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RN Appeals Analyst We are currently hiring for a RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role, you will research the substance of complex appeal or retrospective review requests including pre-pay and...

Hispanic Alliance for Career Enhancement is seeking a Nurse Consultant to join their Utilization Management team. In this 100% remote role, you will apply your clinical judgement to review inpatient and outpatient services. Candidates should have...

Join Our Leadership Team: Director of Nursing Recovery Works Columbus | Pinnacle Treatment Centers Are you a dedicated nursing leader passionate about making a difference in the lives of those struggling with substance use disorders? Recovery Works...

Scheduled Hours 40 Position Summary Coordinates the care of patients for a designated service throughout the continuum of care; serves as a clinical resource in area of specialty or...

Eastway Behavioral Healthcare is hiring for a Psychiatric Mental Health Nurse Practitioner (PMHNP). This position will support our kids who are in residential care with us in both Columbus and Washington Court House, Ohio. Job Description: Candidates...

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The purpose of this position is to provide direct coordination of...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

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

Job Description Saint Luke's Home Care & Hospice is seeking a Transitional Care Nurse to join our team!! FT; M-F Flexible scheduling one weekend every 1-2...

Precertification Nurse: Special Case Precert Unit Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours. Utilizes clinical experience and skills in a collaborative process to assess,...

Overview Open Doors to Care. Guide First Steps. Transform the Hospice Experience. Are you a compassionate, experienced RN who loves making personal connections and helping patients understand their...

Registered Nurse I The position is full-time and 40 hours a week. The shift will be five 8-hour shifts between the hours of 9AM-5PM EST Monday through Friday. While the organization will do its best to keep you in your scheduled shifts,...

RN Health Care Facility Surveyor - Mississippi Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting...

Job Title: Registered Nurse - Operating Room Facility: Columbus, OH 43210 Location: Night 3x12-Hour (18:30 - 07:00) Start Date: 06/01/2026 Job Duration: 13...

Summary Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders, established hospital and departmental policies and procedures, American Nurses...

City/State Suffolk, VA Work Shift First (Days) Overview: Sentara Obici Hospital is hiring a Clinical Nurse Manager for our Med-Surg/Oncology Specialty in Suffolk, VA! The RN Clinical Manager for Med-Surg/Oncology Specialty can expect 25 direct...

Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit...

Outpatient Psych NP needed for a busy outpatient clinic located in Columbus, OH. Full time work with full benefits. Monday-Friday work week. W-2 or 1099 are options. Very competitive pay located in a wonderful city. For more, reply or contact Jay...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a...

Company:OhioHealth at Home in partnership with Compassus At OhioHealth at Home in Partnership with Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and...

RN Clinical Consultant, a full-time remote position, provides clinical expertise in reviewing disability claims, assessing medical conditions, and collaborating with healthcare providers to enhance treatment outcomes.Key ResponsibilitiesReview and...

UTILIZATION REVIEW NURSE HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than...

Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to...

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...

Clinical Liaison Registered Nurse / RN, Hospice Location: West Allis, WI Position: Clinical Liaison - Hospice RN Remote/Virtual Position: Coverage Area: SE Wisconsin Find Your Passion and Purpose as a Full-Time...