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Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves coordinating care submissions and documentation for patient admissions, focusing on high-quality care and efficiency. Candidates must hold an...

Nurse Reviewer - Itemized Bill Review It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know...

Seeking a dedicated Registered Nurse (RN) for a full-time remote Medical Claims Reviewer position, responsible for conducting pre- and post-payment medical reviews, assessing medical necessity, and documenting compliance with clinical criteria and...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

The Research Nurse Coordinator II is responsible for all activities associated with clinical study coordination, subject recruitment/enrollment, data management/integrity, regulatory compliance, project/study evaluation and interfacing with...

Job Title Remote Work from Home Job Details Location: Johns Hopkins Health Plans, Hanover, MD 21076 Category: Nursing Schedule: Day Shift Employment Type: Full Time Position Summary: Responsible for...

Case Management Coordinator We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role, care management interventions focus on improving care coordination and reducing the...

MSA Nurse Reviewer We are seeking a MSA Nurse Reviewer with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical...

Clinical Research Registered Nurse (RN) Infusion Registered Nurse (RN) to support the execution of clinical trials in a fast-paced research environment. This role combines direct patient care with clinical research responsibilities,...

Description Location: UCHealth Medical Center of the Rockies: Loveland, CO Department: MCR Rad Nursing Work Schedule: Full Time, 64.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant...

Description Location: UCHealth UCHlth Anschutz Inpatient Pavilion, US:CO:Aurora Department: Cellular Therapies Unit Work Schedule: Part Time, 48.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent on...

Clinical Claim Review Nurse Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

Clinical Documentation Improvement Specialist - RN Job Category: Outpatient Nursing Requisition Number: CLINI017160 Full-Time Remote Hourly Range: $28.71 USD to $40.19 USD Description Job Overview: Day-to-day...

Location Address: 2925 Chicago AveLoading DockMinneapolis, MN 55407-1321 Date Posted: June 15, 2026 Department: 16007319 Care Management Disease Management Shift: Day (United States of America)...

Public Health Nurse Make a Difference in Your Community The Department of Public Health for St. Louis County Government is actively looking to hire a Public Health Nurse (PHN) to join their team. This nursing position will provide...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

Amergis is hiring a Certified Nurse in El Monte, CA. This role involves assisting with IEPs, providing health office support, and delivering direct nursing care to students.Responsibilities also include collaborating with school staff to promote...

Nurse Navigator Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

Summary Greater Los Angeles Healthcare System (GLVAHCS) is seeking 1 highly skilled experienced Registered Nurse (RN) for our West Los Angeles Primary Care Unit. Located in Los Angeles, CA. Responsibilities Primary care service. The Nurse I, Level...

Health Plan Nurse Coordinator The Health Plan Nurse Coordinator is a Registered Nurse who supports one or more health services operational units, such as Utilization Management, Case Management, Enhanced Care Management, Disease...

Utilization Review Rn 1st time ok/ 2 yr exp required for utilization review rn every other weekend required or more depending on unit needs no call or floating required must have experience with milliman care guidelines and acute hospital...

Job Description Registered Nurse - Full Time - Home Health (Florence County) *$15,000 with 2 years commitment Sign On Available! Responsibilities ...

Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...

City/State Manassas, VA Work Shift First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA This is a...

Workstream in Los Angeles is seeking a dedicated DSD to enhance our team. The selected candidate will lead onboarding and training programs, ensuring compliance with regulations while fostering a positive work environment. Candidates should have...