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Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...

The Staffing Coordinator provides integral supportive services to University Hospital/ Ross Float Pool and Clinical Resources Staff. This position serves as a liaison between other departmental service lines by providing staffing support, guidance,...

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

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...

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...

The overall purpose of the Wellness Nurse position is to provide Person-Centered Care consistent with accepted standards and expectations of Sunshine Retirement Living and state regulations. The Wellness Nurse's responsibilities include, but are not...

Registered Nurse (RN) | Oncology Location: Columbus, OH Agency: Atlas MedStaff Pay: $1,882 per week Shift Information: Days - 5 days x 8...

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...

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 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...

Description Location: UCHealth Anschutz Inpt Pavilion - Aurora Department: Virtual Health Center - The centralized sitter RN role is a new, innovative role, to support system oversight of in person and virtual sitters The role will involve...

What You'll Do: The Bureau of Infectious Diseases is seeking an Immunization Nurse Consultant to serve as the statewide expert on immunizations & vaccine-preventable diseases. This position will monitor & evaluate...

A leading healthcare company is seeking a Prior Authorization RN to support its Wisconsin Medicaid Market team. This remote position involves reviewing prior authorization requests to ensure compliance with medical guidelines. Candidates must be...

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

We're unique. You should be, too. We're changing lives every day. For both our patients and our...

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...

Lead Registered Nurse Evaluator (Hybrid Remote-NY) Job Locations US-NY-New York | US-NY-Manhattan | US-NY-Jamaica | US-NY-Staten Island | US-NY-Hauppauge | US-NY-Brooklyn | US-NY-Bronx Requisition ID 2024-97703 Posted Date 2 hours ago(2/12/2024...

Appeals Nurse Consultant 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...

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...

Description Location: UCHealth Anschutz Inpt Pavilion - Aurora Department: Virtual Health Center - The centralized sitter RN role is a new, innovative role, to support system oversight of in person and virtual sitters The role will involve...

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...

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...

A healthcare organization is seeking a Maternity Nurse Navigator for their South Boston location. The role focuses on providing comprehensive care in women's health settings including inpatient and outpatient services. Candidates must have a...