Search Nursing Jobs

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Rolling Hills Health and Rehab in Wichita, KS is looking to hire a PRN, Part-Time and Full-Time NIGHT Registered Nurse (RN) to join our team. Are you looking for a career with a health care company that will value you? Do you want to be part of a...

A leading healthcare organization seeks an experienced individual to manage utilization review processes remotely. This role requires a Registered Nurse with leadership experience to oversee operations and collaborate with medical teams to ensure...

Perform initial assessment review of appeals, medical records, and CMS/ State Policies to determine if care/services provided meets coverage and billable criteria to be paid. Identify if additional information is required to process an appeal.

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Oswego Health and Rehab in Oswego, KS is looking to hire a full-time Assistant Director of Nursing (ADON) to join our team. Are you looking for a career with a health care company that will value you? Do you want to be part of a dynamic and caring...

It's fun to work in a company where people truly BELIEVE in what they're doing! Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing,...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...

Become a part of our caring community and help us put health first Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior...

REMOTE, Nevada residents preferred. Candidates who do not live in NV must work Pacific Business Hours JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and...

A leading consulting firm is seeking a Clinical Denial RN responsible for facilitating pre-service approvals, managing medical necessity reviews, and completing appeals. Ideal candidates will have a current nursing license, a Bachelors degree, and...

Job Title: Health Plan Nurse CoordinatorJob Description The Health Plan Nurse Coordinator is a Registered Nurse assigned to various Health Services operational units. These units include Utilization Management, Case Management, Enhanced Care...

RN Consultant Team Lead By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us,...

Join a global community of talented professionals to shape the future of AI. Earn up to $15 USD/hr and additional rewards based on quality of submission. Outlier is committed to improving the intelligence & safety of AI models.

A healthcare consulting firm is seeking an experienced Clinical Nurse Consultant-RN for a 1099 contract role in Ohio. The candidate will support an interim project in post-acute care, utilizing strong clinical expertise and leadership experience to...

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their...

Operations Leadership Support Specialist Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we...

A leading health care organization is seeking a Clinical Quality Consultant to enhance Stars ratings and drive quality improvement initiatives. The ideal candidate will be a Registered Nurse with over four years of experience in the health care...

Job Opportunity Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

Overview Connect Care. Guide Families. Make Every Day Count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that intake and referral processes...

Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday, 8:00 AM12:00 PM PST Compensation: $40,000$45,000 annually (part-time, 20 hours/week)...

Sign-On Bonus Available Are you looking for a nursing leadership opportunity with a growing organization? The Laurels of West Columbus has an exceptional opportunity for a Director of Nursing (DON) to join our team. We...

The Ohio Hospital for Psychiatry is hiring a Nurse Manager! Shift: Day Schedule: Full Time Pay Range: $45 to $49 per hour (dependent on years of experience) Sign On Bonus: $7,500 Ohio Hospital for Psychiatry is an...