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PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable...

Intermountain Health is seeking an RN Utilization Review Care Management I for remote work. The role focuses on screenings, assessments, and evaluations to ensure cost-effective, high-quality care while coordinating with patients, families,...

CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse...

Cambia Health is seeking an Utilization Management Nurse to work remotely within Oregon, Washington, Idaho or Utah. The role focuses on prospective, concurrent and retrospective reviews to ensure medical necessity and cost-effective care, applying...

A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare...

Trinity Health Corp. in Michigan is hiring an RN Intake Coordinator to act as the clinical gatekeeper for admissions to the Inpatient Psychiatric Medical Unit. The role coordinates the patient intake and admission process, conducts clinical...

The University of Texas Southwestern Medical Center in Dallas seeks a Nurse Manager for Care at Home Clinical Services, overseeing Remote Patient Monitoring and Home Infusion Services. The role requires strategic leadership, regulatory expertise,...

TalentBurst, Inc is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty:...

The University of Texas MD Anderson Cancer Center is seeking a Denials Management Coordinator to support revenue cycle operations by coordinating review, analysis, and resolution of insurance denials and to help secure accurate reimbursement. This...

Mary Washington Healthcare is seeking a Virtual Registered Nurse (VRN) to deliver professional nursing care via two-way audio/visual technology, collaborating with bedside nurses to assess vital signs and monitoring data. The VRN provides direct...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

Description Research Nurse (Per Diem) - Oahu, Hawaii Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include...

CHA Hollywood Presbyterian Medical Center CNA PositionCHA Hollywood Presbyterian Medical Center is committed to serving local multicultural communities with quality medical and nursing care. With more than 500 physicians representing virtually...

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...

5K Sign On Bonus!Southwest Care Center employees can answer yes to these 3 questions: 1. Do you want to make a difference? 2. Do you believe everyone is entitled to quality healthcare? 3. Do you desire to serve the...

Responsibilities: Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Demonstrate effective use of supplies and staff labor hours. May assist with...

UnitedHealth Group is seeking an RN On-Call for hospice care to provide after-hours clinical support, triage patient needs and coordinate care for continuity and quality outcomes. The role includes remote and field-based nursing support with...

About the opportunity: Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of...

Apply clinical expertise to the intersection of healthcare and legal services as a Legal Nurse Consultant.Support attorneys by analyzing medical records, evaluating injury-related cases, and providing objective medical insights.Work independently...

Hi. We're Hummingbird. We're elevating patient access so patients can get healthcare how, when, and where they need it. We partner with healthcare systems to transform how patients access care, enabling their providers to focus on what...

A healthcare services provider is seeking a Clinical Fraud Investigator II, requiring an Associate Degree in Nursing and CPC certification. Responsibilities include analyzing clinical data, investigating claims for compliance, and collaborating...

Vivo Care, a patient-centered health platform, seeks a Care Navigator (RN/LPN/LVN) for remote work in the CST window. You'll build trusted relationships with patients, conduct wellness calls, and coordinate care using RPM data to drive health...

TriWest Healthcare Alliance is seeking a Utilization Management Clinical Review nurse to assess medical necessity and manage prior authorizations for Behavioral Health and Medical/Surgical requests. You will apply InterQual criteria, document in...

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard...