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Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote role based in the United States. You will conduct admission and concurrent reviews, assess medical necessity, and coordinate appeals to support patient care and...

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...

Job Description RN - Ambulatory Surgery PreOp/PACU at Providence Saint John's Health Center in Santa Monica, CA. This position is Per-Diem and will work 8-hour, Day shifts. Join Providence Saint John's Health Center,...

SCAN Health Plan Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists...

Registered Nurses| School Cases | 1 on 1 | Full Time | | Pediatrics | ASAP | 27402 Job Description: Are you a licensed RN with a passion for working with children? Do you want a role with a...

Los Angeles Community Hospitals is seeking a Clinical Educator - RN to plan, design and implement education programs for nursing staff. You will work with nursing directors to assess educational needs and develop orientation for new hires and new...

Mercy is seeking an RN II in Advanced Primary Care to provide virtual chronic disease management in collaboration with physicians and advanced practitioners. You will establish patient relationships, monitor vitals, and support panel management,...

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...

BlueCross BlueShield of South Carolina, Palmetto GBA Medical Review team, seeks an RN Medical Reviewer II to apply clinical guidelines and protocols for medical reviews and payment determinations from a home office. This full-time role emphasizes...

Use bedside nursing or NP judgment to review clinical documents and AI answers on triage, medication and care planning. Work is remote and part-time, and you start paid tasks after a short recorded interview. What you will...

Job Description Registered Nurse (RN) - Los Angeles,CA Travel Package: Travel Rate (based on 40 hours): Hrly $32.94 Stipend (Lodging $1,337.00 + M&I $602.00 = $1,939.00 ...

Postpartum Registered Nurse Kaiser Downey is seeking local RNs to work postpartum. 12hr nights on a registry basis. Profession: RN Specialty:...

Prime Staffing is seeking a travel nurse RN Infusion for a travel nursing job in West Hollywood, California. Job Description & RequirementsSpecialty:...

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...

Conduct prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services. Collaborate with UM Medical Director on reviews and final determination. Draft denial language to ensure...

Description Follows Standard Precautions using personal protective equipment as required. Provides age and culturally appropriate care. Serves as primary coordinator of all disciplines for well-coordinated patient care.

Details Client Name Keck Hospital of USC Job Type Travel Offering Nursing Profession Registered Nurse...

OpenTrain AI, Inc. is seeking a Registered Nurse AI Evaluation Expert to review and create clinical content used to train AI systems. You will apply nursing judgment to ensure accuracy, safety, and clarity across patient education, triage...

Virginia Mason Franciscan Health is seeking a Virtual Pre-Admit RN to perform comprehensive pre-operative assessments, collect patient histories, and review diagnostics to ensure patients are ready for anesthesia and surgery. You will...

Description: Job Summary: Provides consultation and leadership in designated areas of expertise independently. Collaborates with interdisciplinary teams and stakeholders to address issues and achieve project objectives.

Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...

Job Title Employment Type: Full time Shift: Rotating Shift Description: This is a remote position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint...

We are looking for a Travel ICU RN for a great Travel nursing job in Los Angeles, CA. This ICU Travel nursing job pays for 36 hours a week for 13 weeks. With Wanderly you can compare...

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...

BlueCross and BlueShield of South Carolina seeks an RN Managed Care Coordinator I to review medical/behavioral eligibility against benefits and clinical criteria. You will apply clinical expertise and administrative policies to ensure medical...