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JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers' compensation utilization review—prospective, concurrent, expedited, and retrospective reviews—to...

WORK REMOTELY after training! CANDIDATE MUST RESIDE IN THE METROPOLITAN NEW YORK AREA! !! Process all requests for services in accordance with Medicare and NYS Medicaid guidelines as well as departmental criteria and...

Utilization Review Nurse (LVN) Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care...

Job OverviewPay Range: $46.76hr - $51.76hrRequirement/Must Have5+ years Clinical nursing experience.2+ years Care Management.Bachelor's Degree in Nursing.In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required...

The Certified Nurse Attendant performs effective patient care duties under the supervision of licensed members of the healthcare...

Collaborate with physicians, psychologists, and therapists in a virtual pediatric clinic.Ensure seamless care delivery for children with chronic conditions.Responsibilities:Coordinate appointments, referrals, and care transitions.Provide patient...

$5,000 Sign-on Bonus for External Candidates Telephonic After-Hours Call - Per Diem Active Nurse Practitioner license in Connecticut or Rhode Island Required Optum Home & Community Care, part of the Optum family of businesses, is creating...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

CrossMed is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Lewiston, Maine. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: 11/30/2026 Duration: 16 weeks 36 hours per week Shift: 12...

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Infusion Referral Intake...

SHIFT: Any (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will...

Medlivo is seeking a Nurse Practitioner Clinic Family Practice for a local contract job in Lynwood, California. Job Description & RequirementsSpecialty: Family...

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...

Medical Management Nurse The Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to...

Nurse Practitioner – Work From Home Acute Care (Nationwide)Base pay range: $150.00/hr - $210.00/hrA growing virtual care group is seeking Nurse Practitioners to deliver convenient, high-quality telehealth services to patients across the U.S.

Jackson Nurse Professionals is seeking a travel nurse RN Interventional Radiology for a travel nursing job in Mesa, Arizona. Interventional Radiology Discipline: RN Start Date: 11/09/2026 Duration: 13 weeks 40 hours per week Shift: 10 hours, days...

Top Tier Electrical Contractor Seeks Experienced Estimator, Top-Line Compensation Package, Great Tenure Across Organization This Jobot Job is hosted by: Ross Theel Are you a fit? Easy Apply now by clicking the "Apply"...

Utilization Management Nurse Consultant (RN) 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...

This position offers an opportunity for a registered nursing professional to contribute to patient care within a healthcare environment focused on quality, collaboration, and innovation.The role involves coordinating telehealth services and...

*Job Summary and Responsibilities* As our Critical Care/Emergency Educator, and in accordance with our mission and core values of integrity, compassion, collaboration, and excellence, you will serve as a consultant and resource professional by...

Vibra Travels is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Carthage, Missouri. Specialty: Long Term Acute Care Discipline: RN Shift: 12 hours, days Employment Type: Travel ...

To support client care authorization processes, the part-time Temp Clinical Letter Writer will gather and review medical records, draft letters of medical necessity, and communicate with team members regarding client authorizations and...

Part-Time Nurse Second Baptist School University-Model® (SBSUM) is currently seeking a Part-Time Nurse for the 2026-2027 school year. This role serves in a variety of capacities including UM campus support and administrative support.

Remote LPN/LVN – Chronic Care Management (Full‑Time, Work From Home)CARDIOVASCULAR INSTITUTE OF EXCELLENCE PLLC is a dedicated medical practice company headquartered in Wagoner, Oklahoma. With a focus on delivering high‑quality...