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*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

SCAN Health Plan is hiring a registered nurse for clinical review of medical claims and post-service appeals. You will analyze pre/post payments, perform audits, and apply CMS guidelines to determine medical necessity and appropriate care.

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is...

The University of Southern California (USC), founded in 1880, is one of the world's leading private research universities and the largest private employer in the City of Los Angeles. As a member of the USC community, you will join the renowned...

After Hours Service Answer Line Rn The Answer Line After Hours Service provides after-hours exchange and nurse triage services for over 300 subscribing community pediatricians in the St. Louis and surrounding areas. Answer Line RNs...

SHIFT: Any (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

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...

Host Healthcare is seeking a local contract nurse RN Long Term Acute Care Clinic for a local contract nursing job in Los Angeles, California. Job Description & Requirements Specialty: Clinic Discipline:...

Patient Centered Medical Home (PCMH) LPN Care Coordinator - Remote - MUSCP Patient Centered Medical Home (PCMH) LPN Care Coordinator - Remote - MUSCP Charleston. North Charleston, South Carolina Nursing Nursing,...

Experience 2-5 years needed. Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific...

Utilization Review Nurse Auditor Fully Remote • Mount Laurel, NJ 08054 Salary Range $33.00 - $46.00 Hourly Position Type Full Time Travel Percentage 10% ExamWorks is looking for a Utilization Review Nurse Auditor to join...

Job Requirements Education & Experience Bachelor's Degree in Nursing (BSN) – Preferred Acute care facility experience – Preferred Previous hospital/acute care nursing experience...

RN Status Review Specialist It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Use your nursing expertise in a strategic, non-bedside role. As an RN Status Review Specialist, you'll evaluate patient...

*Job Summary and Responsibilities* As our Director Nursing Perioperative Services at St. Mary Medical Center, you will be responsible for Surgical service departments including OR, PACU, GI, Short Stay (Pre and Post Op Outpatient Surgery), and...

Job ID: 24363 *Description*This candidate is an active Adult Acute Care Nurse Practitioner, working 80% of their time in their designated clinical specialty and 20% of their time in administrative duties. Supervises, coordinates, and administers...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Job Summary: Provides specialized nursing care in an outpatient urology clinic, supporting diagnostic and therapeutic procedures to enhance patient outcomes. Collaborates with healthcare teams to ensure high-quality, efficient, and...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to...

Position Summary The Emergency Department Registered Nurse is specially trained to provide prompt response and treatment for any patient presenting with any life threatening, emergent, or urgent medical need. Provides...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...

Tier 3 - System Flex Team Traveler Registered Nurse (RN) A Tier 3 - System Flex Team Traveler Registered Nurse (RN) is expected to be assigned to various sites throughout the Bon Secours Mercy Health System to provide patient care...

Telehealth Nurse – Providing Virtual Clinical Support & Care Coordination Telehealth Nurse All Seniors Foundation Los Angeles, CA (Remote Possible) About Us: All Seniors Foundation embraces innovative...

Are you our next Change Agent? We are seeking a compassionate and experienced Patient Support Program (PSP) Nurse to deliver exceptional, one-on-one support to patients navigating their treatment journey. You will be part of...

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