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Sentara Health Plans is hiring a Utilization Review RN for Imaging/Commercial with remote flexibility. The role requires a Virginia- or compact-licensed RN, a Bachelor's degree preferred, and at least 3 years in acute care with utilization review...

CVS Health is seeking a Case Management Coordinator to support the Aetna team from Illinois. The role emphasizes coordination of case management, appointment scheduling, and direct assistance to members navigating benefits and education.

Mercy Health St. Vincent Medical Center Mercy Health St. Vincent Medical Center is a faith based Catholic Healthcare Ministry committed to serving the poor and underserved of our community since 1853. Mercy Health St. Vincent Medical...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you will help lead and coordinate our exceptional nursing team so they can deliver timely, compassionate, and life-saving care to patients in critical situations. Every...

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand...

Providence Saint John's Health Center in Santa Monica, CA is seeking a CNA for full-time, 12-hour day shifts. The caregiver supports the medical team by assisting the Registered Nurse and Licensed Vocational Nurse in patient care tasks and...

Medix is seeking a Remote Utilization Review Registered Nurse (UR RN) to bridge clinical care and hospital operations from a remote setting. Join a team optimizing patient care while safeguarding revenue integrity, with a compressed 4-day week,...

About This Role The Senior Clinical Administrative RN role focuses on reviewing member appeals and fair hearing requests, including clinical review, chart review, and audits. This position is ideal for experienced RNs looking to make a...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent...

Registered Nurse (RN), Non-Invasive Cardiology, Full Time, Days Responsible for performing safe and effective cardiac stress tests (i.e., treadmills, thallium treadmills, pharmacological stress tests, stress echocardiograms, pharmacologic...

Humana is seeking a Utilization Management Registered Nurse to interpret and support the coordination, documentation, and communication of medical services and benefit determinations. You will work remotely, report to the Manager of Utilization...

Optum is seeking a remote IRR Clinical Claim Review Nurse to perform clinical review of claims against medical records and guidelines. The role requires an active RN license, 2+ years of acute care clinical experience, and 1+ year in claim review...

Sentara Health is seeking a Registered Nurse for the Physician Practice in a remote weekend day shift role (Sat, Sun, Mon 7am-7:30pm). The RN will provide care in a physician practice or ambulatory clinic, perform triage, assist with exams,...

Position Summary We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply,...

Registered Nurse Opportunity at Mercy Health St. Vincent Medical Center Scheduled Weekly Hours: 24 Work Shift: Days (United States of America) This is a collective bargaining unit position. Join our team today!

*Job Summary and Responsibilities* As our Director Nursing Perioperative Services at California Hospital, you will be responsible for Surgical Services including Main OR, Pre-Op, PACU, GI, and SPD. We have 7 operating rooms and a robust surgical...

Job Opportunity At La Palma Intercommunity HospitalJoin an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers...

Providence Saint John's Health Center in Santa Monica, CA is seeking a CNA for full-time, 12-hour day shifts. The caregiver supports the medical team by assisting the Registered Nurse and Licensed Vocational Nurse in patient care tasks and...

Join Us at our Virtual Job Fair to learn more about this position! Tuesday, November 3rd | 12pm - 2pm CDT Register here: At UnitedHealthcare, we are simplifying the health...

Case Management Utilization RNPrimary Location: Panorama City, California Facility Name: Panorama City Medical Offices 4 Employee Status: Regular Schedule: Part-time Scheduled Weekly Hours: 32 Shift: Day Salary: $68.95 - $84.38 / hour Job Number:...

The RN Clinical Educator, Ancillary Services is an advanced clinical expert in Cath Lab and procedural-based services who supports the professional growth, development, and competency validation of staff in Ancillary Services including Cath Lab,...

Humana is seeking a Registered Nurse Care Manager in Wisconsin to support Family Care program members. This role offers daytime hours, no nights or weekends, with travel to member visits and occasional remote work from home. You will assess...

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 the care, pharmacy benefits, data...

Sentara Health in Williamsburg, VA is seeking a qualified Quality Assurance Coordinator to join our Home Care team on a full-time, day shift. This remote position emphasizes ensuring that Home Care products and services meet quality standards and...

CVS Health is seeking a Registered Nurse to join our Utilization Management team in a remote role with afternoon/evening shifts. You will review clinical information, apply criteria, coordinate care, and support coverage determinations while...