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Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for evaluating 3.5 patient care cases per hour and collaborating...

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...

Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...

Job Type Full-time Description Job Summary The Utilization Review (UR) Nurse is responsible for analyzing medical records for medical-legal reviews and producing high-quality, professional executive...

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...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

OASIS & Utilization Review Nurse – Home Health (Florida) We are seeking an experienced and certified OASIS & Utilization Review Nurse to join our dynamic review team. This role is critical to ensuring the accuracy, compliance, and...

Make it happen at Hopkins Provides disease case management oversight of chronic conditions (i.e CHF, COPD, Diabetes, asthma etc.) in adult population using remote patient monitoring as a tool. Responsible for all aspects of remote...

A healthcare provider focused on senior care is seeking a Utilization Management Nurse 2 to leverage clinical knowledge and communication skills in providing optimal treatment for members. The role involves interpretation of criteria and...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

JOB DESCRIPTION Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically...

Overview Are you a compassionate, self-motivated registered nurse with top-notch critical thinking and clinical skills? Seeking a challenging yet remote registered nurse position that keeps your abilities sharp?

RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.

PRIDE Health is seeking a travel nurse RN Med Surg for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Med SurgDiscipline:...

PMHNP (New Jersey) - 100% Remote | W2 Employee Deliver care that matters-where it matters most. Join the nation's leading virtual behavioral health practice and help transform access to mental health...

PickeringtonOH43147Adult, Jtube, TrachMonday-Friday 7a-3pDay Shift Maxim Healthcare Services is seeking a Registered Nurse (RN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient...

Total Rewards "Your life - our Mission" OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture,...

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 people feel their best,...

Details Client Name Ohio State University Medical Center Job Type Travel Offering Nursing Profession RN...

Position Summary: The Ambulatory Detox & MAT (Medicated Assisted Treatment) Nurse provides direct and indirect patient care and coordination of care to Aware Recovery Care clients. The Ambulatory Detox & MAT Nurse in collaboration with the...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

Job Details RN Senior Clinical Documentation Specialist Day Shift (Hours: M-F 8 hours) Hybrid position with onsite requirements. No Weekends or Holidays! Newark, DE Christiana Care Hospital is...

Job Description Registered Nurse(RN) / Travel / Critical Care Unit Registered Nurse Critical Care Unit Type: Registered Nurse (RN) Hilo, HI MAS Medical Staffing is currently...