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Physicians East, P.A. is seeking a part-time QEC Pre-Procedure Screening Nurse for remote work in the United States. You will review patient charts, perform pre-procedure screening, and coordinate with care teams to ensure proper evaluation...

Compliance Nurse Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders,...

Job Title: Clinical Prior Authorization Reviewer Job Description This role focuses on reviewing prior authorization requests to determine medical necessity and appropriate level of care in alignment with national standards,...

Advocate Health's GCMG Virtual Critical Care team is seeking a Registered Nurse for a 36-hour work week on the 7p–7a night shift with 90% remote work. This telehealth role emphasizes high-level patient care and strong collaboration across the...

Centinela Hospital Medical Center At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system...

Baptist is seeking a tele-nurse with strong ICU expertise to provide remote or direct patient care for critically ill adults across multiple ICUs. You will apply the nursing process, coordinate care, and serve as a clinical role model while...

Job Title Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based clinical guidelines and criteria to assess and ensure...

JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...

HealthEdge in the United States seeks a Telephonic Utilization Management RN for Behavioral Health to coordinate care and perform medical necessity reviews across inpatient, outpatient, and ancillary services. Coordinate care through the health...

Family Advocate Support Care - Senior Clinical Admin Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of...

Description Location: UCHealth Anschutz Pavilion - Aurora Department: Critical Care Metro Float Pool - Either ICU or PCU Metro Denver Critical Care Float Pool RNs will support patients and teams at University of Colorado Hospital, Highlands Ranch...

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, innovate with purpose, hold...

Clinical Quality & Compliance Nurse Reviewer (Remote - Travel within Illinois) Location: Remote with on-site visits across Illinois Salary Range: $73,000-$83,000 annually Position Overview The Clinical Quality &...

Real Job 3266306 *Works with any dept, if a patient complaint arises* *Experience in Critical Care or ED is a plus* *weekends will not typically be required UNLESS survey is on site* *2 years experience required, hard stop* *First time travelers...

Cunningham Children's Home in Urbana, IL, is seeking a Nurse Case Manager to support youth with emotional, psychological, and physical care in residential programs. You will provide medical case management, screening, education, counseling, and...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

The Veterans Health Administration in East Orange, NJ seeks a Registered Nurse to serve as Community Care Coordinator. You will coordinate care across VA and community providers and guide Veterans through their care options.

Family Advocate Support Care - Senior Clinical Admin Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of...

IEP Corp., a skilled nursing facility in Temple City, California, seeks a compassionate Licensed Vocational Nurse (LVN) to provide direct nursing care under RN supervision. You will administer medications, monitor residents, and document changes...

Clinical Facility Site Review SupportProvides support for clinical facility site reviews. Under the supervision of leadership, uses clinical judgement within appropriate scope to independently conduct reviews and other monitoring activities for...

Tri-anim Health Services seeks a Field Clinical Specialist to educate ICU, OR, and critical care teams on airway management, monitoring, and new technologies. The role emphasizes training, product adoption, and clinical support across healthcare...

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, innovate with purpose, hold...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...

Location - Remote Your experience matters Lifepoint Health is a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional...