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Immediate Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

Pluto Healthcare is seeking a travel nurse RN Outpatient Infusion for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Infusion Discipline: RN Duration: 12 weeks 40 hours per week Shift: 10 hours, days Employment...

Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

Do good. Be great as a nurse. Are you a Registered Nurse, Nurse Practitioner or Registered Mental Health Nurse seeking professional growth, flexible working and a better work-life balance? About the role As a Nurse...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable,...

RELOCATE TO VIRGINIA OPPORTUNITY Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care. UVA Health is an integrated...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

47715300 Overview Remote Registered Nurse (RN) Nurse Triage 16 hours per week Position Summary The RN Nurse Triage provides high-quality, patient-centered care...

Job Description: Position Summary: The Community Clinical Liaison performs a key role in the generation of referrals to HSL Home and Community Based Services with primary focus on Home Health and Hospice referral generation. This role serves as...

Prior Authorization Clinical Reviewer 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...

Registered Nurse The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing...

Job Description Utilization Review RN RN at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part-time and will work 8-hour, Day shifts. Provide prospective, retrospective, and...

Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small start-up...

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Utilization Review Nurse.

Job Type Full-time Description Our people are the difference. Transitions Care is a leading hospice organization that has changed the hospice experience for patients, families, and...

Welcome to GSC! About Us At Geriatric Specialty Care of Reno, we're expanding our model for caring for seniors that provides high-quality, comprehensive in-home...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use. I further...

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ( and Terms of Use ( . I...

Job Summary This is an in-person position to support care for patients in their homes. You'll be based out of Geisinger Healthplex Center Point in Pittston, PA. At Geisinger, you'll find a supportive work culture, a comprehensive benefits package...

Review and abstract medical record data into appropriate application(s)Support chart chase processes by requesting/obtaining records as needed. Primary source verify abstracted medical record data. Analyze chart data, evaluate for possible data...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people...

Start Your Career with Help at Home - Now Hiring Registered Nurses! Make a Lasting Impact in Your Community - Apply Today! Why Choose Help at Home? At Help at Home, we are a...

Total Rewards "Your life - our Mission" OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and...