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Job Description Responsible for the retrospective review of medical records and compiling data to validate quality of care, appropriateness of care , and accuracy of documentation. RN Peer Review Analyst will audit charts for...

Salary : $107,352.48 - $160,692.96 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: PH5230H Department: PUBLIC HEALTH...

Eliot Community Human Services, Inc. seeks a Nurse Manager to lead the CBHC Child Team. You will supervise the medical and nursing staff, coordinate medical and psychiatric services, and foster a collaborative, compassionate culture focused on...

Molina Healthcare seeks six TX licensed RNs to work telephonically with Medicaid members across the state. Three roles require at least two years in behavioral health or substance abuse; the other three require two years in ICU/CCU/ED. Most duties...

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...

Full-Time Quality Assurance Nurse St. Joseph Hospice is seeking a Full-Time Quality Assurance Nurse to join our patient care team! Why Join Us? At St. Joseph Hospice, we invest in our people through an Employee Stock...

Job Title: Remote-Registered Nurse (0600-1800 EST) (RN) Reports to: Nurse Manager(s) Effective Date: 3/23/2026 The RN staff is responsible for providing care and education to patients while maintaining honesty,...

Come care with us at West Coast University! As a Nursing Academic Specialist for 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...

Job Title: Registered Nurse (Navy Nurse Corps) Category / Component: Officer • Both Overview Navy Nurse Corps Officers deliver professional nursing care to service members, families, and global communities in leading edge military medical centers,...

Telephonic Care Manager Are you an experienced nurse with a background in case management? Are you interested in the opportunity to work from home? UPMC Health Plan is looking for you! We are hiring a full-time Telephonic Care...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...

A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...

Behavioral Health Utilization Management Clinician 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...

Clinical Documentation Integrity Specialist IIThe Clinical Documentation Integrity Specialist II (CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of...

Job Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...

Full Time Dispensing Nurse – LPN/LVN BAART Program is looking for a detail oriented and empathetic Licensed Practical Nurse / Licensed Vocational Nurse to dispense prescribed medications as part of a treatment team in partnership with...

Cedars-Sinai is seeking an Utilization Management Specialist to provide advanced operational support for utilization review processes. You will work with UR Nurses and other teams to ensure timely, accurate, and compliant authorization workflows...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Registered Nurse, Phone Triage Remote + Sign on Bonus! Clinical Full Time...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Preservice Review RN - Remote in HI (2392416) Preservice Review RN - Remote in HI - 2392416 Optum is a global organization that delivers...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted,...

Job Description Responsibilities: Job Summary: The Case Manager oversees the process of care delivered to patients, works collaboratively, and provides leadership to the healthcare...

Prime Staffing is seeking a travel nurse RN Infusion for a travel nursing job in West Hollywood, California. Job Description & RequirementsSpecialty:...

Explore job opportunities at Howard Head Sports Medicine. Clinic Scheduler- PRN | Remote New Schedule Schedule PRN / Pool Shift Days Details Company Colorado Mountain Medical Location Remote Category...

Job Description Registered Nurse (RN) Care Manager Take your nursing career beyond the bedside and make a meaningful impact in the community. We're seeking a compassionate Registered Nurse (RN) Care Manager to support...

Description The UM Denial Nurse Reviewer supports high-quality, cost-effective care by applying clinical knowledge, policies, and regulatory guidelines to the review and processing of adverse organization determinations. This role reviews...