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A healthcare company is hiring a Utilization Review Nurse, RN, in California. This role involves managing inpatient utilization efficiently by reviewing admissions, applying medical necessity criteria, and collaborating with healthcare teams.

HJ Staffing is seeking a highly detail-oriented HEDIS Data Reviewer to join our team in support of Impresiv Health. Working under the direction of the Manager of Medical Record Review Operations, you...

Who We Are: At Neurocrine Biosciences, we pride ourselves on having a strong, inclusive, and positive culture based on our shared purpose and values. We know what it takes to be great, and we are as passionate about our...

Enjoy what you do while contributing to a company that makes a difference in people's lives. Shady Grove Fertility, one of the premier fertility centers in the United States, seeks experienced, compassionate, and dynamic team players who are...

Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...

A health services organization is seeking a Prior Authorization RN to join their Wisconsin Medicaid Market team. This role involves reviewing clinical appropriateness of prior authorization requests in accordance with Medicare/Medicaid guidelines.

Job Description Scope of Position: The Ohio State University Wexner Medical Center?s mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: Aids patients in obtaining the correct level of care with...

Job Description Overview Lightship is the virtual-first provider that is perfecting the way clinical trials get executed. Because clinical research plays such a vital role in bringing life-enhancing and...

Join COMPLETE HEALTHCARE as an Ancillary Nurse and immerse yourself in a dynamic and fulfilling work environment. Here, you will play a vital role in enhancing patient care, bringing your skills to the forefront of innovative healthcare practices.

Contract Length: ongoing fulltime. Open to minimum of 5 shifts per month Shift Details: Mon-Fri 12s, 14s, and 16's hour shifts available. 10 hour shifts on weekends available. Call is required. In house call: 1 OB CRNA, 1...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

Our client is building the world's first proactive healthcare system, starting with neurodegenerative diseases like Alzheimer's. Partnering with leading neurologists and clinics, our client delivers continuous, personalized care through PCM and...

DEPARTMENT: 18400 - Medical Staff LOCATION: 350 7th Street North, Naples, FL, 34102 WORK TYPE: Full Time WORK SCHEDULE: 8 Hour Day ABOUT NCH NCH is an...

Pre-Access Utilization Management Registered Nurse 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...

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

Job Description Summary • Graduate of an accredited School of Nursing, Registered Nurse • Current Registered Nurse with Multi State License • Prefer minimum of 5+ years of recent clinical experience in critical care/...

Pediatric Cancer Cellular Therapy (CCT) Research Nurse 2 (Hybrid) The Stanford Cancer Institute (SCI) is one of an elite number of National Cancer Institute-Designated Comprehensive Cancer Centers in the country, and is a...

GoTo Telemed seeks experienced, certified CRNAs for remote anesthesia consultation, patient education, and post-operative follow-up services. This 1099 independent contractor position provides flexibility while supporting surgical teams across...

Candidates with a compact license strongly preferred Shift: Rotating schedule, 4 10-hour shifts per week, 7:30am - 6:00pm CST Location: Candidates in Texas, Tennessee, and New...

Position Type: Full Time Level: Mid-level Location: Augusta or Bangor, Maine Our Vision & Mission: MCD Global Health is a nonprofit global health...

*Quality Assurance Registered Nurse - 100% Remote* Contract duration: 520 hour contract to hire Training Schedule: M-F, 4-6 weeks *Contract Details* * *Contract Duration:* 520-hour contract-to-hire, long term opportunity *...

Receives inquiry calls and assists the caller with scheduling a face-to-face assessment to triage to the appropriate community referral. Assesses or ensures assessment by a qualified mental health professional of patients who present for assessment.

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...