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The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely...

Job Opportunity Responsible for triaging incoming patient referrals, assessing needs, giving appropriate clinical dispositions and facilitating referrals to WVU Medicine primary care and specialty care providers. This position will...

Overview Nurse Navigator - Per Diem The oncology nurse navigator is a professional registered nurse with oncology specific clinical knowledge who offers individualized assistance to patients, families,...

RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization Management *SRMC Care Management *Full Time *Part Time Receive 17% Weekday Nights, 26% Weekend Nights and 15%...

Pager Health℠ redefines how members navigate to care and wellness, validated by clinicians and powered by AI. Our solutions help people get the right care at the right time in the right place and stay healthy, while...

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...

Senior Specialist, Quality Improvement (Registered Nurse) Reason for opening: FTE support needed for "Q4 Push" to close Medicare/MMP gaps in care with member & community events Will this role be fully remote? Yes Are there...

Adjunct Lecturer in Online Nursing PMHNP Program Fully Remote • Remote-USA - x, MA 00000 Overview Position Type Adjunct Description The Richard and Sheila Young School of Nursing is seeking applicants for...

Adjunct Faculty For Doctor Of Nursing Practice Program The School of Nursing seeks an adjunct faculty member to deliver high quality learning experiences and education for students in the Doctor of Nursing Practice program. The selected...

Optum Waste and Error Claims Investigator 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...

Description: About Us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates,...

Assistant Professor, Nursing Evaluator Remote Are you a nurse who is passionate about being an integral part of educating the next generation of nurses? Have you been dreaming about being part of an organization that really cares...

## Clinical Stop Loss Nurse - Work From HomeApplyremote type: Remotelocations: TX - Richardson: MT - Helena: NM - Albuquerque: OK - Tulsa: IL - Chicagotime type: Full timeposted on: Posted Yesterdayjob requisition id: R0055168At HCSC, our...

Job Description: We're seeking a highly skilled critical care nurse with at least three years of ICU or Emergency Department experience to join our flight team. You'll provide advanced care to critically ill and injured patients during air and...

Type: Clinic Somerville , MA SkyBridge Healthcare is currently seeking Registered Nurse with Clinic experience for a 13-week contract in MA. SkyBridge Healthcare is a premier staffing firm dedicated to matching outstanding talent...

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a...

Clinical Professional Opportunity At Prenuvo, we are on a mission to flip the paradigm from reactive "sick-care" to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and...

RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...

Harris Health System, Inc. is seeking a Nurse Manager to oversee the operational management of clinics and delivery of care. This role involves managing quality, human resources, and financial aspects of the clinics while collaborating with...

Charles R. Drew University of Medicine and Science Charles R. Drew University is located in the Watts-Willowbrook area of south Los Angeles and was founded in 1966 in the wake of the Watts uprising. CDU was founded to address inadequate...

Staff Today is seeking a local contract nurse Correctional for a local contract nursing job in Downey, California. Job Description & RequirementsSpecialty:...

Direct Jobs is seeking a Nurse Manager for the Emergency Service Administration in Houston, Texas. The Nurse Manager will be responsible for operational management and the delivery of quality patient care across the clinic. With oversight of...

$10,000 Sign-on Bonus for External Candidates Telephonic After-Hours Call - Evenings, Nights & Rotating Weekends Required Full Time (40 Hours) For those who want to invent the future of health care, here's your opportunity. We're going beyond...

Registered Nurse (RN) | Administration / Management Location: Los Angeles, CA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) ...

Responsibilities: Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. ...