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Urgent Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

GHR Healthcare - PH Division is seeking a travel nurse RN Pediatrics CVICU for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Pediatrics CVICUDiscipline:...

Take advantage of flexible schedules and get paid up to $68 an hour as a Registered Nurse (RN) in Westerville, Ohio, and surrounding areas. Nursing...

A healthcare provider is seeking a Utilization Management Clinical Manager for analyzing medical service requests. The ideal candidate will possess an RN license and extensive experience in prior authorization in managed care. Responsibilities...

Overview Position: Registered Nurse (RN) Location: Select Specialty Hospital - Columbus South Schedule: PRN / 12-hour Shifts / DaysCompensation: $50 per...

A leading healthcare company is seeking a Prior Authorization RN to support its Wisconsin Medicaid Market team. This remote position involves reviewing prior authorization requests to ensure compliance with medical guidelines. Candidates must be...

A leading risk management firm is seeking a part-time nurse to triage calls and provide care advice in a remote environment. The ideal candidate will have a Bachelor's degree in nursing, active RN licensure, and proficiency in clinical settings.

Collects data pertinent to the healthcare consumer's health or the situation from telephonic contacts and/or related EMR information available. Analyzes the data to determine the issues and available resources to seek effective resolution.

Registered Nurse Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping...

Contract-to-hire Details * *Pay: $34/hr* * Contract Duration: 520-hour contract-to-hire, long term opportunity * Compensation: listed below, Fixed rates (no opportunity for negotiation) * Training Schedule: Monday-Friday, 4-6...

JOIN TEAM TRILOGY:At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of...

Position Scope/Summary The James Clinical Call Center Triage RN is responsible to be the primary responder to manage telephone calls within the defined scope of practice as established by the Ohio Board of Registered Nursing for...

A major health insurance provider is seeking a qualified health professional for a remote Prior Authorization Management role. The candidate will ensure timely completion of authorization requests and manage various clinical processes. Successful...

The Moxie Health Group LLC is a multi-specialty practice group specializing in pulmonary, infectious disease, cardiology, and post-acute care. We currently have over 100 providers delivering specialized care to patients in skilled nursing...

Overview Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus:...

Medical Edge Recruitment, LLC is seeking a local contract nurse Correctional for a local contract nursing job in Lancaster, Ohio. Job Description & Requirements Specialty: Correctional Discipline:...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...

GHR Healthcare is seeking a travel nurse RN Pediatrics CVICU for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Pediatrics CVICU Discipline: RN ...

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...

An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure patient safety with continuity and compliance under a physicians...

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective complimentary utilization and case management strategies for an assigned member panel.

Description Location: UCHealth UCHlth Poudre Valley Hospital, US:CO:Fort Collins Department: SYS Professional Development Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $40.86 - $63.33 / hour. Pay is dependent on...

A healthcare management firm is seeking a detail-oriented Utilization Management Reviewer for a fully remote position. The role includes reviewing care based on evidence-based guidelines, ensuring quality and compliance while upholding medical...

Description Work Type: Per Diem As Needed Summary : CHRISTUS Health is seeking a dedicated and experienced Nurse Practitioner (NP) to join our Telehealth Urgent Care team in New Mexico. This fully remote role serves CHRISTUS associates and their...

A healthcare company is seeking a part-time RN Triage Nurse to join their remote team in Charlotte, NC. Candidates should have at least 5 years of experience in nursing, ideally within emergency departments or triage settings, and possess strong...