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Job Summary: In addition to the responsibilities listed below, this position is also responsible for applying advanced clinical and regulatory knowledge of evidence-based guidelines, insurance policies, and clinical criteria to consult on...

Overview The Legacy/OHSU Interventional Radiology practice provides services at four locations (EMC, GSMC, MHMC and MPMC) including ambulatory clinics at each site. The IR team cares for both adult and pediatric patients with...

Elevance Health is seeking a Nurse Appeals RN to work virtually full-time, with in-person training required. The role involves investigating medical necessity appeals requests and requires a high school diploma and 2+ years of managed care...

DSS, Inc. is a leading health information software development and systems integration company, offering services and solutions utilized daily by thousands of clinicians and administrative staff across both public and private sectors nationwide.

Summary The Registered Nurse (RN) for Remote Patient Monitoring-Home Telehealth (RPM-HT) delivers knowledge-based, patient-centered care to Veterans across the care continuum. The RN provides comprehensive assessment, monitoring, and...

A healthcare staffing agency is looking for a Travel Nurse RN Clinical Document Improvement Specialist based in Tarzana, California. The role involves managing patient complaints, providing clinical oversight, and performing medical record...

Utilization Review Nurse Health Plans - Case Management US:NM:Alamogordo | Utilization Management | Full Time This position has a remote option for those living close and will be able to come into the hospital as needed.

The purpose of your job position as Care Coordinator Nurse is to provide direct nursing care to residents, including the coordination of care that is safe, timely, effective, efficient, equitable, and resident-centered. You are responsible for...

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...

Clinical Systems Analyst II, RN - REMOTE Position Type Full Time Job Shift Day Education Level 4 Year Degree Travel Percentage Up to 50% Category Professional Services Description DSS, Inc. is a leading health information...

Admissions RN Bristol Hospice Greater LA, CA - Lakewood, CA 90712 Overview Salary Range $55.00 - $58.00 Hourly Position Type PRN Hourly Description Do you enjoy being at the beginning of the journey? The...

A leading health services organization is seeking a Clinical Education RN to support staff development in Los Angeles, CA. This role involves facilitating educational processes for various health staff and requires a Bachelor's of Science in...

Registered Nurse Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout...

Team Lead For Specialty Programs Acts as team lead for specialty programs, medical review, utilization management, and case management areas by providing assistance and support to unit supervisor/manager by giving...

Wellness Nurse Consultant Wellness Nurse Consultant Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office...

Posting Date 06/08/2026 17815 Ventura BlvdSuite 100, Encino, California, 913163600, United States of America Bring your nursing expertise to a leadership role: We are hiring an RN Clinical Coordinator to drive excellence in patient...

Your RoleThe Clinical Quality Team is responsible for reviewing and abstracting medical records to capture data and to ensure accuracy and completeness. The Clinical Quality Reviewer - Nurse, Senior will report to the Manager, Clinical Quality...

Job Posting Location: 6595 Springfield Center Drive, Springfield, VA, 22150, United States Base Pay: $51.77 / Hour Job Category: RN Employee Type: SCA- Full Time Required Degree: 4 Year Degree Travel: 5%...

Quick 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 Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

Duties Help Duties include, but are not limited to: Participate in several facility councils, committees, and workgroups. Apply specialized principles and practices to ensure a systems approach to healthcare...

Critical Care Nurse, Clinical Solution Specialist - Patient Monitoring (Southern IN/KY/MI) Bring your passion for patient care and technology to this role where you'll be responsible for providing clinical customer support as the clinical...

Bristol Hospice seeks an Admissions RN in Lakewood, CA 90712, who is responsible for building community relationships and facilitating hospice care access. The ideal candidate will possess an RN license in California and demonstrate effective...

Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer...

# Legal Nurse Consultant## Company DescriptionAt Expert Institute, we are pioneers and disruptors in the legal space. Simply put, we pair attorneys with the perfect expert witnesses to win high-stakes cases and be the hero for the people,...