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Global Medical Response is seeking an experienced RN with at least five years in ED/ICU, flight, or ambulance settings to audit medical necessity appeals for air transport and government payors. This is a remote or on-site role in the United...

Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...

Job Description UW Medical Center-Northwest - Outpatient Infusion Center has an outstanding opportunity for a Part Time Registered Nurse. WORK SCHEDULE Part time / 60% FTE...

Abbott is seeking an Outpatient Sales Representative for the Nutrition Division in the Northern Las Vegas Valley. The role focuses on driving prescriptions by engaging healthcare professionals in outpatient settings and building lasting...

Humana is seeking a Telephonic Registered Nurse Care Manager to support patients transitioning into and out of Humana's home-based services. This remote role reports to the Manager, Care Management and focuses on post-acute levels of care,...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

Spectraforce Technologies is seeking a Quality Audit Specialist (RN) for a remote 6-month assignment. The role focuses on abstraction of medical records for HEDIS, with accurate data entry into healthplans databases. The ideal candidate...

Fonemed is seeking a Telehealth Triage Nurse to join our remote team in the United States. The role is full-time (0.8–1.0 FTE) with potential part-time consideration based on availability, requiring a compact nursing license and a CA license as...

A health care organization in Monterey Park is seeking a Case Manager (LVN or RN) to manage patient care effectively. This role involves working collaboratively with medical teams to establish discharge plans and ensure compliance with health...

UnitedHealth Group is seeking a Senior Clinical Appeals RN to review and respond to DRG appeals. You will analyze complex coding factors, collaborate with auditors, and provide guidance to DRG Validation Specialists. This remote role supports the...

LVNJob Summary & Responsibilities Network of clinics in the greater Los Angeles area looking for a LVN's with flexible schedules $38.00 Hourly Duties/Responsibilities shall include, but are not limited to: A. Organize, provide, and maintain...

Cedars-Sinai in Pasadena is seeking a Clinical Nurse II, Procedural to deliver individualized and specialized nursing care under physician orders, adhering to California nursing standards and Center policies. The role requires teamwork with...

Registered Nurse Primary Care Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health...

RN, Day Triage - Monday - Friday 8am - 5pm page is loaded## RN, Day Triage - Monday - Friday 8am - 5pmlocations: Washington, DCtime type: Full timeposted on: Posted 30+ Days Agojob requisition id: R259642**It's inspiring to work with a company...

Company Description Provide hands-on nursing care within California healthcare facilities where your clinical judgment, patient assessment skills, and collaboration support coordinated care and continuity across a variety of...

Amicus Nursing Services Inc is seeking a dedicated Infusion Registered Nurse to join as an Independent Contractor. This role offers a high degree of independence with part-time flexibility, focusing on providing exemplary care through infusion...

Pay: $31-$35 per hour Join Maxim Healthcare Services and make a difference one patient at a time. Maxim Healthcare Services is seeking compassionate and skilled...

Job SummaryWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical...

Kaiser Permanente is seeking a Hospital Bed Control Coordinator RN in Baldwin Park, CA. The role collaborates with physicians to coordinate admissions and discharges, ensuring appropriate care levels and regulatory compliance.It suits a nurse with...

CVS Health is seeking a remote Appeals Nurse Consultant to review and resolve clinical appeals with sound clinical judgment and regulatory knowledge. The role supports a remote team with standard Monday–Friday hours and occasional on-call.

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

Clinic Nurse Under the direction of the Primary Care Provider and the supervision of the Clinic Supervisor, the Clinic Nurse is responsible for providing nursing care to participants in the clinic as assigned. The Clinic Nurse will...

Job Tittle: Healthcare - Clinical Appeals Nurse (RN) Location: Location: Remote - Must reside in **AZ, FL, GA, ID, IA, KY, MI, MS, NE, NM, NY (outside Greater NYC), OH, SC, TX, UT, WA (outside Greater...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you will help lead and coordinate our exceptional nursing team so they can deliver timely, compassionate, and life-saving care to patients in critical situations. Every...

UnitedHealthcare is seeking an experienced registered nurse to join a frontline clinical resource program that educates and supports members about health management. The role emphasizes customer service, nursing judgment, and collaboration to...