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Building Location: St Marys Hospital - Detroit Lakes Department: 3062750 ENDOSCOPY - DL HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and...

Employment Type: Full time Shift: Night Shift Description: Position Summary: Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to...

Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of...

Humana is seeking a Telephonic Registered Nurse Care Manager to support patients transitioning into and out of Humana's home-based services. This remote role reports to the Manager, Care Management and focuses on post-acute levels of care,...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information...

Providing guidance and education to members, the full-time Remote Clinical Admin Nurse RN will act as a clinical resource in a customer service setting, addressing health questions and supporting members in managing their well-being while working...

CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...

Illingworth Research Group is seeking a Per Diem Freelance Research Nurse to support patients in clinical studies by coordinating care and liaising with healthcare providers. The role involves guiding participants through study protocols,...

Global Medical Response is seeking an experienced RN with at least five years in ED/ICU, flight, or ambulance settings to audit medical necessity appeals for air transport and government payors. This is a remote or on-site role in the United...

UnitedHealth Group is seeking a Senior Clinical Appeals RN to review and respond to DRG appeals. You will analyze complex coding factors, collaborate with auditors, and provide guidance to DRG Validation Specialists. This remote role supports the...

Job Description Harborview Medical Center's Stroke Center has an outstanding opportunity for a Registered Nurse (RN) - Nurse Navigator. WORK SCHEDULE Full-time, 100% FTE, 40 hours per week...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

CVS Health is seeking a Case Management Coordinator to collaborate with care teams and facilitate healthcare outcomes for members enrolled in Medicare and Medicaid. The role requires 50-75% travel within Illinois, strong analytical and...

Mentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone...

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging...

#SRNThis position represents 5 openings. Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the...

Job Description \n UCHealth (Colorado) is seeking a Registered Nurse (RN) Psychiatric for a nursing job in Aurora, Colorado. Job Description & Requirements\n \n Specialty: Psychiatric \n Discipline: RN \n Duration: Ongoing \n 36 hours per week \n...

Stanford Health Care in Palo Alto is seeking an Oncology Nurse Navigator to coordinate care from diagnosis through survivorship. As a licensed RN with oncology experience, you will partner with physicians, social workers, nutritionists, and...

Centene Corp. is hiring a Quality Improvement Coordinator II to conduct reviews of delegated entities for quality, service performance and utilization, and to lead clinical quality initiatives across provider sites. The role involves...

Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Primary Care - Watonga Monday-Friday, 40 hours per week *This is a hybrid...

Licensed Vocational Nurse (LVN) Urgent Care, Full-Time, 10 Hour, 9:30am-8:30pmThe Licensed Vocational Nurse is responsible for providing direct or indirect nursing care to patients who present with urgent, emergent, or potential health problems;...

Pay: $31-$35 per hour Join Maxim Healthcare Services and make a difference one patient at a time. Maxim Healthcare Services is seeking compassionate and skilled...

Northwell Health is seeking a Licensed Practical Nurse to provide diverse patient care within an assigned unit under the direct supervision of a Registered Nurse. Responsibilities include administering general nursing care, coordinating with the...