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nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure...

BRING YOUR GREATEST SKILLS TO THE GREATER GOOD As a critical care nurse and officer on the U.S. Army or Army Reserve health care team, you manage the care of our Soldiers and their families, making immediate decisions and applying your critical...

Availity, a leader in healthcare technology, is hiring a UM Nurse Analyst (Clinical Informaticist) to interpret payer medical policies and build AI-enabled decision trees for automated prior authorization. You'll collaborate with Product,...

Primary Care Registered Nurse Pittsburgh, PA 15218 Description JOB SUMMARY: The Primary Care Registered Nurse will facilitate the mission of Metro Community Health Center to ensure the delivery of quality patient care and coordination of...

Join Us at our Virtual Job Fair to learn more about this position! Wednesday, October 7th | 12pm - 2pm EDT Register here: UHC Community & State Massachusetts Virtual Job Fair At UnitedHealthcare, we're simplifying the health care experience,...

Seasoned Recruitment invites a PMHNP to join our remote telepsychiatry team as a 1099 contractor. This high-impact role offers 100% remote work and telehealth delivery with maximum flexibility and no minimum hours. Enjoy competitive pay...

SCAN is seeking an HEDIS Nurse to review medical records for Quality Initiatives/NCQA reporting. The role involves outreach to members and providers to ensure complete data and adherence to NCQA guidelines, with a focus on medication adherence and...

Details Client Name Adventist - Glendale Job Type Travel Offering Nursing Profession RN Specialty ER...

MedSource LLC is seeking a travel nurse RN Case Management for a travel nursing job in Mission Hills, California. Job Description & RequirementsSpecialty: Case...

Molina Healthcare is seeking a remote field-based RN care manager to support LTSS activities and coordinate member care with a multidisciplinary team. You will manage care plans, assess medical necessity, and facilitate waiver processes while...

Geisinger is seeking an HCQU Registered Nurse (RN) for a work-from-home role with occasional field-based responsibilities in Centre, Lycoming, and Clinton Counties, PA and monthly travel to Danville. The HCQU RN provides training and technical...

HCS 247 is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: ICU - Intensive...

Description: Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient...

Position Summary: As an advocate for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet an individual's health needs, using clinical and...

Advocate Health is seeking a part‑time Remote Transitional Care RN to assess high‑risk patients after discharge and during the 30‑day period. You will develop and adjust patient‑centered care plans, coordinate with care teams, and educate...

Job Category : Medical & HealthRequisition Number : CERTI025688LocationsShowing 1 locationAlegria2737 W Sunset BlvdLos Angeles, CA 90026, USADescriptionMission StatementThe Salvation Army, an international movement, is an evangelical part of the...

Job Category : Medical & HealthRequisition Number : CERTI025059Posted : August 3, 2026Full-TimeRate : $21 USD per hourLocationsShowing 1 locationAlegria2737 W Sunset BlvdLos Angeles, CA 90026, USADescriptionMission StatementThe Salvation Army, an...

Select how often (in days) to receive an alert: Service Access Nurse - Inpatient/Surgery Preservice Verification (100% Remote Position) Work Arrangement: Requisition Number: 273488 Regular or Temporary:...

Select how often (in days) to receive an alert: Service Access Nurse - Inpatient/Surgery Preservice Verification (100% Remote Position) Work Arrangement: Requisition Number: 273488 Regular or Temporary:...

Advocate Health is seeking an experienced Registered Nurse for a remote-based Transitional Care role focused on high-risk patients undergoing discharge and 30-day transitions. The role emphasizes comprehensive assessments, patient education, and...

Job Title: Clinical Chart Reviewer Job Description This role involves reviewing clinical charts for medical necessity in inpatient admissions, ensuring compliance with healthcare standards, and making appropriate referrals based...

Sherman Oaks Hospital Job Opportunity At Sherman Oaks Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of the Prime Healthcare Foundation, Sherman Oaks...

Overview Carenet Health is not authorized to hire in certain states due to internal business considerations: CA, CO, NY, NJ, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto Rico Are you...? Looking for a...

Job TitleThe Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ...

Details Client Name Providence Little Company of Mary Medical Center Job Type Travel Offering Nursing Profession RN...