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Your Future Role At A Glance Location: Remote Facility: Saint Thomas Rutherford Department: Utilization Management Schedule: PRN | Days...

Company Overview: Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from...

Clinical Clearance Specialist (RN) Remote, United States Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often,...

Summary The Assistant Chief Nurse for Home Based Primary Care provides high-level leadership over nursing care, staff, resources, and regulatory compliance. They guide quality improvement, interdisciplinary teamwork,...

Covista in Irwindale, California is seeking a Clinical Instructor for Fundamental Nursing Skills. This role requires a Master's Degree in Nursing and involves teaching students about health promotion and patient care. Responsibilities include...

Nurse Specialist - Ambulatory Triage The University of Miami/UHealth Department of Neurological Surgery has an exciting opportunity for a remote full time Nurse Specialist - Ambulatory Triage. The Nurse Specialist assesses a healthcare...

Remote Position Part Time/Contract Position Duties: Assess patient health problems over the phone and via secure video Schedule appointments and refer patients Advise and monitor simple home treatment...

Work From Home Nurse Practitioner – Telehealth Women's Health | $125K+2 days ago Be among the first 25 applicantsThis range is provided by NPHire. Your actual pay will be based on your skills and experience — talk with your recruiter to learn...

Are you our next Change Agent? We are seeking a compassionate and experienced Patient Support Program (PSP) Nurse to deliver exceptional, one-on-one support to patients navigating their treatment journey. You will be part of...

Registered Nurse (RN) for Immunization Program We are seeking Registered Nurses (RN) to support a large immunization program at retail pharmacy locations. The RN will administer state-approved immunizations, including pediatric...

Full Time Days 7am-4:30pm 40 Hours/Week Utilization management and pediatric nursing experience preferred Summary: The Utilization Management Nurse is responsible for conducting medical necessity...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Hiring a NP/PA Nurse Practitioner or Physician Assistant for Saturday only coverage in Los Angeles, California. Potential sites are in Norwalk / Bellflower areasCommunity ClinicPrimary Care - Can be Family or Adult18-22 patients per dayEMR:...

Medical Review Nurse Analyst The Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This role ensures that providers are billing and...

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To:...

Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...

Job Title: Registered Nurse (RN) – Residential & Day Habilitation Programs Salary Range: $48–$50 per hour (based on experience) Education Requirements: Graduate of an accredited professional nursing program Licenses/Certifications Required:...

Ssbv Clinical Claims Review Rn 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...

Telephonic Care Manager Opportunity Are you an experienced nurse looking for the next challenge in your career? Do you have knowledge of case management or care coordination? Check out this fantastic new opportunity! UPMC Health...

Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit...

Oncology Contact Center Supervisor At Siteman Cancer Center, no one navigates cancer alone. Our team of oncology-trained registered nurses answer every call helping you navigate appointment scheduling, finding the right doctor and making...

Job Opportunity At Sedgwick By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with...

" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

OverviewAs our Educator, RN in Periop, you will serve as a consultant/resource professional by providing staff development expertise as an educator, facilitator, change agent, leader, and researcher, ensuring educational initiatives are...

Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for...