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Description: Our client is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity...

RN Case Manager Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes...

JOB SUMMARY Registered Nurses deliver care to patients utilizing the nursing process. Nurses collaborate with other professional disciplines to ensure effective patient care delivery and achievement of desired patient...

About the job Registered Nurse - Remote Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our...

Clinical Learning Educator 2, RN, Hybrid, Resuscitation Education, FT, VARIES Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient...

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...

Company Mission/ statement: Our mission is to inspire and empower people to seek and maintain recovery and health. Daymark Recovery Services, Inc. is a mission driven, comprehensive community provider of...

Aesthetic Nurse Practitioner Or Physician Assistant - Los Angeles, California Perform advanced injectable treatments including neuromodulators and dermal fillers, ensuring refined, high-end results. Guide clients through customized...

Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

Advance Practice Nurse Psychiatric Nurse Practitioner – Tele-Psychiatry (Evenings/Nights) 100% Remote | Flexible Evening & Overnight Schedules | Full-Time, Part-Time & Per Diem Opportunities Remote (New Jersey-based...

$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...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job...

Building Location: Business Service Center Department: 1007190 PRE-SERVICE AUTHORIZATION - EH SS Job Description: Conducts Managed Care Programs in...

The Lead, RN Case Manager is an experienced RN Case Manager who provides clinical and operational support to the Care Management leadership team. In addition to performing the full scope of an RN Case Manager, the Lead is...

Work Location : Santa Monica, CA, USAFully On-SiteWork Schedule: 4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidaysSalary Range : $65.53 - $84.75 HourlyEmployment Type: Indefinite DurationPrimary Duties and...

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...

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.

Patient Safety Infection Control Specialist RN - Dental Falls Church is an independent city in the Commonwealth of Virginia with a population of approximately 15,000. Falls Church is included in the Washington metropolitan area. Falls...

Summary The Advanced Practice Nurse (APN) / Nurse Practitioner (NP) practices in Home Based Primary Care Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans...

Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...

Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Job Title Remote Work from Home Position Summary Responsible for the timely review and resolution of clinical appeals submitted by providers and members across all lines of business. Communicates appeal determinations in...

Site: Mass General Brigham Medical Group Northern Massachusetts, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our...