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Seeking a remote California RN/LVN Utilization Management professional, the full-time nurse will review prior authorization requests for medical necessity across inpatient and outpatient services, applying CMS guidelines and Milliman Care...

GQR Healthcare is seeking a travel nurse RN Manager for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Manager Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type:...

City/State Manassas, VA Work Shift First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA This is a...

How you'll change lives...

Our Company PharMerica Overview Join a team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our...

Job Title: Medical Claim Review Nurse Location: 100% Remote Duration: 3 to 6 months ( Opportunity for ext. / based off performance/evaluation and team needs/budget) Schedule: 40hr- Must work PST hours. Once trained and working independently,...

Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...

A-Line Staffing is now hiring a Field Service RN Care Manager in the Laredo, TX area. The Senior LTSS Service Care Manager will be working for a Fortune 500 company and has career growth potential. This would be full time / 40 hours per week. If...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. SNF Experience Preferred* BILHPN has oversight of population health and is responsible to...

RN Ambulatory Care Coordinator Employment Type: Full-time Shift: Day (Remote) Location: Langhorne, PA Position Purpose Serves in an expanded nursing role to collaborate with patients and their Primary Care Providers...

Los Angeles, CA – Seeking Aesthetic Registered Nurse Join our team as an Aesthetic Registered Nurse (RN), where we are focused on outpacing aging...

The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...

Staff Today is seeking a local contract nurse Correctional for a local contract nursing job in Lynwood, California. Job Description & Requirements Specialty: Correctional Discipline: RN Duration: 16 weeks 40 hours per week Shift: 8 hours, days...

As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. Registered Nurse with recognized leadership abilities and sound clinical skills who serves as a patient...

Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Quailbrook (Oklahoma City) Monday-Friday, 40 hours per week *This is a hybrid...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...

**A government contract requires that this position be restricted to U.S. citizens or legal permanent residents. You must provide documentation that you are a U.S. citizen or legal permanent resident to qualify. Provides...

Optum WA, is seeking a RN Call Assist to join our team in Everett, WA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, youll be an integral part of our...

Registered Nurse Remote within IL, TX, TN, NM, OK, MT Registered Nurse responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective...

Discharge Care Manager (Central or Eastern Region) 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...

Regional Nurse Consultant (RN) - Assisted Living Americare Senior Living is seeking an experienced Regional Nurse Consultant (RN) to support our Assisted Living communities...

Company Description Chamberlain With more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education...

The Bed Control Coordinator RN oversees patient throughput in the hospital(s). The key roles and functions of this position are to optimize hospital bed capacity by matching patients' clinical needs with available patient care units, coordinating...

Utilization Management Registered Nurse The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration...

Registered Nurse Utilization Managers (RNUM) Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM). These will be completely remote positions, working entirely from the Nurse's home. The Nurse...