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Join the transformative team at City of Hope , where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles...

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...

Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

Department BSD OBG - Gyn Onc About the Department The Section of Gynecologic Oncology is a part of the Department of Obstetrics and Gynecology. The Section is comprised of 12 faculty physicians, 7 advanced practice...

1.0 FTE (40 hrs/wk); Monday - Friday, business hours. This position requires initial on-site training, and then will transition to a fully remote role once training is completed. On-site training will be located at the 455 Phalen...

Responsibilities 12 - hours every Saturday and Sunday 8AM-8PM MST with Rotating Holidays The Phone Triage Registered Nurse provides skilled nursing telephone triage for participants...

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow...

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

About Scene Health Scene is reimagining medication adherence with our 360° model of care, bringing the gold standard of Directly Observed Therapy into the digital age. Through personalized video coaching, engaging...

Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals, denials or...

Immediate Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

Registered Nurse (RN) - Clinical Research Location: Columbus, OH | Full-Time, Hourly Join The Boster Center for Multiple Sclerosis, a Singlepoint Healthcare...

Job Title Student Brand Ambassador, Nursing Job Description In this role, you'll play a key part in growing Kaplan's presence and impact on campus. You'll drive engagement and build awareness through lead...

Summary As a leader in eldercare for nearly 70 years, we are always looking for qualified people to join the Stella Maris team. Unique opportunity to join the dynamic, collaborative and well-established Admissions...

About the Heart Optimization & Evaluation (HOPE) Clinic Join the Heart Optimization and Evaluation (HOPE) Clinic at Corewell Health, a multidisciplinary program caring for patients with advanced heart failure. HOPE RNs play a...

Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide...

Shift: Day 5x8-Hour (08:00 - 16:30) Description: 1st Timer/ RN - Oncology Ambulatory Care - 5x8s Shift: 8:00 AM - 4:30 PM Years of Experience: 2 years Required Documentation System: EPIC Provider Support:...

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately...

Scheduled Hours 40 Position Summary Coordinates the care of patients for a designated service throughout the continuum of care; serves as a clinical resource in area of specialty or...

Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", may be the place for you! Alliant is recruiting...

Infection Prevention Staff Development, IPSD (RN / LPN) Majestic Care of Whitehall is looking for an Infection Prevention Staff Development Nurse (IPSD) to join our team's mission and believe in our core values! Our...

About Medlogix Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our...

POSITION DESCRIPTION JobTitle: Wellness Nurse Supervisor:Health Services Director FLSAStatus:Hourly,...

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

Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities...