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A healthcare provider is seeking a Utilization Management Clinical Manager for analyzing medical service requests. The ideal candidate will possess an RN license and extensive experience in prior authorization in managed care. Responsibilities...

A healthcare organization in Washington, DC, is seeking a qualified nurse for clinical review and care coordination. This role requires evaluating medical services and ensuring effective patient care while maintaining communication with various...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...

Overview Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus:...

Telephonic Case Manager 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...

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TPAPT is seeking dedicated and knowledgeable Nursing School Admissions Coaches to help aspiring nursing students navigate the admissions process for competitive nursing programs. You will work one-on-one with students to provide...

A leading health solutions company is seeking a fully remote Case Manager - Registered Nurse (RN) to join their National Medical Excellence team. The position involves assessing and coordinating care for members to enhance overall wellness.

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and...

Assistant Nurse Manager- Rotational - Immediate Care Center The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institutes' (OSUCCC-James) mission is focused on integrating quality patient...

Quality Assurance Position Contract-to-hire details and pay: $34/hr for a 520-hour contract-to-hire, long term opportunity. Compensation: listed below, fixed rates (no opportunity for negotiation). Training schedule: MondayFriday, 46...

Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...

Registered Nurse - 100% Remote TEKsystems Contract?to?hire position: 520?hour contract with a 4?to?6 week training period (MondayFriday, 8?AM5?PM CST). 100% remote work based out of Chicago, IL. Compensation:...

A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and...

A healthcare organization in Manchester, NH, seeks a Nursing professional to provide centralized medication access support. Responsibilities include reviewing medication requests, communicating with patients, and adhering to clinical guidelines.

A leading healthcare institution in Kansas City is seeking a Utilization Management Nurse RN to collaborate with healthcare teams and ensure optimum delivery of patient services. The role requires strong clinical background, excellent...

RN Lead Position is remote (US/Canada) No agencies please Maximus is a mission-driven consumer performance medicine telehealth company that provides men and women with content, community, and clinical support to optimize...

Description Location: UCHealth UCHlth Urology Consultants PMC, US:CO:Pueblo Department: PMG Urology Consultants Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $32.65 - $49.62 / hour. Pay is dependent on applicant's...

RN Clinical Appeals Nurse Job Summary: The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory...

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

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...

A healthcare services provider is seeking an RN Care Manager to improve patient outcomes in kidney care. This hybrid-remote role involves creating personalized care plans, conducting assessments, and maintaining relationships with patients and...

A healthcare management firm is seeking a detail-oriented Utilization Management Reviewer for a fully remote position. The role includes reviewing care based on evidence-based guidelines, ensuring quality and compliance while upholding medical...

Include the following, other duties may be assigned: Provides health education to families through workshops, parent meetings, handouts, etc. Utilizes and inputs data in Child Plus or designated HS software program. Documents all communication with...