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$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

UPMC in Central PA is seeking a Certified Registered Nurse Practitioner to join its Primary Care team in a hybrid Float and Inboxologist role. Hours: 4 10-hour shifts Monday-Friday, 7 a.m. to 5...

Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of...

Care Career is seeking a travel nurse RN CVOR for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: CVORDiscipline:...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", may be the place for you! Alliant is recruiting...

Hourly Rate: $38.34 Plus More For Related Experience We're looking for a Registered Nurse Consultant to join our team! The RN Consultant provides consultative services to assist people with intellectual and/or...

Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

Cabell Huntington Hospital is seeking a full-time Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and driving...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

POSITION SUMMARY/RESPONSIBILITIES Make sure to apply quickly in order to maximise your chances of being considered for an interview Read the complete job description below. Assumes the responsibilities of leadership in designated...

Job Description Summary of Essential Functions To provide general nursing care and/or supervision of personnel delivering general nursing care to patients in the hospital, ages infant to...

Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...

We are more than a health system. We are a belief system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

At UnitedHealthcare, were 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...

Make an Impact. At WellLife Network, your clinical expertise helps individuals achieve wellness, recovery, and independence. Join a compassionate team of professionals dedicated to providing person-centered care across behavioral...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job...

Company Highmark Inc. Job Summary This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,...

Registered Nurse (RN) - CDCES Remote | RPM / CCM Telehealth | NYS RN License (Required) The Role We're hiring a Registered Nurse (RN) with CDCES...

Location: BROOKLYN HEIGHTS Biweekly Hours: 80.00 Shift: Day/Evenings 7:00 AM-730 PM, 9:00 AM-9:30 PM, 11:00 AM-11:30 PM-Rotating weekends/holidays The MetroHealth System is redefining health care by going...

Gentiva is seeking a Registered Nurse (RN) Clinical Liaison for a nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Clinical LiaisonDiscipline: RNDuration:...

Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is...

Job Address: 10123 Alliance Road, Suite 320Blue Ash, OH 45242 Telehealth Administrator on Call (Registered Nurse), Remote Position The PHP Telehealth Administrator on Call has a passion for providing remote...