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RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req) CA, United States and 5 more Trending Job Description JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe position requires flexibility to travel and float to other clinic...

Utilization Management Nurse Consultant (RN) We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate...

Intermountain Health is seeking a part-time Remote Medical Records Reviewer to support HEDIS audits. The role involves reviewing records, abstracting data, and ensuring documentation accuracy using a proprietary tool. You will collaborate with the...

JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance...

Case Manager RNBurbank, CA$2400/Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur12/7/20268H Days13 Weeks40Short Term Acute Care HospitalN/A361EPICRequirementsAt least 2+ years'...

Nurse Consultant Come join our Symbria Team! We are seeking a highly professional and dedicated individual to join our EMPLOYEE-OWNED TEAM as a Nurse Consultant in the pharmaceutical industry at our Pharmacy in Pennsylvania!

Navitus Health Solutions is seeking a Telehealth Registered Nurse to join the Clinical Engagement Center (CEC). The RN will perform telephonic comprehensive medication reviews and consult with members to improve adherence, close therapy gaps, and...

Nurse Consultant Reports to the Nursing Services Supervisor and works as part of a supportive, collaborative clinical team. The Nurse Consultant is a key clinical member of the NLACRC team, supporting individuals with developmental...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

CVS Aetna Appeals Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Clinical Nurse Consultant At Bristol Myers Squibb, our employees often ask, "Who are you working for?"—a question that fuels collaboration, accountability, and urgency in our work. Our purpose-driven culture inspires us to discover,...

Nurse Consultant Opportunity Surgical Directions is the country's premier procedural health tech-enabled services company. We provide consulting, leadership and technology solutions that power the future of procedural and anesthesia care.

Care Management Nurse Consultant Competitive Compensation & Benefits Package! Position eligible for: Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan...

Purpose Statement/Position Summary: The Registered Nurse II Specialist conducts patient assessments, participates in the development of the plan of care, implements and evaluates care according to patient specific age and/or developmental...

Registered Nurse - Review Analyst | Remote | Contract Walker Healthforce is seeking a Registered Nurse - Review Analyst with 2-4 years of clinical experience to provide clinical utilization reviews, evaluate medical...

PACE Early Childhood Education Program Consultant PACE Early Childhood Education (ECE) Program provides high quality early childhood education and support services for children aged 0-5 years old children for economically disadvantaged...

Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

Accucare Nursing and Home Care is seeking nurses for 1:1 nursing positions in various counties. Candidates will fill in as school nurses in Chappaqua CSD locations with patient-specific training provided. Starting compensation is $42/hour, with...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to start a rewarding career path in the healthcare...

Virtual Dermatology Nurse Prescriber (Remote UK Only) Location: Remote, UK Hours: 4 hours per week About the Role Healthcare Professionals Network are seeking experienced Dermatology Nurse Prescribers to provide virtual...

Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service. We're growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South,...