coordinate case management services for members with complex healthcare needs. The successful candidate will be responsible for advocating on behalf of members, working with...

We are more than a health system. We are a belief system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

Wolters Kluwer is a global leader in professional information services that combines deep domain knowledge with specialized technology. Our portfolio offers software tools coupled with content and services that customers need to make decisions...

Responsibilities Part time: 24 Hours Per week (Sat & Sun) 8am-8pm MST. The Phone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during...

A local medical group is seeking Registered Nurse (RN) candidates to join their Primary Care team for Family Medicine and Internal Medicine. This full-time position offers a competitive pay range and benefits, including medical, dental, vision,...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

Job Type Full-time Description WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM! SIGN ON BONUS OFFERED! LOAN PAYOFF PROGRAMS...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

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...

Company Overview At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

A leading healthcare organization is looking for a DRG/CVA Validation Auditor RN to audit inpatient claims by validating coding and reimbursement methodologies. The role offers flexibility to work remotely, requiring an Associates degree and...

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...

RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.

Registered Nurse (RN) | Other Location: Columbus, OH Agency: Triage Staffing Pay: $1,806 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 2/20/2026 About the Position Travel Nursing: Long Term Acute Care...