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Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Staff Today is seeking a local contract nurse Correctional for a local contract nursing job in Sylmar, California. Job Description & RequirementsSpecialty:...

Bestica is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: ED - Emergency...

*Lahey Clinic | Beth Israel Lahey Health* Londonderry, NH | Full-Time, Hybrid (3 days in-person / 2 days remote) *About the Role* Join our collaborative team of physicians, APPs, behavioral health specialists, and registered dietitians dedicated...

Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render determinations for cases assigned. - Resolve all other technical...

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, innovate with purpose, hold...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

Townsen Memorial is looking for a full time Registered Nurse, PAT to join our team remotely ! Must reside in Texas. SUMMARY The Registered Nurse, Pre‑Admission Testing (PAT) is responsible for...

The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely...

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...

Chronic Care Manager (RN)Vitability Health of New Jersey Remote PositionOur MissionAt Vitability Health of New Jersey, we believe great care goes beyond checklists and charts—it's about relationships, trust, and walking alongside patients as...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

Centene is seeking a Care Manager (RN) to develop, assess, and facilitate complex care management for members with primarily physical health needs. This role is ideal for nurses who are passionate about providing high-quality, cost-effective...

Description Location: UCHealth Anschutz Inpatient Pavilion, US:CO:Aurora Department: OR Operating Room AIP Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Nights Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's...

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Pager Health℠ redefines how members navigate to care and wellness, validated by clinicians and powered by AI. We connect people to the right care at the right time, closing care gaps, reducing total cost of care, and...

Job Title Join the Patient Management Unit at a key moment in our history as we strengthen our clinically-driven, patient-centered preadmission pathway for DSH patients! Under the direction of the Chief Psychologist of the Patient Care...

Job Description Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with...

Harris Health System, Inc. is seeking a Nurse Manager to oversee the operational management of clinics and delivery of care. This role involves managing quality, human resources, and financial aspects of the clinics while collaborating with...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.Patient...

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...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The Clinic RN utilizes the nursing process by use of...

Evenings, Weekend Only, Full-time & Part-time Opportunities Available (20hrs +)Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an exciting way to...

Bestica is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Montebello, California. Job Description & RequirementsSpecialty: ED - Emergency...

Position details * *Status:* Full-Time * *Shift:* Days * *Shifts Per Pay Period:* 10 * *Shift Length:* 8 Hour * *Location:* Fresno * *Reference:* 2026-R4933 * *Facility:* Burnett Extended Care...