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Telehealth Triage Nurse - RN Purpose: Triages or manages symptom-based encounters with a patient over the phone or video, utilizing evidence-based triage protocols. Decreases unnecessary visits to physicians, APP's, and the emergency room...

Job Description The Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Medicare Appeals and Grievances...

American Consultants is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Torrance, California. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: 08/10/2026 Duration: 13 weeks 36 hours per...

LPN or RN CONTRACTOR 3 TO 6 MONTHS Partnership 35% weekly UNCapped Commission Must be dedicated to connecting with companies. Responsible for identifying, prospecting and securing business opportunities to support new...

Description: Our client is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity...

Nurse Practitioner We are seeking a dynamic Nurse Practitioner to join our team and help build our brand in the aesthetic medical spa industry. Brand new Medspas in Los Angeles and south Orange Counties with more to come!

RN Clinical Nurse The RN Clinical Nurse provides patient-centered, specialized, evidence-based nursing care across the continuum through an interprofessional approach to treatment, research, education, and advocacy. Contributes to the...

Psychiatric Nurse Practitioner (PMHNP-BC) $115k - $135k/year Position Requirement: Full-Time FLSA Status: Exempt Location: Grand Junction, Colorado Salary: 115K - 135K+ Work from Home! Competitive, negotiable...

Responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically...

Interested in working for the Golden Isles' healthcare provider and employer of choice? Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything...

Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization Review Nurse is responsible for determining the clinical appropriateness of...

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward...

RN Case Manager Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes...

Concurrent Utilization Review Nurse, RN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning...

Min USD $95,000.00/Yr. Max USD $101,764.00/Yr. Position Overview I. SCOPE OF ROLE: ACT is an intensive, community-based multidisciplinary treatment team...

Registered Nurse (RN) - Home Infusion Therapy AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity.

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

Our client, is a IT Services and Consulting company, is looking for a Nurse Case Manager II for their Wayne and Macomb Counties, MI location. Responsibilities: The Case Manager utilizes a collaborative process...

Patient Safety Infection Control Specialist RN - Dental Falls Church is an independent city in the Commonwealth of Virginia with a population of approximately 15,000. Falls Church is included in the Washington metropolitan area. Falls...

Professional Nursing Care 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 connecting people...

Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for...

Advance Practice Nurse Psychiatric Nurse Practitioner – Tele-Psychiatry (Evenings/Nights) 100% Remote | Flexible Evening & Overnight Schedules | Full-Time, Part-Time & Per Diem Opportunities Remote (New Jersey-based...

Harris Health seeks a Nurse Manager to lead the operational management and care delivery for one or more clinics or units. This role oversees human resources, quality, and financial performance within the assigned area.You will work with the...

JOB DESCRIPTION Job Summary 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...

Purpose Of The Job Responsible for identifying, researching, processing, resolving, and responding to inquiries from internal and external customers with emphasis on excellence, privacy, compliance and versatility within the health...