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Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to...

DescriptionJOB TITLE: Nursing Program Coordinator– Nursing ProgramSTATUS: Full Time/Part TimeTYPE: On CampusREPORTS TO: Director of NursingPurposeThe Nursing Program Coordinator is responsible for providing administrative support to the Director...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Job Title RN Supervisor- Clinic Setting Job Description OVERVIEW OF POSITION: Responsible for the management of the daily departmental operations and functions of a given patient care area, the direct supervision of...

RN JobClinical Policy Nurse RN IIShift: Full TimePay Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)Job ID: 13084Location: Los Angeles, 90017Job DescriptionThe Clinical Policy Nurse RN II is responsible for analytical research,...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

Ssbv Clinical Claims Review Rn 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...

DescriptionJOB TITLE : Nursing Program Coordinator– Nursing ProgramSTATUS : Full Time/Part TimeTYPE : On CampusREPORTS TO : Director of NursingPURPOSE:The Nursing Program Coordinator is responsible in providing administrative support to the...

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 to New England States for consideration** The Clinical...

Appeals and Grievances Nurse Specialist RN IIJob Category: ClinicalLocation: Los Angeles, CA, US, 90017Position Type: Full TimeRequisition ID: 13049Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)Job SummaryThe Appeals and...

Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)...

The Cedars-Sinai Medical Network is seeking a Case Manager responsible for patient management during hospitalization. You will assess needs, coordinate care, and ensure quality while maintaining cost-effectiveness.This role requires a Bachelor's...

Care Manager—Registered Nurse 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...

LocationRedondo Beach, United States# Nurse Educator for school ownership at Internexus/AntaresLocationRedondo Beach, United StatesSalary$60 - $80 /hourJob TypePermanentDate PostedMarch 22nd, 2026Apply Now**Note: We are seeking a highly motivated,...

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 Title Job Description Duties include, but are not limited to: Interacts regularly with the Executive Leadership Team to coordinate and plan Clinical Process Improvement. Works with the Quality Chief,...

ScheduleMostly Monday - Friday business hours (position start date will be after July 2026)Position Statement / Position SummaryThe NPD Specialist uses tools, theories, skills and knowledge of NPD to improve the practice of staff. The NPD...

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.

Job Description We are seeking an exceptionally skilled RN Case Manager to join our dedicated Case...

Program Director - Vocational Nursing Program | Greater Los AngelesWe are seeking an accomplished and visionary Program Director to lead our Vocational Nursing Program in the vibrant Greater Los Angeles area. This is an exceptional opportunity for...

Utilization Review Specialist (RN) - Work From Home (Florida-Based Candidates Only) $65K-$85K | OASIS & Coding Certified | Florida RN License Required Concierge Home Care | Work From Home...

SHARP HEALTHCARE in Los Angeles seeks a Registered Nurse for management operations during shifts. The role involves ensuring quality patient care, mentoring staff, and compliance with regulatory standards. Candidates need a CA RN license and three...

Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...

AMN Healthcare Revenue Cycle is seeking a travel Utilization Review for a travel job in Woodland Hills, California. Job Description & RequirementsSpecialty: Utilization...

Medical Review RN IV – Commercial Appeals & Grievance Nurse Location: Remote – Candidate Must Reside in California Duration: 6+ Months Contract-to-Hire Schedule: Monday-Friday | 9:00 AM – 5:00 PM Pay Range:...