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Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...

Job Title Remote Work from Home Job Details Location: Johns Hopkins Health Plans, Hanover, MD 21076 Category: Nursing Schedule: Day Shift Employment Type: Full Time Position Summary: Responsible for...

Seeking a dedicated Registered Nurse (RN) for a full-time remote Medical Claims Reviewer position, responsible for conducting pre- and post-payment medical reviews, assessing medical necessity, and documenting compliance with clinical criteria and...

Discharge Care Manager 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 people with...

Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range:...

Job Description JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the...

Collaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental goals and needs, as well as organizational...

Details Client Name California Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

Clinical Claim Review Nurse 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 people...

Voca Healthcare is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Cardiac Cath...

Details Client Name CSMN - 8714015 - Inpatient Specialty Program Crisis Response Job Type Travel Offering Nursing Profession...

Job Description Cedars‑Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed among the very best in...

City/State Norfolk, VA Work Shift Multiple shifts available Overview: Sentara Health Plansis hiring a Quality Improvement Coordinator /Registered Nurse (RN) - Remote in Virginia! ...

Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting applications in the Los Angeles, CA area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas...

Job Posting Title *** $5k Sign-on Bonus*** Campus Associate Director Nursing, Clinical Operations-ADN Program Choose To Make A Difference American Career College, we share a passion for students and transforming...

Remote - Candidate is required to reside in California. The RN School Support Manager is responsible for the clinical oversight of the designated medical care needs per the district contract. This oversight includes support of care...

Job InformationRN JobShift: Full TimePay Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.)Location: Los Angeles, 90017Job DescriptionThe Lead Appeals and Grievances RN is responsible for assisting with the development of a...

Utilization Review Nurse Health Plans - Case Management US:NM:Alamogordo | Utilization Management | Full Time This position has a remote option for those living close and will be able to come into the hospital as needed.

Health Plan Nurse Coordinator The Health Plan Nurse Coordinator is a Registered Nurse who supports one or more health services operational units, such as Utilization Management, Case Management, Enhanced Care Management, Disease...

Clinical Auditor Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes.

Details Client Name Adventist Health White Memorial Job Type Travel Offering Nursing Profession RN Specialty...

City/State Newport News, VA Work Shift Multiple shifts available Overview: Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in the Hampton and Newport News area of...

About the job Remote | Nursing Clinical Review Expert - $65-$95/hour We are sharing a specialised part-time consulting opportunity for nursing professionals experienced in patient care, clinical monitoring, medication administration,...

Patient Family Liaison Clinical - RN Overview: Clinical Patient Family Liaison, Registered Nurse Location: Glendale, CA Find Your Passion and Purpose as a Full-Time Clinical...

Description Position at Northwell Health PART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected! Northwell is the largest not-for-profit...