Search Nursing Jobs

JOB SUMMARY The Utilization Review (UR) Nurse is a registered nurse who provides clinical review against nationally recognized medical necessity criteria for the purpose of evaluating medical necessity or hospitalization...

Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...

Salary:$90,000 - $105,000 annually, depending on skills and certifications Employment Type: Full-Time, Salaried, Exempt Reports to: Director of Oncology and Infusion Location:US, must live in Pacific or Mountain time zone,...

Scheduled Hours 40 Position Summary Coordinates the care of patients for a designated service throughout the continuum of care; serves as a clinical resource in area of specialty or...

City/State Lynchburg, VA Work Shift First (Days) Overview: Overview We are seeking a compassionate and experienced Registered Nurse - Integrated Care Manager...

Join the transformative team at City of Hope , where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of...

Randstad Healthcare is hiring for a Utilization Management Clinical Consultant - Registered Nurse to work remotely. ***Must be licensed as a RN in Arizona or hold a compact license to be considered*** The Utilization...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...

Fully Remote JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date...

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...

Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

Job Description University of Washington Medical Center-Montlake has an outstanding opportunity for an experienced registered nurse to work on our Rehab unit. WORK SCHEDULE 36 or 40 hours per...

Job Description Our home health and hospice agencies are located throughout California, Hawaii, Oregon and Washington. They serve the entire community and offer personalized in-home care, and many have been recipients of Home...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...

Cabell Huntington Hospital is seeking a full-time Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and driving...

Join a Hospice Team That Truly Cares — About Patients and You Capital City Hospice is proudly Ohio-made and deeply rooted in the communities we serve. Every decision we make centers on compassion, dignity, and supporting families through...

Location: Work from home (Pennsylvania) Shift: Rotation (United States of America) Scheduled Weekly Hours: 36 Worker Type: Regular Exemption Status: No...

Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of the largest private-duty nursing companies in the...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

BJC HealthCare is seeking a Registered Nurse (RN) Assistant Manager for a nursing job in Saint Louis, Missouri. Job Description & Requirements Specialty: Assistant Manager Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health,...