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Gainwell Technologies is seeking a Nurse Reviewer (RN) to perform clinical reviews determining medical necessity and documenting findings. You will access proprietary systems, apply criteria, and support review determinations with policy and...

Centene Corporation in the United States is seeking a Nursing professional to analyze prior authorization requests and determine medical necessity and level of care in line with standards and coverage. You will collaborate with medical teams to...

Working remotely in a full-time capacity, the Registered Nurse Virtual Care (NC) will monitor patient conditions, adjust care plans, and collaborate with care teams while engaging in professional governance and quality initiatives during night...

Job Summary and Responsibilities As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every...

Cambia Health is seeking an Appeals Clinician I to work remotely from home within Oregon, Washington, Idaho or Utah. You will apply nursing expertise to complete the clinical component of all appeal types, resolving member and provider appeals...

St. Luke's University Health Network in New York is seeking a Clinical Triage Specialist (RN) to deliver compassionate patient care through the Access Center, triaging calls and guiding patients to appropriate services. The CTS-RN uses...

Registered Nurse/RN Labor & Delivery | L&D Days Corpus Christi, Texas 13 weeks Qualifications: 2 years of recent experience in area of unit type preferred Valid licensure and / or...

The Triage RN at Vail Health Hospital coordinates care and triages patient concerns, using established protocols to determine appropriate dispositions to emergency care, urgent care, or clinic visits. You will support providers and respond to...

Ensemble Health Partners is seeking an RN Utilization Review quality professional to lead QA efforts within the VUR team. You will mentor staff, evaluate QA processes, and drive improvements across multiple clients and systems. The role...

Rochester Regional Health is seeking a Registered Nurse for the Communications Center (Central Triage). The role includes an in-person training period with potential remote/hybrid work options after oversight and training. Expect 40 hours...

Ascension is seeking a remote Case Management RN to review admissions and service requests for medical necessity, coordinate discharge planning, and assist staff with coding, documentation, precertification, reimbursement and denials/appeals. The...

Job description RN'S NOW HIRING! All SHIFTS! We are looking for a qualified nursing supervisor to oversee patients and manage the nursing team of our facility. Our ideal candidate has solid experience as a registered...

Elevance Health is seeking a Nurse Case Manager I in Latham, NY, to perform care management for members with complex chronic needs, assessing, developing, implementing, coordinating, monitoring, and evaluating care plans. Roles may be telephonic...

Find Your Calling At Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care...

RN Labor Delivery Partnering for a stronger, healthier world. At CommonSpirit Health, we believe in the healing power of humanity. We invite you to explore our specialty areas and pursue a career in humankindness. Inspired...

Spectraforce Technologies, Inc. is seeking a Clinical Review Nurse - Prior Authorization for a 12-month assignment. The role is remote (PST/CST) with scheduling across multiple shifts, supporting national guidelines and contractual requirements.

Unit Notes **CANDIDATES MUST BE AVAILABLE TO WORK 2 OF THE 3 MAJOR HOLIDAYS** Unit Tele-PCU-Split into 3 units: Tele I-7th & 8th floor, Tele II- 6th floor (split into 6 Central and 6 North) # Beds- Tele I- 44 beds double occupancy...

Sedgwick is hiring for a Clinical Consultation Triage Nurse in a remote, full-time role. You will triage calls, assess needs, and provide care guidance to determine the appropriate level of care, while supporting return-to-work goals. The...

Job Description The Research Nurse Coordinator III is responsible for all activities associated with clinical study coordination, subject enrollment, data management/integrity, regulatory compliance, project/study evaluation...

Summary This position is located at the Florence VA Clinic in Florence, KY. The Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) is responsible and accountable for individual nursing practice and determines the...

Responsibilities: How you'll change lives...

RN Clinical Staff Labor and Delivery Full Time Nights Event Details Join us for an Interview and Hiring Day! Registered Nurses welcomed! Location: 1680 E. 120th Street, Los Angeles, California 90059...

Sentara Health is hiring a PRN Registered Nurse for a Physician Practice in a remote weekend day shift (Sat, Sun, Mon, 7am–7:30pm). The RN provides ambulatory care, triage, patient education, and care coordination in a physician practice or...

Molina Healthcare seeks six TX licensed RNs to work telephonically with Medicaid members across the state. Three roles require at least two years in behavioral health or substance abuse; the other three require two years in ICU/CCU/ED. Most duties...

UnitedHealth Group in El Paso, TX is seeking a Field RN Service Coordinator 1 – Case Manager to remotely support members with holistic assessments, care planning, and coordination across health and community services. The role emphasizes...