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Description: Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient...

The Ohio State University is seeking a Staff Nurse (RN) for Oncology Continuing Care Triage. This remote phone triage role handles oncology patient calls, performs initial assessments, and uses triage algorithms to guide care. The nurse documents...

As a Clinical Documentation Review Specialist (RN), you will help medical staff clarify patient records to ensure appropriate reimbursement and reflect care complexity. You will perform concurrent reviews and engage with physicians...

Yoh is seeking a Utilization Management Nurse Coordinator (RN or LVN) for a 6+ month remote contract with a managed care client based in Northern California. Training occurs onsite in Fairfield or Redding for three weeks, then transitions to fully...

The Veterans Health Administration is seeking a Registered Nurse (Case Manager/Care Coordinator) at the Charleston VA Medical Center in the Nursing, Specialty department. The role focuses on complex patient management, discharge planning, and...

About the Role: Our client, a leading telehealth platform, is expanding rapidly and looking for a dedicated Nurse Practitioner to join their virtual care team. You will provide exceptional primary care services to a diverse patient...

Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the identification of diagnoses, conditions, and procedures that are representative of the...

Job Title: Remote Prior Authorization Registered NurseJob Description We are seeking experienced Registered Nurses (RNs) to join a remote Prior Authorization team supporting Dual Eligible (Medicare and Medicaid)...

Power Personnel in Los Angeles, CA is seeking a compassionate Licensed Vocational Nurse (LVN) to join a collaborative care team. You will administer medications, monitor patients, and support diagnostic procedures under physicians and RNs.This...

Sagility is hiring an RN Utilization Management Reviewer for a fully remote, home-based role in the United States. You will perform day-to-day clinical and service authorization reviews for medical necessity and ensure compliance with CMS...

Clinical Facility Site Review SupportProvides support for clinical facility site reviews. Under the supervision of leadership, uses clinical judgement within appropriate scope to independently conduct reviews and other monitoring activities for...

We are seeking to hire a Treatment Nurse - Licensed Vocational Nurse to join our team! We are a skilled nursing facility looking for dynamic associates to join our clinical team and provide our residents with a best-in-class care experience.

Optum is seeking a Fertility Utilization Management RN to work remotely within the United States. You will assess and determine the appropriateness of inpatient and outpatient services, translating clinical concepts into practical care-management...

Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

Treatment Nurse (LVN) - Glendale, CaliforniaLeisure Healthcare is seeking a dedicated and compassionate LVN Treatment Nurse to join our team at Leisure Glen Post Acute Care Center in Glendale, California. As an integral member of our healthcare...

Physicians East seeks a QEC Pre Procedure Screening Nurse for a part-time remote role based in Greenville, NC. The nurse will review patient charts, screen for procedural eligibility, and coordinate with physicians to ensure proper evaluation and...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

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...

Angels Nursing Center in Los Angeles, CA seeks a dedicated Licensed Vocational Nurse (LVN) to join our team and provide high-quality nursing care to residents under RN supervision. Responsibilities include administering medications, monitoring...

Spectraforce Technologies, Inc. is seeking a Clinical Review Nurse - Prior Authorization for a 12-month assignment. The role is remote (PST/CST) with scheduling across multiple shifts, supporting national guidelines and contractual requirements.

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.Licensed Vocational Nurse - Bandera (PT)Part Time Culver City, CA, US30+ days ago...

RCM Healthcare Services is seeking a School Nurse (LVN or RN) in Los Angeles, onsite. This role supports medically fragile students with day-to-day nursing care and health services within a school environment.Opportunities are available for...

Licensed Practical Nurse (LPN / LVN) – Outpatient Clinic A-Line Staffing is seeking a motivated and detail-oriented Licensed Practical Nurse (LPN / LVN) – Outpatient Clinic. This role offers career growth, a supportive work environment, and...

Remote Registered Nurse – Clinical Review Fully Remote | $48–$65/hr | Monday–Friday, 9:00 AM–6:00 PM ET Medix is supporting a healthcare technology organization that is adding...

Treatment Nurse (LVN) - Los Angeles, California At Alvarado Care Center, we are dedicated to providing the best quality clinical care to our residents. We are seeking a qualified Treatment Nurse (LVN) to join our team in Los Angeles,...