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City/State Lynchburg, VA Work Shift First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Charlottesville & Roanoke Virginia...

ABOUT SIMMONS Located in Boston's historic Fenway area, Simmons University has a strong tradition of empowering women and challenging traditional gender roles. Simmons was founded for equality 125 years ago as one of the first higher...

UTILIZATION REVIEW NURSE HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through...

POSITION SUMMARY: The Triage RN is responsible for assessing patient needs over the phone, providing medical advice, and directing patients to appropriate care based on their symptoms. This role involves critical thinking,...

FIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and...

Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of...

Randstad Healthcare is hiring a Utilization Management Clinical Consultant - Registered Nurse ***Must be licensed as a RN in ARIZONA with a compact license to be considered*** The Utilization Management Clinical...

This is a hybrid role based in West Hills, CA ACTIVE LVN or RN license required Key Responsibilities: Audit denied provider and member claims for accuracy and compliance...

The RN School Support Manager is responsible for the clinical oversight of the designated medical care needs per the district contract. This oversight includes support of care management as required by regulation, contract and personnel management...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

***Now Offering DailyPay*** Overview This Full-Time position is a unique opportunity to serve our residents as an *Certified Nursing Assistant-STNA Scheduler* while also assisting with the process of scheduling other Certified Nursing...

Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", may be the place for you! Alliant is recruiting...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Note: The...

Are you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at The Laurels of Norworth, you have the opportunity to use your nursing skills and become a...

Aesthetic Hair Restoration & Laser Specialist - NPElevate Your Career at Columbus Aesthetic & Plastic Surgery!Are you a Licensed NP with experience in cosmetic procedures such as Coolsculpt,...

A healthcare diagnostics company located in Ohio is seeking a Mobile Phlebotomist to provide exceptional patient experiences through home visits for specimen collection. This PRN role requires a valid phlebotomy certification and at least one year...

Overview $5,000 sign-on bonus and $5,000 relocation (for greater than 100 miles) or $2,500 relocation (for greater than 50 miles) for nurses with 1 or more years experience - External...

Job Description Job Description Job Summary Performs focused clinical reviews of inpatient and outpatient claims to verify that coded diagnoses, procedures, revenue codes, and...

Remote Behavioral Health Utilization Management RN Location: Remote (Must reside in Arizona) Compensation: $39.28 per hour Schedule: Monday - Friday, 8:00 AM -...

A bit about us: We are a multi-disciplinary practice that provides integrated primary care, dental, and mental health. We are looking for an experienced RN Care Manager to join a dynamic team. Want learn more?

A company is looking for a Utilization Management Nurse Consultant.Key ResponsibilitiesGather clinical information to make coverage determinations and recommendationsCommunicate with providers to facilitate care and identify referral...