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Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through...

Job Opportunity in Columbus, Ohio Columbus, Ohio. Find "it" here! Regardless of how you like to spend your down time, there is something to do for everyone in Columbus, OH. From green space and art to science and so much more, you'll be...

Responsibilities The Network Resident Housing Liaison oversees compliance processes for InnovAge PACE/LIFE contracted facility providers. The Network Resident Housing Liaison (RHL) is responsible for compliance activities and...

Job Title $40/hour - Contract for 6 months Must reside in TX Job Description Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to...

GHR Healthcare - Travel is seeking a travel nurse RN Endoscopy for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At...

ATC Healthcare is looking for Registered Nurses! Registered Nurses provide skilled nursing services to patients in a variety of healthcare settings. The Registered Nurse, or RN, is responsible for working with other healthcare...

Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...

Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to...

Job Description JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align...

The School of Nursing seeks a full-time faculty member and PMHNP Track Director to deliver high quality learning experiences and education for students in the MSN Program-PMHNP Track. The faculty member will engage in teaching, service and...

Overview: Full time. Monday-Friday, 8:30AM-5PM. Starting pay: $34.82/hour. Pay to be commensurate with experience. Job Description Summary: Emphasizes health promotion and disease prevention as they...

Care Management RN - Comprehensive Care The Care Manager, RN manages care for high risk, chronically and acutely ill patients by collaborating with the Comprehensive Care team to monitor care and treatment of patients.

Company : Highmark Inc. Job Description : JOB SUMMARY This job has primary ownership and oversight over a specified panel of members that range in health status/severity...

UM Nurse (California License) – Must Be Licensed In California- Remote Opportunity The role of the UM Nurse is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings,...

Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us. Make an...

Job Type Full-time Description This is a flexible, hybrid position involving regular collaboration with teams at Saint Agnes Hospital and approximately 30% onsite presence Summary/Position...

Where You'll Work CHI Health St. Francis was established in Grand Island, Neb. in 1887. Today, our hospital is a regional referral center, with more than 100 physicians and more than 1,100 team members working together to...

Job Opportunity At Children's Healthcare Of Atlanta Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Company:...

Hospice Clinical Liaison OhioHealth at Home in partnership with Compassus The Hospice Clinical Liaison is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for...

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LPN Position at Nationwide Children's Hospital Shift: Monday-Friday, No Holidays or Weekends!! Candidate can choose a 0.6 FTE through 1.0 FTE. The Genetics Clinic serves patients with numerous different Genetics disorders.

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...

Prior Authorization Nurse (Utilization Review) This role analyzes prior authorization requests to determine the medical necessity and appropriate level of care in line with national standards, contractual requirements, and members'...