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Utilization Review - Fully Remote This role involves performing precertification and medical necessity reviews for designated referrals and targeted outpatient procedures, services, and inpatient admissions. The position requires...

Clinic RN - Swedish Centralized Triage Full Time, Monday to Friday 8 to 5 Location: Hybrid-remote but may require you to work onsite around Seattle, Washington Job description: As a Centralized Triage Nurse, you'll be the...

Pluto Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Med SurgDiscipline:...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

The CommunityOversight RN ensures RN delegation and community compliance is achieved forassigned communities. The Community Oversight RN has the responsibility to understand the rules for delegating tasks of nursing care and achieve the competence to...

Focus Staff is seeking a travel nurse RN Hematology / Oncology for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Hematology /...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and...

PRIDE Health is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: ED - Emergency...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

Clinic hours are Mon- Sat; MWF 5a-10pm TTS 5a-530p rotating Saturdays off Sundays. Paid one-on-one training • Tuition reimbursement • Competitive Pay & Benefits • Paid time off • 401(K) and...

Educates health care professionals, patients, and families about home care services. Develops and maintains relationships with key referral sources, such as hospitals, nursing homes and physician offices to generate leads. Coordinates patient...

GHR Healthcare - Travel Division is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

Nurse First is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: PCU - Progressive...

Synergy Medical Staffing is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: PACU...

Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full- time and will work 8-hour, Day shifts. Providence Holy Cross Medical Center is...

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, pharmacy benefits, data...

GHR Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: PCU -...

Planet Healthcare is seeking a travel nurse RN Oncology for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or...

GHR Healthcare - Travel Division is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

Bethesda Brings out the Best in Talented, Caring People! At Bethesda, more than 1,200 employees dedicate their careers to improving the lives of others. As a team member at Bethesda, you'll enjoy great benefits such as: 403b, daily pay, bonuses,...

Description & Requirements Maximus is currently hiring for an Appeals Nurse to join our State East team. This is a remote opportunity. The Appeals Nurse is responsible for facilitating the review portion of the case. They will...

The Clinical Coordinator works under the direction of the Manager in support of Patient Care Services and unit specific goals. They are responsible for assisting with the coordination of patient care and providing support and directions for staff in...

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 regulations - ensuring members reach...