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JOB DESCRIPTION This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient. Candidates...

Air Evac Lifeteam seeks a licensed RN to write clinical insurance appeals and support medical necessity justifications for air transport evaluations. The role involves processing and submitting appeals, ensuring timely updates, and protecting...

Care Coordinator This is a work-from-home position with travel required within Cherokee, SC County territory/community. Mileage is reimbursed for travel. The (RN) On-site Care Coordinator is a Registered Nurse who provides care...

Job Description Part and Full-time roles are eligible for a $30,000 sign-on bonus — apply today to learn more! Varied scheduling options are available, including 8-hour, 10-hour, and 12-hour shifts, as...

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...

The START Center for Cancer Research ("START") is the world's largestearly phasesite network, fully dedicated tooncologyclinical research.Throughout ourhistory, START has provided hope to cancer patients inglobalcommunity practices by...

Working remotely on a fixed schedule of Saturdays and four weekdays, the full-time Compact Licensed Oncology Nurse Navigator will provide triage, support, and education to members during their cancer journey through phone, email, and video...

We are looking for a L&D Nurse to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. Physicians & Advanced Practice...

Providence Facey Medical Foundation is seeking an experienced Per Diem Cardiology nurse practitioner or physician assistant to join their collegial team at Providence Saint Joseph Medical Center in Burbank, California. This is a great opportunity...

Tarzana, CA RN Oncology (Travel) Job Description & Information We have Travel jobs available for RN's with 2+ years of Acute Care Oncology experience in Tarzana, California. Travel jobs are the perfect...

Optum Waste and Error Claims Investigator Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by...

UPMC Children's Community Pediatrics Hiring UPMC Children's Community Pediatrics is hiring a Full-Time Professional Staff Nurse, OP to support the office remotely. Weekend availability required to support the hours of operation.

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

Nurse Disease Management II (US) Telephonic Nurse Disease Management II Sign-on Bonus: $2000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions,...

Staff Nurse RN Caller - Day of Surgery Admissions (DOSA) 50% The University of Iowa Health Care Department of Nursing is seeking a Staff Nurse in the Day of Surgery Admissions RN Phone Caller to perform specific tasks to assist members of...

Description This posting is for multiple openings of a Call Center Advice RN at The Nurse Advice Call Center in Brea, CA! We offer Part Time and Full Time positions, based on availability. Please ask at the time of...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

At St. Luke's, our dedicated team of Remote Patient Management RNs are critical in providing exceptional, patient-centered care. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which...

The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely...

Position Summary Compassionate and experienced Registered Nurse with expertise in hospice admissions, patient assessments, and care coordination across hospitals, long-term care facilities, assisted living communities, and home settings.

Nurse, Clinical Operations CVS Specialty Pharmacy provides medications and support for rare and complex conditions. The Nurse, Clinical Operations position is primarily responsible for supporting the clinical operations of CVS Specialty...

Senior Specialist, Quality Improvement (Registered Nurse) Reason for opening: FTE support needed for "Q4 Push" to close Medicare/MMP gaps in care with member & community events Will this role be fully remote? Yes Are there...

RN - Oncology The Oncology RN provides compassionate care to patients undergoing cancer treatment. Responsibilities include chemotherapy and medication administration, monitoring for adverse reactions, patient education, and emotional...

The Center for Sports Medicine and Orthopaedics is seeking an RN/LPN for a part-time position to triage patients remotely in Chattanooga, TN. The Center for Sports Medicine & Orthopaedics is Chattanooga's leading provider of...