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Jobgether is partnering with a healthcare organization to hire a Case Manager - Utilization Review Specialist for a full-time remote role based in the United States. You will oversee admission and concurrent reviews, assess medical necessity, and...

The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and discharges, ensuring appropriate levels of care and compliance with regulations. This role is ideal for those who excel in a fast-paced...

1st TIME OK/ 2 YR EXP required for Utilization Review RN every other weekend required or more depending on unit needs no call or floating required MUST HAVE experience with Milliman Care Guidelines and Acute Hospital Experience!! The Emergency...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Utilization Review Nurse/ RN for Imaging/Commercial- Remote! Status:...

Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home This is an excellent opportunity for an experienced Registered Nurse who wants to transition from direct patient care into a...

Oncology Nurse Shift: 4/10's M-F , No Weekends, no holidays Sign On: 10k Relo: case by case Must haves Oncology Certified- OCN Outpatient experience (no exceptions) 3+ years of experience OCS Job description: Do you have a passion for the highest...

Clinical Integrity Documentation Specialist Location: Remote Facility: Ascension Wisconsin Hospitals Department: Clinical Integrity Documentation Schedule: Days | Full-Time Salary Range: $79,511.52-$110,834.59...

*Job Summary and Responsibilities* As our RN Trauma Performance Improvement, you will contribute significantly to our mission by leading proactive efforts to minimize traumatic injuries and support vulnerable patients. Your role elevates...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...

Job Description The RN Care Transition Coordinator position is responsible for providing care transition services for Providence hospitalized patients. The Coordinator works with the Providence physician team and hospital...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

RN Clinical - Pre-Post Op - Per Diem 12 Hour Rotating Shifts (Non-Exempt) (Union) Los Angeles, CA Apply Current employees apply here Category Keck Medicine of USC Helpful Information for Applicants As an integral part of...

Anchor Health Registered Nurse Are you looking for a workplace where you can make a genuine difference? Company culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we...

School Registered Nurse (RN) in Los Angeles, CA Step into a rewarding contract opportunity as a School RN, providing essential health services to students in a dynamic educational setting near Los Angeles, CA. This position offers the...

Exceptional care starts with exceptional people. For us, this is more than a job- it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to...

Registered Nurse, Care Coordination / Incident Triage: Los Angeles, CA Job Type : Assignment City : State : CA Job Description: Registered...

Job Title Specific Skills Needed Must have excellent written and verbal communication skills to communicate effectively with staff, patients, guarantors, insurance companies, and physicians. Demonstrated attention to detail; good...

Overview Remote Registered Nurse (RN) – DH Direct Triage Part-Time, 22 hours per week, Weekend Evenings Position Summary The RN - DH Direct Triage provides high-quality, patient-centered care through telephone triage and...

Clinical Appeals RN At UnitedHealthcare, we're 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...

Job Description The RN TeleNurse is responsible for triaging incoming patient calls. Promotes and demonstrates leadership within the department. Promotes the philosophy of wellness; serves as a resource person, educator, and...

Shearwater Health Registered Nurse, Utilization Review At Shearwater Health, we know that better patient outcomes are never achieved alone – especially when there aren't enough hands to deliver care. That's why we've built something...

Schedule Available: 9:00 AM to 5:00 PM, Monday - Friday * With additional hours during evenings, weekends, and on-call; as needed. Benefits Include: Low patient-to-nurse...

Host Healthcare is seeking a local contract nurse RN Long Term Acute Care Clinic for a local contract nursing job in Los Angeles, California. Job Description & Requirements Specialty: Clinic Discipline:...

Clinical Nurse III, Oncology Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your clinical competencies with an organization known nationally for excellence in cancer treatment, research...

Registered Nurse (Casual) | Australia-Wide Opportunities We are seeking experienced Registered Nurses to support a range of healthcare programs across multiple locations throughout Australia on a casual basis. Opportunities may include...