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" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

Appeals Nurse Consultant 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...

Description Location: UCHealth UCHlth Leprino Building AMC, US:CO:Aurora Department: Clinical Education Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $40.86 - $63.33 / hour. Pay is dependent on applicant's...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Seeking a compassionate and detail-oriented Licensed Case Management Nurse, this remote position will manage patient care by promoting adherence to treatment plans, maintaining clinical reports, and connecting patients with community resources to...

Schedule Available: 9:00 AM to 5:00 PM, Monday - Friday * With additional hours during evenings, weekends, and on-call; as needed. Benefits Include: Low patient-to-nurse...

Clinical Record Reviewer - Full-Time Days (Remote) Manages and supports quality and performance improvement by assisting staff to implement strategies that identify, prioritize, measure, and improve key clinical processes and outcomes.

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The Clinic RN utilizes the nursing process by use of...

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...

About Us: Tribeca Pediatrics was founded by Dr. Michel Cohen, in 1994, and has grown into New York City's largest and most respected primary care pediatric practice. With over 50 locations in vibrant neighborhoods throughout the New York...

Diabetes Specialist Nurse At Spirit Health, we believe healthcare should feel human, joined-up and genuinely helpful. We work with NHS partners to deliver practical, clinically led services that make a real difference to peoples lives.

Diabetes Specialist Nurse Remote / Hybrid | Flexible hours considered | Spirit Health At Spirit Health, we believe healthcare should feel human, joined-up and genuinely helpful. We work with NHS partners to deliver practical,...

Registered Nurse (RN) The Registered Nurse (RN) position is a full time or part-time position for a BSN who enjoys using a repertoire of nursing knowledge, the nursing process, and working with an interdisciplinary team.

Optum Clinical Claim Review Nurse Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member...

*This position is located in Fort Wayne, Indiana it is is NOT a remote role. Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders,...

Inpatient Care Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

Job Description Join our General Surgery North clinic as a Full Time RN! We are seeking an RN that will work with both general surgery and bariatric patients. Monday - Friday 8am - 430pm No Nights! No Weekends! KS & MO RN Licensure required.

Job Title Job duties include, but are not limited to, the following: Works collaboratively consulting with Chiefs, Nurse Managers/Supervisors, Medical Directors, and organizational Leadership to assess, develop, implement,...

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 exciting...

At Included Health, the Associate Clinical Director, Integrated Care Quality (NP/MD) is responsible for the strategy, external representation, and program leadership needed to ensure our clinical services perform credibly in high-stakes client,...

Job Title RN Case Manager, Telehealth (RN) Company Archimedes Overview The RN Case Manager, Telehealth (RN) will focus on improving members' health and wellness via tele-pharmacy. In addition, the RN will...

Summary VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking a highly skilled and compassionate RN-SPHM Coordinator to join our Nursing Research, Innovation & Development Team at the Veterans in West Los Angeles. SPHM...

Responsible for performing safe and effective cardiac stress tests (i.e., treadmills, thallium treadmills, pharmacological stress tests, stress...

RN Triage Nurse (Full-Time) Anchor Health is looking for a compassionate RN Triage Nurse to join a strong supportive team of professionals that provide hospice/palliative care. Position Purpose: Under the general supervision...