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A leading healthcare provider seeks an UM Nurse Reviewer responsible for conducting medical reviews, identifying at-risk patients, and ensuring continuity of care. The ideal candidate will have an active RN license, strong analytical and...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

Immediate RN Clinical Consultant - ADA Medical Accommodation Review remote contract opportunity. This is a 100% remote/work from home position. Pay Rate: $85.00/hr Work Details: ...

Location Address: Remote Office , Santa Fe, New Mexico 87501, United States of America Compensation Pay Range: Minimum Offer $: 27.92 Maximum Offer for this position is up to $: 42.63...

Medical Child Abuse Nurse Consultant (0.6FTE, Limited Term) Provides operational, quality improvement, and management consulting services. Plans implements, and evaluates projects related to system development, operational and strategic...

RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

A leading risk and claims management firm is seeking a part-time nurse in Oklahoma City. This role involves triaging calls and assessing the needs of clients to provide appropriate care advice. Candidates must possess an active RN license, a BSN...

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...

Description & Requirements Be part of something great Maximus is a global organisation that specialises in providing health and employment services to millions of people every year. Here in the UK we employ...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Job Description JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and...

Fully Remote JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions...

Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Medical Review Nurse.

Resp & Qualifications CANDIDATES MUST BE LOCAL TO MD, DC, VA PURPOSE: The Clinical Advisor's role is multifaceted, involving data analytics, client facing presentations,...

Job Type Full-time Description Job Summary The Utilization Review (UR) Nurse is responsible for analyzing medical records for medical-legal reviews and producing high-quality, professional executive...

Ardor Health Solutions is seeking a travel nurse RN Home Health for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Home...

Agency Dept of Health and Human Services Division HEALTH BENEFITS Job Classification Title Nurse Consultant II (NS) Position Number 60042874 Grade MH17...

A leading healthcare staffing company is seeking a Transition of Care Registered Nurse to oversee patient transitions post-hospital discharge. This role involves working closely with healthcare teams to ensure safe and effective care transitions,...

Job Description JOB CATEGORY: REGISTERED NURSE / COMMUNITY HEALTH CENTER / WELLNESS REMOTE ELIGIBLE AFTER 90 DAYS POSITION SUMMARY: This position works directly...

Job Opportunity At CVS Health At CVS Health, we are building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health...

Manage your own work schedule while earning up to $36 per hour as a State Tested Nursing Assistant (STNA) in Delaware, OH (and nearby areas). At our...