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Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

Clinical Research Nurse – Home Visits (PRN) Are you a skilled, compassionate nurse looking for flexible work in clinical research? As a Clinical Research Nurse – Home Visits (PRN), you'll provide high-quality nursing care directly in...

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 guidelines, insurance policies, and regulations...

Nurse Reviewer Contract Duration: Initial 6-months Pay: $27.50/hr on W2 Start Date: 9/8/2026 Location: Fully Remote (US Only) LPN State...

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...

As an integral member of the patient care team, the Registered Nurse supports the Chief Nursing Officer in leading the patient care team in providing for the safety, recovery and comfort of patients by implementing the nursing process (assessment,...

Details Client Name Arcadia - Keck Medicine of USC Job Type Travel Offering Nursing Profession Nursing...

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...

Triage Nurse LPN or RN (Part Time/Weekends) Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.

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...

Morning Caregiver Needed - Pico-Robertson, LA 90035 (4 miles from UCLA) Schedule: Monday-Thursday, 7:00-9:00 AM Pay: $40-$50/hour, based on schooling/experience Ideal candidate: Nursing student, medical student, CNA, or RN We're...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This is a hybrid remote position with occasional float in-person at our Mount Auburn Primary Care offices in...

Working remotely, the full-time RN Utilization Management will review and document member case histories and prior authorization requests, utilizing clinical judgment to determine coverage eligibility while ensuring compliance with policies and...

Description Nurse Manager - Short Stay and Recovery at Providence St. Joseph Medical Center in Burbank, CA. This is a Full-time, Day shift position. Providence St. Joseph Medical Center is proud to be...

Cardiopulmonary Patient Educator 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...

About Our Company FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care...

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...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role involves developing and implementing...

Clinical Record Reviewer - Full-Time Days (Remote) Manages and supports quality and performance improvement by assisting staff to implement strategies that identify, prioritize, measure, and improve key clinical processes and outcomes.

Details Client Name CSMN - 108500 - IM - Wil Rob Job Type Travel Offering Nursing Profession Nursing...

Telehealth Urgent Care Program Sign-on Bonus up to $30,000 available for External Candidates Telephonic After-Hours Call - Evenings, Nights & Rotating Weekends Required Part-Time (20 Hours) For those who want to...

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...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

Benefits: Flexible schedule Home Infusion Registered Nurse (RN) – Independent Contractor (1099) Exceptional Nurses. Exceptional Care. Are you an experienced infusion, ICU, ER, oncology, or critical care nurse looking for...