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Utilization Review - Fully Remote This role involves performing precertification and medical necessity reviews for designated referrals and targeted outpatient procedures, services, and inpatient admissions. The position requires...

Vetted is seeking a RN - Case Management for a travel job in Columbus, Ohio. The job was posted about 1 month ago. The assignment starts on Dec 8 and is 13 weeks long with 8 hour shifts 5 days a week.You must live 60 miles away from the facility in...

Registered Nurse (RN) - Remote Care Team Location: ME, NH or VT Hours: Full time, 37.5hrs/week, hourly (Non-Exempt) position Union Membership: This position is represented by AFT union in NH/VT & MSEA union in ME...

Job Title: RN Outpatient Clinic - GI Oncology Profession: Registered Nurse Specialty: Outpatient Clinic Duration: 13 weeks Shift: Day Hours per Shift: 8 Experience: Minimum of 2 years required License: Valid state or compact license required...

Registered Nurse (RN) - Remote Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get healthy, stay healthy, and lead lives they love through a...

Clinic Nurse - Outpatient Procedure Clinic. Department:James | Oncology Nursing Administration. Scope of Position. The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institutes (OSUCCC-James) mission is...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: Aids patients in obtaining the correct level of care with...

The Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time Nurse Case Manager to join our team in support of our government customer, U.S. Special Operations Command. This position will play a critical role in...

Job Description: Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven...

Clinical Appeals Nurse The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina...

Join BoldAge PACE and...

Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part- time and will work 8-hour, Day shifts. Providence Holy Cross Medical Center is...

We are hiring a Patient Care Manager and RN Dual role with Home Health experience. At Caretenders Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and...

Telephonic Case Manager 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...

Educates health care professionals, patients, and families about home care services. Develops and maintains relationships with key referral sources, such as hospitals, nursing homes and physician offices to generate leads. Coordinates patient...

Responsive recruiter Benefits: Competitive salary Flexible schedule Paid time off Looking for Nurses (RN and LPN) to join our home care...

Scope of Position: The Ohio State University Wexner Medical Centers (OSUWMC) mission is focused on integrating quality patient care, education, teaching and research. The Assistant Nurse Manager (ANM) assists the Nurse Manager in leading a...

Overview Remote Registered Nurse (RN) – Nurse Triage Position Summary The RN – Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is100% hands-on, responsible...

Conducts initial assessment of prospective residents, including off-site visits Performs wellness assessments and develops individualized care plans based on the needs and preferences of each resident Delivers health promotion services, offers...

Screening and reviewing prospective, concurrent, and retrospective referrals and authorizations for medical necessity and appropriateness of service and care and discussing with Medical Directors. Coordinate health care services with appropriate...

Reynoldsburg OH 43068 G/T Flexible days, 1-2 evening shifts/week AND weekend days Days, evenings Maxim Healthcare Services is seeking a Registered Nurse (RN) to assume responsibility and accountability for the application of the...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

Description The on-call HEDIS Clinical Audit Coordinator is responsible for conducting clinical quality audits for the Quality Department. The auditor identifies and coordinates clinical audits to determine potential areas...

Become a part of our caring community and help us put health first The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and billing for services rendered is complete,...

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...