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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...

Job Description Grow your career at Cedars-Sinai! We were recently named one of the "Best Places to Work in IT 2025" by Computerworld and ranked #2 among large organizations for hybrid work.

Nurse Practitioner | Urology Location: Hancock County, OH Employer: Opportunity Healthcare Pay: $120,000 per year Shift Information: Days...

Job Description: Position Summary: The Community Clinical Liaison performs a key role in the generation of referrals to HSL Home and Community Based Services with primary focus on Home Health and Hospice referral...

Clinical Nurse Investigator, SIU Location: Remote Experience Level: Intermediate Overview We are seeking detail-oriented and clinically strong Registered Nurses (RNs) or Licensed Vocational/Practical Nurses (LVNs/LPNs) to join...

Clinical Review Nurse Job Description Join a dynamic team in a brand new 2026 program dedicated to managing the Duals line of business, combining Medicare and Medicaid benefits into a single comprehensive service. This program operates...

" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

Employment Type: 5-month contract with possibility of extension Location: Remote (must hold an unrestricted Massachusetts RN license) *Note: Candidate must hold an unrestricted Massachusetts RN license.

Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

Job Summary This is a work on site position located in Danville, Pennsylvania. The Clinical Documentation Improvement Program (CDI) is designed to improve the physician's documentation in the patient's medical record, supporting the appropriate...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

These roles involve patient care, including assessment, diagnosis, treatment, and follow-up. May work across various healthcare settings, such as hospitals, clinics, long-term care facilities, and community health organizations. Responsibilities...

Facility: CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807 Department: 1031 Medical Oncology 700 W South Scheduled Weekly Hours: 36 Hours:...

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Our Department of Defense contract requires US citizenship and a...

Job Title: RN UR Case Manager/ Care Coordinator Location: Albuquerque, NM (Remote) 13 Weeks Assignment Shift: 8 hour varied Guaranteed...

Nightingale Nurses is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Med Surg /...

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

RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...

Description As a Hospice On-Call Registered Nurse (RN) you will be called to care when you're needed most. As part of Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our...

TNAA TotalMed RN is seeking a travel nurse RN Telemetry Med Surg for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

Job Summary As a Clinical Review Nurse, you will play a crucial role in ensuring that our members receive the medically necessary services they need while adhering to established clinical guidelines. Your expertise will help integrate...

Anticipated End Date: 2026-03-17 Position Title: Manager Nurse Practitioners 100% Virtual, CareBridge Job Description: Manager Nurse Practitioners *Seeking experienced Manager,...

Work Schedule Standard Office Hours (40/wk) Environmental Conditions Office Job Description Join Us as a Medical Information Specialist I - Nurse - Make an Impact at the Forefront of Innovation...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff...

Position Title Virtual Nurse/Nursing Care Partner (Per-Diem) Job Description Purpose & Scope: Across inpatient Medical-Surgical, Telemetry, and Intermediate Care Unit (IMCU),...