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Program Integrity Clinical Compliance Auditor Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately...

Description This posting is for multiple openings of a Call Center Advice RN at The Nurse Advice Call Center in Brea, CA! We offer Part Time and Full Time positions, based on availability. Please ask at the time of...

Research Nurse Healthy Brain Clinic in Long Beach is part of the Irvine Clinical Research site network, the largest of its kind on the West Coast. With 5 research centers in California, we are leaders in the search for new treatments in...

The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely...

Soleo Health is seeking a Per Diem Infusion Nurse to support our infusion patients in the Los Angeles, CA and surrounding areas. Join us in Simplifying Complex Care! Soleo Health Perks:...

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...

Clinical Intake Coordinator NPH is growing the Clinical Intake Coordinator team to serve our patients and intake function across all markets for both day and night shifts. The Clinical Intake Coordinator will function under general...

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise,...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Research Nurse - Danbury, Connecticut (Per Diem) Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research...

Nurse Reviewer Contract Duration: Initial 6-months Pay: $27.50/hr on W2 Start Date: 9/8/2026 Location: Fully Remote (US Only) LPN State...

Nurse, Clinical Operations CVS Specialty Pharmacy provides medications and support for rare and complex conditions. The Nurse, Clinical Operations position is primarily responsible for supporting the clinical operations of CVS Specialty...

Job Summary and Responsibilities As our Nurse Shift Manager, you will help lead and coordinate our exceptional nursing team so they can deliver timely, compassionate, and life-saving care to patients in critical...

Job DescriptionOverviewPart and Full-time roles are eligible for a $30,000 sign-on bonus - apply today to learn more!Varied scheduling options are available, including 8-hour, 10-hour, and 12-hour shifts, as well as a Special Weekend Option.Fully...

JOB DESCRIPTION This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient. Candidates...

Case Manager Care Coordinator The Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator clinically assesses, plans, implements, coordinates, monitors,...

Description Position at Vassar Brothers Medical Center Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000...

Building Location: Support Services Building Department: 1007190 PRE-SERVICE AUTHORIZATION - EH SS Job Description: Conducts Managed Care Programs in...

PUBLIC HEALTH NURSE / EMERGENCY APPOINTMENT Print ( Apply  PUBLIC HEALTH NURSE / EMERGENCY APPOINTMENT Salary $105,247.44 - $157,542.24 Annually Location Los Angeles County, CA Job...

Perinatal Reviewer Perinatal Reviewer can work anywhere in the United States. Perinatal Reviewer, with minimal immediate direction or supervision, survey and/or review health care organizations throughout the United States. Perinatal...

Job Description: We're seeking a highly skilled critical care nurse with at least three years of ICU or Emergency Department experience to join our flight team. You'll provide advanced care to critically ill and injured patients during air and...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

Description The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotional, spiritual needs, and appropriate care strategies throughout the lifespan. This position...

Public Health Nurse Make a Difference in Your Community The Department of Public Health for St. Louis County Government is actively looking to hire a Public Health Nurse (PHN) to join their team. This nursing position will provide...