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Position Title Virtual Nurse/Nursing Care Partner (Per-Diem) Job Description Purpose & Scope: Across inpatient Medical-Surgical, Telemetry, and Intermediate Care Unit (IMCU),...

Wolters Kluwer is a global leader in professional information services that combines deep domain knowledge with specialized technology. Our portfolio offers software tools coupled with content and services that customers need to make decisions...

A leading health organization is seeking a RN Coordinator for Utilization Management in Wisconsin. This full-time position involves reviewing authorization requests for medical necessity and collaborating with various departments. Applicants...

Care Coordinators (LPN) (LVN) CareHarmony's Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed...

A healthcare provider is seeking a Clinical Specialist to work remotely from Melville, NY. This role involves collaborating with healthcare teams to ensure compliance and patient care standards, preparing documentation for care levels, and...

Job Opportunity at Highmark Inc. This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,...

Company Overview 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...

Clinical Administration Position at St Jude Medical Center Leads the alignment, standardization and ongoing improvement of ministry length of stay for designated patient populations. Serves as designated ministry liaison with providers...

A healthcare organization is hiring a skilled Nurse Advice Line Clinical Triage Nurse for a part-time position. The role involves performing clinical triage and coordinating care based on inbound calls. The ideal candidate must hold an RN License...

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...

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 company, we reach millions of...

A healthcare organization is seeking a remote Pharmacist to ensure effective pharmaceutical care. Responsibilities include monitoring medication use, providing patient care, and documenting interventions. Candidates should hold a Bachelors or...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

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Supplemental Health Care is seeking a travel nurse RN Rehabilitation for a travel nursing job in Dublin, Ohio. Job Description & Requirements Specialty: Rehabilitation Discipline: RN Start Date: ASAP Duration: 13 weeks 36 hours per week Shift: 12...

Immediate Hiring for Remote Clinical Review Nurses Immediate hiring for remote clinical review nurses. Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital admissions.

RN Care Review Clinician The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential Duties and...

Job Description: Non CNA/STNA Lincoln Village Columbus, OH Full Time 7pm-7am Lincoln Village, located in Columbus, OH, is an...

Care Manager Sharecare is the leading digital health company that helps people unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers,...

The range for this role is $25.00 to $34.13/hr Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested...

RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.

Join Our Compassionate Team and Make a Difference in Health! This position is remote, and candidates must reside in Puerto Rico. As a Bilingual RN Care Manager, you will thrive in a telephonic environment where you assess and...

LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 03/02/2026 Duration: 8 weeks 40...

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...