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Remote Registered Nurse Position Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all units/staff (commercial, behavioral health,...

A company is looking for a Utilization Management Nurse.Key ResponsibilitiesCoordinate and facilitate correct identification of patient statusConduct concurrent and retrospective reviews and support the medical necessity denial and appeal...

RN-Specialty Clinic - Infusion Clinic Radiation Oncology - FMC Main Campus - Lancaster, OH Position Type Part Time.80 Job Shift Day Travel Percentage No Driving Required Category Nursing Overview For more than a...

Nursing QA Specialist The primary function of the Nursing QA Specialist is to review and audit Home Health Agency visit notes for documentation consistency with the patient's Plan of Care and adherence to the quality of care guidelines...

Registered Nurse Infusion in Lowell As the Home Care Registered Nurse (RN), you will play a crucial role in managing the clinical operations of our home care services. The right candidate will be part of our company's Rockstar Clinical...

Travel Nurse - Tele Epic Travel Staffing is hiring a Travel Nurse - Tele. We`ll be your ticket to the travel RN - Telemetry job you`ll love with unparalleled recruiter support and industry-best benefits. Shift: Nights Length: 13 Start Date:...

Setting: Outpatient Clinic / Ambulatory Care Schedule: Full-Time | Day Shifts (Typically No Nights) About the Opportunity We are seeking a Registered Nurse (RN)...

RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...

Description Location: UCHealth Longs Peak Hospital, Longmont, CO Department: LPH Medical Unit FTE: Full Time, 0.9, 72.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent on applicant's relevant experience...

UM Inpatient Clinical Review Nurse The UM Inpatient Clinical Review Nurse contributes to the overall success of the Utilization Management department by performing clinical reviews for inpatient, including determining the member's overall...

Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today. Scheduled Weekly Hours: 28 Gundersen Health System is looking for...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Hispanic Alliance for Career Enhancement is seeking a Nurse Consultant to join their Utilization Management team. In this 100% remote role, you will apply your clinical judgement to review inpatient and outpatient services. Candidates should have...

Quality Assurance Nurse The Quality Assurance Nurse works in partnership with, and under the direction of, the Risk and Quality Management Director and the Administrative Manager of Centralized Follow-Up (CFU). This role supports key Risk...

Hospice Admissions Nurse Open Doors to Care. Guide First Steps. Transform the Hospice Experience. Are you a compassionate, experienced RN who loves making personal connections and helping patients understand their options at a...

Utilization Management Rn Coder 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...

Description Utilization Review RN - Remote The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled...

Job Summary Under the administrative direction of an assigned supervisor and under the clinical supervision of the Credentialed School Nurse, provide specialized health care and assist the nurse in managing the mental and...

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City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Medical Group Clinical Administration is now hiring a Full-time RN Integrated Care Manager.

Clinical Appeal And Grievance Nurse BHPS provides Utilization Management (UM) services to its clients, ensuring high-quality, clinically sound decision-making. The Clinical Appeal and Grievance Nurse is responsible for conducting daily...

RN - Endoscopy The Endoscopy Registered Nurse (RN) demonstrates critical thinking skills, scientific judgment and leadership in the anticipation and planning for the care of the patient undergoing diagnostic Endoscopy procedures. In...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Job Description JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...