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Company Overview At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

City/State Virginia Beach, VA Work Shift First (Days) Overview: Overview RN will be responsible for maintaining registry compliance, establish a database, coordinate case schedules for 5 providers to include coordination of all required...

Join our growing Collaborative Health team! We are excited to welcome a remote per diem Nurse Practitioner to our thriving behavioral health program, supporting our team of primary care providers, patients, and behavioral health care managers. In...

Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...

Summary We are currently hiring for a Quality Nurse Navigator to join BlueCross BlueShield of South Carolina. In this role as a Quality nurse Navigator, you will monitor/implement quality improvement/management activities,...

Job Opportunity At Highmark Inc. Job Summary: This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...

JOIN TEAM TRILOGY:At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay,...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

A local medical group is seeking Registered Nurse (RN) candidates to join their Primary Care team for Family Medicine and Internal Medicine. This full-time position offers a competitive pay range and benefits, including medical, dental, vision,...

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...

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...

Clinical Member Services Reviewer Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance...

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...

Job Description Leads nursing and medical operations in crisis stabilization and emergency psychiatric settings, ensuring delivery of safe, high-quality, trauma-informed care. Oversees nursing personnel, medication...

Where You'll Work Founded as a faith-based hospital in 1931 by the Sisters of Charity of the Incarnate Word, Dignity Health - St. Bernardine Medical Center is a 342-bed, acute care, nonprofit hospital located in San...

A health company is seeking a DRG Clinical Validation Auditor to audit inpatient medical records, ensuring proper clinical documentation and coding. Candidates must hold an active RN license and possess extensive experience in claims auditing and...

Job Title: Traveling Nurse Location: Multiple Locations / Nationwide Employment Type: Contract / Full-Time / Temporary Department: Healthcare /...

Overview Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus:...

LRS Healthcare - Nursing is seeking an experienced Postpartum Registered Nurse for an exciting Travel Nursing job in Columbus, OH. Shift: Inquire Start Date: 03/23/2026 Duration: 13 weeks Pay: $1770 / Week Ready to start your next travel adventure?

Summary Delivers knowledge-based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates the effectiveness of the Veteran's care. Serves to support delivery of high quality, timely care to the Veteran...

A leading healthcare provider is seeking a Group Clinical Recruiter to support multiple facilities across Southern California. The role is mostly remote and involves full-cycle recruitment for clinical positions, particularly nursing roles.

Payrate: $45.00 - $47.00/hr. Summary: The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Patient Care Manager And RN Dual Role Summary: We are hiring a Patient Care Manager and RN Dual role with Home Health experience. At Caretenders Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and...