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Registered Nurse – Utilization Review (Remote) Position Overview: This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of...

About the Role Mercor is hiring experienced Nurse Practitioners to help evaluate and improve cutting-edge AI systems. In this role, you'll evaluate AI-generated clinical content and workflows, leveraging your real-world expertise...

Overview The Quality Outcomes Coordinator (QOC) works at the unit-level, in collaboration with bedside staff and unit leaders to deliver effective, efficient, high-quality care. The QOC continuously evaluates care at the bedside, identifies gaps...

Piper Companies is seeking an Episodic Care Manager for a fully remote opportunity within the healthcare and managed care industry. This Episodic Care Manager position is a long-term contract role responsible for conducting utilization...

Harris Health System is seeking a Nurse Manager to oversee the operational management and care delivery for one or more clinics/units in the Houston area. The NM will manage human resources, quality, and financial performance while aligning...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing...

Clinical Operations Nurse Coordinator RN II The Clinical Operations Nurse Coordinator RN II reports to the Manager of Clinical Operations. The Clinical Operations Nurse Coordinator RN II will work independently and collaboratively with...

Support, Inc. is seeking a Nursing Coordinator/Registered Nurse to oversee medical care for individuals with intellectual and developmental disabilities. You will coordinate with physicians and interdisciplinary teams to promote health...

Parenteral Services Clinical RN Specialist The Parenteral Services Clinical RN Specialist provides clinical support to the Parenteral Services team through advanced nursing expertise, education, care coordination, and operational...

Renown Health is seeking a Utilization Management RN to apply medical necessity criteria for prospective and concurrent reviews. You will work with an interdisciplinary team to ensure medically necessary, cost-effective care at the appropriate...

Guidehealth is seeking an Illinois-licensed registered nurse to join its remote Value Based Care Services team as an RN Case Manager. You will conduct telephonic outreach, assess needs, coordinate care, and document in compliance with...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

Working remotely in a full-time capacity, the Remote RN Case Manager will manage patient care by building relationships, creating personalized care plans, and coordinating services to support patients' medical, behavioral, and social needs.Key...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

Interventional Radiology RN This position is for an Interventional Radiology Registered Nurse. The role requires experience in an acute care setting. The ideal candidate must be able to work both day shifts and provide on-call coverage.

UW Health in Wisconsin seeks a Telehealth Nursing Assistant (CNA/NA) to support remote care for critical patients within the eICU network. The role includes admitting, transferring and discharging patients via the eCareManager and ensuring...

RN Care Coordinator Care Coordination Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest...

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine...

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

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage of life.

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides...

BlueCross BlueShield of South Carolina is hiring a Managed Care Coordinator II - Utilization Management. The role reviews clinical criteria to determine medical necessity and coordinates care management for members. The position is full...

Public Health Nurse Employer: County of Los Angeles Salary: $105,247.44 - $157,542.24 Annually Location: Los Angeles County, CA Job Type: Full time Job Number: PH5230H Department: PUBLIC HEALTH...

Find your calling at Mercy! Overview Provides professional nursing care to patients within the medical practice in support of, and as directed by, the physicians. Assists the physician in the treatment of patients and completes...