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Quality Assurance Nurse The Quality Assurance Nurse is responsible for case management quality assurance and mentorship of operations staff, providing tools and calibrating processes, while ensuring consistent delivery of CorVel's case...

Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...

Day/Evening Rotating Nurse Position: Day/Evening Rotating Nurse (combination of 8, 10, and 12-hour shifts to equate 40 hrs/week) D/E rotating, call as needed, weekend as needed. Not guaranteed 4 10s. We prefer RNs rated 3-4 in neuro,...

Utilization Management Nurse Location: Remote Position Overview The Utilization Management Nurse is responsible for reviewing inpatient admissions and applying nationally recognized medical necessity criteria to determine...

Travel CVICU RN Company: Fusion Medical Staffing Location: Facility in Columbus, Ohio Job Details Fusion Medical Staffing is seeking a CVICU RN for a...

A hospice triage company is seeking a compassionate Registered Nurse (RN) to provide after-hours support for hospice patients. In this remote role, nurses will triage calls, assess patient needs, and collaborate with care teams to ensure timely...

Psychiatric Nurse Practitioner (PMHNP-BC) - Dublin, OH (Remote) Full-Time in Dublin, OH - Remote (any location) - PsychiatryPsychiatric Nurse Practitioner (PMHNP-BC) : $125k - $145k/yearPosition Requirement: Full-TimeFLSA Status: ExemptLocation:...

Utilization Review Nurse Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution...

Registered Nurse Bill rate max is ***/hour remote within one of our plan states, IL, TX, NM, OK, MT or TN. Registered Nurse responsible for collaborating with healthcare providers, members, and business partners, to optimize member...

Scheduled Hours 40 Position Summary Position is responsible for coordinating the care of patients for a designated service throughout the continuum of care; serves as a clinical resource...

Details Client Name OSU - Speilman Breast Center Job Type Travel Offering Nursing Profession RN Specialty...

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...

UTILIZATION REVIEW NURSE HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than...

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

Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We...

Registered Nurse - Clinical Advisor (Hybrid - VA) Company: NurseAmerica, Inc. Location: Virginia (Hybrid: In-person, Remote, Travel up to 25%) Schedule: Full-Time, Part-Time, or Fractional...

It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary...

Details Client Name The Ohio State University Wexner Medical Center - OU Job Type Travel Offering Nursing Profession RN...

Become a part of our caring community The Utilization Management RN will collaborate with other health care givers in reviewing medical care and services. This review will involve evaluating actual and proposed care...

Overview: MS/MSN required Minimum 6 years of nursing experience required 1.0 fte/40 hours per week Job Description Summary: The Professional Development Education Nurse Specialist develops tools,...

Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...

Shift 1 8:00 AM 4:30 PM Regular Shift Yes The Neonatal Abstinence Syndrome (NAS) Surveillance Program within the Family Health and Wellness Division at the Tennessee Department of Health is seeking a contract Public Health Nurse Consultant 1.

Description This position will have well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual is responsible for performing a variety of...

Remote Registered Nurse Position Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all units/staff (commercial, behavioral health,...

RN-Psychiatry Job in Columbus, OH Estimated Gross Weekly Wage $1313 Location Columbus, OH Schedule Night 7:00 PM-8:20 AM Start Date 05/31/2026 Assignment Length 52 weeks Job Type Travel ...