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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...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Medical Review Nurse.

RN Clinical Staff Nurse-EmPATH-Full Time Days Event Details Join us for an Interview and Hiring Day! Registered Nurses welcomed! Location: 1680 E. 120th Street, Los Angeles, California 90059...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Clinical Review Nurse - Remote ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a...

Details Client Name CSMN - 1102084 - TACRI Imaging Job Type Travel Offering Nursing Profession Registered Nurse...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Description: The Organization San Gabriel/Pomona Regional Center (SG/PRC) is a private, nonprofit agency contracted with the California Department of Developmental Services (DDS) to provide services and...

Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Job Description Nemours Children's Health in JACKSONVILLE Florida at our home office location, is seeking a Virtual Care ON-SITE RN! Current opportunities: FULL-TIME,...

Asct is seeking a Nurse Manager for the Mother Baby unit at LBJ hospital in Houston, Texas. This position encompasses operational management and quality delivery of nursing care, ensuring standards set by regulatory agencies are met.The ideal...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Great opportunity to join a rapidly growing National Women's Healthcare Platform in Los Angeles, CA - looking for a Family Nurse Practitioner who has experience in an office based procedural setting. Board Certified Family Nurse...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range:...

The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best...

Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We...

Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...

CD RN (Clinical Documentation Specialist)-Level 2 The Clinical Documentation Specialist (CDS) is responsible for distributing documentation information to respective departments; performing educational outreach to individual units and...

Job Title Utilizes a collaborative review process of benefits, minimally necessary clinical information and evidence-based clinical guidelines to formulate decisions regarding medical necessity, pre-existing conditions, benefits and/or...

Nursing Opportunities - All Experience Levels AlediumHR is actively partnering with leading healthcare organizations across the U.S. and Canada to connect exceptional nursing professionals with meaningful career opportunities. We...

Job Description Summary An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure patient safety with continuity and...

Operating Room RN The Operating Room RN assists in the daily function of the operating room in accordance with established federal, state and accreditation standards and facility policies and procedures. Assists in overseeing patient care...

Job Description Would you like to be part of an organization that is committed to delivering the highest quality of medical care to our patients? Do you...

Nurse Technician at Inglewood Unified School District Share on X - Application Deadline 6/30/2026 4:00 PM Pacific Date Posted 6/8/2026 Contact Jeannette Tapia 3104192753 Number of Openings 2 Salary Pay Range 23.75 - 28.86 Per Hour Add'l Salary Info...

Job Description Job Description We are seeking a fun, compassionate, and knowledgeable pediatric Licensed Practical Nurse to join our team! You will be responsible for delivering high quality care to medically fragile children (birth to 21...