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Quality Assurance Nurse The Quality Assurance Nurse works in partnership with, and under the direction of, the Risk and Quality Management Director and the Administrative Manager of Centralized Follow-Up (CFU). This role supports key Risk...

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...

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...

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...

CVS Health is hiring a Nurse Consultant for their Utilization Management team based in Columbus, Ohio. This fully remote position involves applying critical clinical judgement to assess and authorize inpatient and outpatient services. Qualified...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to...

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...

Part Time Coordinating Nurse International SOS is seeking a dedicated and experienced Coordinating Nurse to join our growing and dynamic team on a part-time basis. This role offers a unique opportunity to work with a global leader in...

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...

Resource Registered Nurse (RN) Group Health Cooperative of South Central Wisconsin. Better Together 0.9 FTE / 36 Hours per Week This position may have the possibility to work remote periodically up to once a week.

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation...

Hospice Admissions Nurse Open Doors to Care. Guide First Steps. Transform the Hospice Experience. Are you a compassionate, experienced RN who loves making personal connections and helping patients understand their options at a...

Summary: Uniti Med is looking for a Registered Nurse (RN) in Columbus, Ohio. This assignment lasts 13 weeks and is scheduled to start on 06-07-2026. Benefits: Day 1...

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...

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,...

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...

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

Arrow Healthcare Staffing is seeking a travel nurse RN Hospice for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Hospice Discipline: RN Start Date: 06/01/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours,...

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...

Medicare Advantage RN Review Analyst Location: Detroit, MI (Remote - Must be local to Michigan) Duration: 12+ Months Role Type: W2 Contract Role Max Pay Rate: $36/HR Schedule: Monday - Friday 9-5...

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.

Facility: CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807 Department: 1734 Contact Services Scheduled Weekly Hours: 40 Hours: 8:30- 5pm...

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. ...

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...