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Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...

Telephone Triage Nurse Line Advisor Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other! Are you ready...

City/State Virginia Beach, VA Work Shift Second (Evenings) Overview: Sentara is hiring Registered Nurses for the Innovative Inpatient Care Model in the Brand-New Centralized Virtual Acute...

Details Client Name CSMN - 1102080 - TACRI Clinical Job Type Travel Offering Nursing Profession Registered Nurse (RN)...

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...

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting...

Join Us in Shaping the Future of Health Care At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we...

Utilization Review Rn 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...

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

ATC WEST HEALTHCARE IS CURRENTLY HIRING FOR AN RN CLINIC ASSIGNMENT FOR A PROMINENT HEALTHCARE FACILITY IN DOWNEY- CA, USA. INTERESTED? CALL OR TEXT JOE [Click to See Phone] ASSIGNMENT DETAILS FOR AN RN CORRECTION: • Work...

Nurse Navigator Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...

Nurse Reviewer At Commence, we're the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient processes to program and patient health. We combine quality data-driven solutions that...

Location Address: 2925 Chicago AveLoading DockMinneapolis, MN 55407-1321 Date Posted: June 15, 2026 Department: 16007317 System Complex Care Management Shift: Day (United States of America)...

Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...

Registered Nurse (RN) Care Manager We have an exciting opportunity for an experienced Registered Nurse (RN) Care Manager to join our growing Population Health team! The RN Care Manager will work with patients whose chronic conditions are...

Clinical Review Nurse Duals Program Details- Brand new program of 2026 for Centene Duals = Medicare + Medicaid line of business. Members have one combined card and one authorization covering both benefit types. The duals...

First Connect Health is seeking a local contract nurse RN Labor and Delivery for a local contract nursing job in Los Angeles, California. Job Description &...

About the Employer Inglewood Unified School District, located in beautiful Southern California. Centrally located within the greater metropolitan Los Angeles area, Inglewood Unified School District is the only school district...

Medical Review RN IV – Commercial Appeals & Grievance Nurse Location: Remote – Candidate Must Reside in California Duration: 6+ Months Contract-to-Hire Schedule: Monday-Friday | 9:00 AM – 5:00 PM Pay Range:...

The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone...

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

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...

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 local to New England States for consideration** The Clinical...