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Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members during critical moments in...

Job Description The Clinical Nurse II, Procedural provides individualized and specialized nursing care to patients in accordance with physician's orders, recognized nursing techniques, legal aspects of current nurse practice...

Job Requirements Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need...

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,...

Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other...

Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse, you'll play an important role in helping us offer customized, self-funded...

Job Tittle: Healthcare - Clinical Appeals Nurse (RN) Location: Location: Remote - Must reside in **AZ, FL, GA, ID, IA, KY, MI, MS, NE, NM, NY (outside Greater NYC), OH, SC, TX, UT, WA (outside Greater...

Job Description Utilization Review RN - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Telephonic After-Hours Call - Evenings, Nights & Rotating Weekends Required Part-Time (20 Hours) Active Nurse Practitioner license in Connecticut or Rhode Island Required Optum Home & Community Care, part of the Optum family...

Summary The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) practices in Geriatric Primary Care Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

Compassus is seeking a Hospice RN Clinical Coordinator to oversee administrative and management functions in the absence of the Director of Clinical Services. May carry caseload and ensure compliance with state and federal regulations. Remote role...

School Registered Nurse (RN) Setting: Schools Job Type: Contract - Full Time Pay: $50 / Hour Hours: 35.00 Location:...

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...

Title: Family Nurse Practitioner Base Salary Range: $142,000 - $145,000 plus benefits FTE: Full -Time - Exempt We are seeking a dynamic and experienced Family Nurse...

We seek an experienced, compassionate, skilled Licensed Vocational Nurse (LVN) to join our team at a Skilled Nursing Facility. As an LVN, you will be responsible for providing direct nursing care to our residents under the direction of a...

Job Summary and Responsibilities As our Public Health Program Specialist you will be responsible for developing, Implementing, and coordinating health-related services for pregnant and postpartum women and their families,...

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...

Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Primary Care - Watonga Monday-Friday, 40 hours per week *This is a hybrid remote...

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...

RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...

A healthcare facility in Long Beach, California is looking for a Charge Nurse - LVN/LPN to supervise nursing activities. The role involves directing day-to-day functions of nursing staff, implementing care plans, and ensuring compliance with...

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...

Landmark Health Care Opportunity Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and...