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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...

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CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement The base pay for this position is $80,000 Must be able to work Full-time on-site at DKH - Day Kimball Healthcare in...

Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We...

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...

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...

St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high...

IntelliResume is seeking an RN Case Manager to provide professional nursing care remotely. The role involves assessing, planning, implementing, and evaluating patient care to improve health outcomes. As an ideal candidate, you will prioritize...

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...

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...

Wolters Kluwer is looking for a Clinical Content Specialist – Nursing to enhance nursing faculty and student success through innovative resources. This position involves training faculty, integrating solutions into curricula, and preparing...

Job Summary The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as social...

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hopes growing national system includes its Los Angeles campus,...

Join TEKsystems in Indianapolis as a Clinical Quality Assurance Coordinator responsible for ensuring high-quality peer review reports and compliance with regulations. You will conduct thorough quality assurance reviews, collaborate with peer...

Hcpoftexas is seeking Full Time Registered Nurses (RN) in the SW Houston area to provide compassionate home health care. Utilizing modern tools to enhance care efficiency, you will focus primarily on patient care while reducing paperwork burden...

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...

Company Description With more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education that prepares students to thrive as healthcare...

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...

Senior Clinical Education Consultant Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

About Ergotron: Ergotron, Inc. is a global leader in designing ergonomic solutions that connect people and technology to enhance human performance, health and happiness. Through its 40+-year history, Ergotron has led the...

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...

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...

The Registered Nurse (RN) assumes the responsibility for the application of nursing and clinical processes and delivery of quality patient care at AltaMed clinics under the supervision of the Nursing Supervisor, Nursing Director, or CNE and has...

Description Location: UCHealth Anschutz Outpatient Pavilion - Aurora, CO Department: General Surgery Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $33.61 - $52.10 / hour. Pay is dependent on applicant's relevant...

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...