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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...

Nahse is seeking a Nurse Manager for its clinics in Houston, Texas. This role involves overseeing operational management and care delivery in line with high nursing standards. The Nurse Manager will work closely with leadership, coach nursing...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: UCHA Obstetrics Emergency Dept Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent on...

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...

A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare...

Sailor Health is looking for experienced RN Healthcare Advocates to provide compassionate support to older adults on Medicare. This remote position offers flexible hours starting at 15 hours per week, focusing on creating individualized care plans...

Equip is seeking a Registered Nurse to provide collaborative support to medical and psychiatric providers and ensure effective patient care. This role includes monitoring lab results, triaging requests, and educating patients and families on...

Job Summary The Care Manager—Registered Nurse is a key member of the Special Needs Plan (SNP) care team, responsible for coordinating care for members with multiple chronic medical and behavioral health conditions and social determinants of...

Find your calling at Mercy! Provides on call registered nursing support outside of regular business hours to meet patient care and operational needs across assigned departments or service lines. Utilizes clinical nursing knowledge and judgment to...

Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and...

Product TesterWork from home nationwide in the United States. Fulfill upcoming contracts with national and international companies. Guaranteed 15‑25 hours per week with an hourly pay of $25.00.Type: Full‑time +1ABA Case SupervisorBehavioral...

About the Role Mercor is seeking experienced nurse practitioners to support a leading AI lab in advancing research and infrastructure for next-generation machine learning systems. This engagement focuses on diagnosing and solving real issues in...

The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...

Overview Carenet Health is not authorized to hire in certain states due to internal business considerations: CA, CO, NY, NJ, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto RicoAre you a compassionate, self-motivated registered nurse with...

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Harris Health is seeking a Utilization Management Review Nurse (UMRN) in Houston, Texas, to evaluate the necessity and efficiency of medical services. The ideal candidate will hold a Bachelor's in Nursing and a valid Texas RN license, with 5 years...

RN - Medical Coverage Policy Consultant - Full-Time/Part-Time Pay Rate: Up to $74.20/hour depending on experience! Schedule: Open to full-time or part-time, expected to work dayshift business hours. Location: This is a work...

Work From Home Nurse Practitioner – Telehealth Women's Health | $125K+2 days ago Be among the first 25 applicantsThis range is provided by NPHire. Your actual pay will be based on your skills and experience — talk with your recruiter to learn...

A healthcare technology company is seeking a Clinical Appeals Nurse to train AI models and enhance chatbot performance. The role involves providing healthcare-related problems to AI, ensuring the accuracy of its responses, and evaluating its...

Dialysis experience preferred PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement...

Would you like to join an international team working to improve the future of healthcare? Do you want to...

Position: Remote Triage Nurse Company Overview Telenett is a leading telehealth company that provides remote medical services to patients across the United States. Our mission is to provide high‑quality, accessible healthcare to...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...

Registered Nurse (RN) – Utilization Management (24/7 Operations) Use your clinical expertise to make a broader impact. Join our Utilization Management team and help ensure members receive the right care, at the right time, in the most...

Join Us At CVS Health 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 care deeply,...