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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...

Case Manager Utilization RNSalary: $68.95 - $84.38 / hourLocation: Los Angeles, California, Los Angeles Medical CenterSchedule: Part-time, 32 hours/week, Day ShiftWorkdays: Sun, Mon, Tue, Wed, Thu, Fri, SatWorking Hours: 08:00 AM - 04:30 PMJob...

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"...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

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...

Job Summary CVS Health is seeking a dedicated Drug Utilization Review (DUR) Technician to join our growing remote pharmacy operations team. In this role, you will play a critical part in ensuring patient safety and medication effectiveness through...

Case Management Utilization Management Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our...

SCAN Health Plan Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists...

Central Intake Nurse Job Type: Full-Time Remote possible Benefits Offered: Healthcare Dental Vision PTO 401K Your Job Summary The Central Intake Nurse...

Come care with us at West Coast University! As a Manager, Simulation Center a certified Great Place to Work, you will guide nursing students to do more than change their own lives – you will help change the lives of every...

Optum Home & Community Care , part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical,...

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility: Southridge Clinic...

Detroit Medical Center is seeking a Registered Nurse (RN) Med Surg for a nursing job in Detroit, Michigan. Job Description & Requirements Specialty: Med Surg Discipline: RN Duration: Ongoing Employment Type: Staff Join our dedicated healthcare...

As a Clinical Documentation Review Specialist (RN), you will help medical staff clarify patient records to ensure appropriate reimbursement and reflect care complexity.You will perform concurrent reviews and engage with physicians to resolve...

TalentBurst, Inc is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Dayton, Ohio. Job Description & Requirements Specialty: OR - Operating Room Discipline: RN Start Date: 11/16/2026 Duration: 13 weeks 40 hours per week...

Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion...

Experience 2-5 years needed. Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific...

Medlivo is seeking a travel nurse RN Long Term Care for a travel nursing job in Grand Island, Nebraska. Job Description & Requirements Specialty: Long Term Care Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment...

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...

Manage CMS and State Administering Agency audits for PACE compliance.Ensure audit readiness and serve as point with audit teams.Champion compliance culture across the organization.Key Responsibilities:Monitor audit universe data and review...

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...

*Job Summary and Responsibilities* As our RN Trauma Performance Improvement, you will contribute significantly to our mission by leading proactive efforts to minimize traumatic injuries and support vulnerable patients. Your role elevates...

Nurse Appeals Location: Nashville Tennessee (This role is open only to residents of Tennessee). Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum...

UM Review Nurse - Texas Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting...

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...