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RN Clinical Assessor - (Hybrid Remote - Somerset County, Maine) Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

Job Description Position Summary: We have an exciting opportunity to join our team as a Telehealth Nurse - Access Center - Boynton Beach, Florida. In this role, the successful candidate carries...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

Overview: Schedule: Evenings 3p-11:30p, 0.4 FTE (16 hours per week) Starting pay: $36.90/hr, pay commensurate with experience Eligible for $4.70 evening shift differential Job Description...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...

The Periyakoil Lab within the Department of Medicine's Division of Primary Care and Population Health, is seeking a Research Nurse 1 to be under the direct supervision of the PI, apply medical knowledge and experience to coordinate and implement...

Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders, established hospital and departmental policies and procedures, American Nurses Association Standards of...

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...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: Emergency Dept Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent on applicant's...

A national health provider is seeking a Utilization Management / Medical Management Nurse. This remote role offers flexibility, with in-person training and occasional onsite work requirements. Ideal candidates will have a nursing degree, extensive...

Job description **This role is 100% remote. We are looking for experienced telehealth RNs to join our case management team.** Who We Are At HV Occupational Health and Safety, we are passionate about fostering...

GoTo Telemed seeks experienced, certified CRNAs for remote anesthesia consultation, patient education, and post-operative follow-up services. This 1099 independent contractor position provides flexibility while supporting surgical teams across...

Job Description Salary Range: $40 - $42/Hourly Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty-one that blends clinical expertise with deep human connection?

*Employment Type:* Part time *Shift:* 12 Hour Night Shift *Description:* Respiratory Therapist Position Purpose: * The Registered Respiratory Therapist (RRT or CRT), within the Ohio Scope of Practice, provides therapeutic...

Job Summary This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care.Required Job Qualifications LPN with valid, current,...

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

The function of the Registered Nurse- Residential MHMR is to ensure the provision of a comprehensive program of preventative, intervention and emergency medical care for the individuals. Essential Duties and...

We are more than a health system. We are a belief system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

$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...

Description Location: UCHealth UCHlth Memorial Hosp Central, US:CO:Colorado Springs Department: MHS C Mother Baby Care Unit Work Schedule: Part Time, 48.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent...

Job Description JOB DESCRIPTION We are seeking a TX licensed Registered Nurse who lives in the Dallas service delivery area near Baylor University Medical Center on Gaston Ave, Dallas. This RN will act as a...

Olentangy Schools is looking for Clinic Aide Substitutes. RN or LPN required. Positions will assist students in the clinic with medical needs. Qualified candidates must hold or be eligible for valid and appropriate licensure for each...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...