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Nurse I, Level 1 Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) The Nurse I, Level 1 Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible and accountable for individual nursing...

Job Description Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible...

Details Client Name CSMN - 1101180 - OBGYN Crisis Response Job Type Travel Offering Nursing Profession RN...

Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range:...

Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)...

Prior Authorization RN - Contract Role Location Requirement: Candidate must reside in NJ, PA, NY, CT, or MD Work Model: WFH, but must be able...

Registered Nurse – Clinic/Wellness/Immunization The Registered Nurse – Clinic/Wellness/Immunization works in a variety of either remote or clinic locations to serve a specific population's health and wellness needs. The Registered...

Job Description UW Medical Center - Montlake has an outstanding opportunity for a Registered Nurse to join our Clinical Research Center team. Our CLINICAL RESEARCH CENTER (7S) is a 15-bed unit (10 in-patient beds, 5...

Summary Greater Los Angeles Healthcare System (GLVAHCS) is seeking 1 highly skilled experienced Registered Nurse (RN) for our West Los Angeles Primary Care Unit. Located in Los Angeles, CA. Responsibilities Primary care service. The Nurse I, Level...

Admissions Nurse Salary Range: $50 -$55/ Hour Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty—one that blends clinical expertise with deep human connection? Just like cardiology or...

RN Utilization Mgmt Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management,...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be...

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...

Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to...

Start the day excited to make a difference...end the day knowing you did. Come join our team. Job Summary: The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with collaboration from the...

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...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Medical Review Specialist Scope: The Medical Review Specialist is a Registered Nurse who conducts the Utilization Review process by obtaining medical information and confirming the medical necessity of hospital admissions and/or...

Interested in working for the Golden Isles' healthcare provider and employer of choice? Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything...

49942352 Overview Remote Registered Nurse (RN) DH Direct Triage Part-Time, 20 hours per week Position Summary The RN - DH Direct Triage provides high-quality,...

Description Location: UCHealth Pikes Peak Reg Hospital, Woodland Park, CO. Department: PPRH Emergency Room Work Schedule: Part Time, 48.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent on applicant's...

Job Title 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 connecting people with the care,...

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or...

Utilization Management Registered Nurse The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration...