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Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

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...

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...

Overview Connect Care. Guide Families. Make Every Day Count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that intake and referral processes...

Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass...

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.

Overview The Ohio Hospital for Psychiatry is hiring an evening Admissions RN! Shift: Evenings Schedule: Full Time Sign On Bonus:...

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...

Staff Nurse-Surgical Oncology, Gynecology and Urology The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute's (OSUCCC-James) mission is to improve health in Ohio and across the world...

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...

Medical Solutions is seeking a local contract nurse RN Maternal - Newborn for a local contract nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Maternal - Newborn Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12...

Nurse Job Category: Wellness Full-Time On-site Groveport, OH 43125, USA Description Nurse Duties and Responsibilities: Provides nursing care to patients as assigned...

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 Summary: The CDI Specialist performs clinically based initial, concurrent, and retrospective review of inpatient medical records to evaluate documentation as it correlates to the utilization of acute care services. ...

Job Description Join Our Dynamic Surgical Team as an Operating Room Registered Nurse! Are you a highly skilled and compassionate OR RN looking to make a meaningful impact in a bustling Level 1 Trauma...

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...

Title: Public Health Nursing Consultant 1 Duration: 06/15/2026 - 06/30/2027 Work Hours: Mon Fri 8am 4:30pm CST Location: 7th Floor Andrew...

Company Description At Spectrum Retirement Communities we believe in living without limits, in aging fearlessly, and in sharing great stories. The Spectrum Story is full of compassion, hard work, and fun. If the chapters of...

Pay Range Min: $62,836.80 Mid: $75,400.00 Max: $87,963.20 General duties and responsibilities: Reviews patient's history and documents to make an accurate assessment. Completes...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

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...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Nursing Assistant Career Opportunity (RNT) Now Hiring! Days, Nights, and Baylor Shifts! Elevate Your Nursing Assistant Role at Encompass Health Are you in search of a fulfilling career rooted in your community and heart? At...