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Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position. ESSENTIAL...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect...

HJ Staffing is partnering with Impresiv Health, a specialized healthcare consulting partner, to find a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN). This critical...

Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...

Quality Assurance Registered Nurse Contract duration: 520-hour contract to hire Training Schedule: MondayFriday, 46 weeks; between 8 AM5 PM EST (subject to change) Compensation: $31.25/hr, Please note compensation is not negotiable for...

Salary: $70,779.53 Annually Location : Homebased, GA Job Type: Full-Time Salaried Job Number: 2020-02252 Division: Healthcare Facility Regulation...

Entity: Owensboro Health Regional Hospital | Department: Virtual Care | Work Hours: 7P - 7:30A | Weekend Requirements: One | 0.9 FTE Job Summary: Provides direct nursing care in accordance with established policies,...

Carries out communicable disease surveillance, prevention, and control measures for the City of Boston. Investigates reports of communicable diseases including pathogens of public health importance, reported outbreaks, or other...

Facility: CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807 Department: 1651 Virtual Care Command Center Scheduled Weekly Hours: 24 Hours:...

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 Title: Nurse Liaison I - UM & QR Locations: Remote Role, IL 60563 Job Duration: 6 Months+ contract (possibility of extension) Schedule: Monday - Friday,...

Employment Type: Full time Shift: Day Shift Description: The FirstChoice RN Clinical Coordinator is an entry level nursing management position with responsibility and...

Senior Clinical Admin Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the...

Salary range: $95,139 - $130,811 annually, based on qualifications. This exempt remote-hybrid position is eligible for a comprehensive benefits package which includes medical, dental, vision, a 403(b) retirement account, and a generous...

The range for this role is $25 - $34.13 Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested applicants...

Are you looking to work for mission driven and passionate warriors like yourself? Looking to grow within an organization? The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year...

This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

City/State Virginia Beach, VA Work Shift Multiple shifts available Overview: Sentara's Student Liaison invites 2026 Registered Nursing students to join her & we will talk about how to...

Responsibilities Part time: 24 Hours Per week (Sat & Sun) 8am-8pm MST. The Phone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during...

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 further to help people uncover...

About Outpatient Clinics Corewell Health operates over 300 outpatient clinics across Michigan, bringing a multitude of care options to the communities that we serve. There are over 40 different types of primary care and specialty...

Join the Team at Concierge Home Care - Where Care Changes Lives! At Concierge Home Care, we believe in the power of home health care to change lives-for patients and team members alike. Our mission, "Caring for people who...

Full-Time Rn Case Manager (Rn) Opportunity DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in Fresno, CA. As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job...