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Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time position. The role involves applying medical necessity criteria to reviews, documenting findings, and interfacing with providers and members to...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

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

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...

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

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

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...

ABOUT THE ROLE (Full Time) Late Afternoon/Evening Shift 2:30pm to 11pm This position works off a 4 days on 2 days off rotation varying schedule. As a Charge...

Job ID: 32349 *Description*In this role, you will provide direct nursing care, infusion therapy and documentation to patients in the Community Oncology Practice. Major functions include: patient assessment, patient evaluation and preparation and...

Sedgwick Government Solutions is seeking a Telephonic Triage Nurse Case Manager (Remote) to support federal workers from a home office. You will conduct timely assessments, coordinate care, and manage cases to drive optimal recovery...

Desert Oasis Healthcare seeks an Intense Case Manager (LVN) to lead care management for high-risk patients with complex behavioral health and substance use needs. The role involves comprehensive physical and psychological assessments, care...

Nurse Navigator 1 The University of Miami/UHealth Department of Medicine has an exciting opportunity for a Full-Time Nurse Navigator 1 to work in the UHealth Campus. Core Job Summary: The Nurse Navigator 1 (H) liaises...

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...

Townsen Memorial is looking for a full time Registered Nurse, PAT to join our team remotely ! Must reside in Texas. SUMMARY The Registered Nurse, Pre‑Admission Testing (PAT) is responsible for...

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...

Summary: Work Schedule: This is a remote role that requires every Saturday and Sunday commitment. JOB SUMMARY: The Inpatient Care Manager, in collaboration with the clinical team and medical provider, provides discharge planning coordination and...

56300 Job Description Join a team that's shaping the future of pediatric care. Children's Hospital Los Angeles is consistently ranked among the top 10 children's hospitals in the nation, delivering world-class care through more...

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,...

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...

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,...

## 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...

If you are interested please apply online send your resume to [email protected] POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in...

Community Health Network is seeking an Ambulatory Triage Registered Nurse to join the Family Medicine Care team. The RN will perform phone triage, patient education, scheduling, prior authorizations, prescription refills, referrals and care...

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...