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Summary Acts as Team Lead for specialty programs, medical review, utilization management, and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to...

Utilization Management RN IL Regional Office - Springfield, Illinois Overview Position Type: Full-Time Job Shift: Day Education Level: Bachelor's Degree Category: Nursing Professional & Support Description...

GQR Healthcare is seeking a travel nurse RN Special Procedures for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Special Procedures Discipline: RN Start Date: 08/17/2026 Duration: 8 weeks 40 hours per week...

Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit...

Mission-Driven RN Educator, Clinical Documentation Integrity We're with you for life's journey. At Denver Health, purpose isn't just something we believe in—it's something we live every day. Our Values Respect | Belonging...

RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...

Make a Difference Where It Matters Most Join a team that's been providing compassionate, patient-centered care to rural North Carolina communities for 50 years. At CommWell Health, you won't just care for patients, you'll...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...

The Registered Nurse (RN) is responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on...

About Abby Care: Powering the Future of Care at Home for All of America Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever.

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

Join Our Caring Community As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program...

Registered Nurse Opportunity Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations...

Inpatient Case Manager Based on an initial review of member care needs at the time of admission, establishes a discharge/transition plan in collaboration with the hospitalist team. On an ongoing basis reviews and identifies changes in...

Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...

Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location: West Hollywood, CA Job Type: Travel Contract Duration: 13 weeks Shift: 5x8 Days Pay: $2,400.80/week...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

General Information Press space or enter keys to toggle section visibility Work Location: Santa Monica, CA, USA Onsite or Remote Fully On-Site Work...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

Admissions RN Bristol Hospice Greater LA, CA - Lakewood, CA 90712 Overview Salary Range $55.00 - $58.00 Hourly Position Type PRN Hourly Description Do you enjoy being at the beginning of the journey? The...

Job Description Travel Nurse - Case Management Epic Travel Staffing is hiring a Travel Nurse - Case Management. We`ll be your ticket to the travel RN - Case Manager job you`ll love with unparalleled recruiter support and...

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...

Army Public Health Nurse Job Overview As an Army Public Health Nurse, you'll assess health risks and implement programs to monitor the spread of disease. You'll promote wellness for Soldiers and their families while also informing policy and...

Details Client Name St. Francis Medical Center - Lynwood Job Type Travel Offering Nursing Profession RN...