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Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

Job Summary This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care.Required Job Qualifications LPN with valid, current,...

Site: Mass General Brigham Home Care, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a...

Description: Job Summary: Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Staff Registered Nurse (RN) II - Virtual Care/Telehealth practices...

Description Location: UCHealth UCHlth Poudre Valley Hospital, US:CO:Fort Collins Department: PVH Womens Care Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent on applicant's...

A national health provider is seeking a Utilization Management / Medical Management Nurse. This remote role offers flexibility, with in-person training and occasional onsite work requirements. Ideal candidates will have a nursing degree, extensive...

Supplemental Health Care is seeking a LPN / LVN Correctional for a travel job in Columbus, Ohio. Job Description & Requirements Specialty: Correctional Discipline: LPN / LVN Start Date:...

Cabell Huntington Hospital is seeking a full-time Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and driving...

Location: BROOKLYN HEIGHTS Biweekly Hours: 80.00 Shift: Day/Evenings 7:00 AM-730 PM, 9:00 AM-9:30 PM, 11:00 AM-11:30 PM-Rotating weekends/holidays The MetroHealth System is redefining health care by going...

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...

UW Health is seeking a Registered Nurse (RN) Home Health for a nursing job in Madison, Wisconsin. Job Description & Requirements Specialty: Home Health Discipline: RN Duration: Ongoing Employment Type: Staff Description: Work Schedule: 90% FTE,...

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

At St. Luke's, our dedicated team of Remote Patient Management RNs are critical in providing exceptional, patient-centered care. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which...

Detox Nurse Requirements false false false EN-US X-NONE X-NONE Graduate of an accredited school of nursing required. Licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the...

GoTo Telemed seeks experienced, certified CRNAs for remote anesthesia consultation, patient education, and post-operative follow-up services. This 1099 independent contractor position provides flexibility while supporting surgical teams across...

Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders, established hospital and departmental policies and procedures, American Nurses Association Standards of...

About Us: Tribeca Pediatrics was founded by Dr. Michel Cohen, in 1994, and has grown into New York City's largest and most respected primary care pediatric practice. With over 50 locations in vibrant neighborhoods throughout the New York...

Chronic Care Staffing is Hiring a Remote Care Coordinator (LPN)! Employment Type: Full-Time Location: Remote (Work from Anywhere) Pay Range: $21 – $24 per hour...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work...

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

Overview Are you a dedicated and experienced Licensed Practical Nurse with a passion for assisting individuals on their journey towards mental health and recovery? We're seeking a proactive and compassionate LPN to join our...

Start the day excited to make a difference...end the day knowing you did. Come join our team. Job Summary: The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with collaboration from the...

Vivo HealthStaff is actively recruiting for a fully remote Case Manager position. This temporary 3-month contract role, with an option to extend, and focuses on health care management and coordination for members with complex and chronic care...

Join the Patient Management Unit at a key moment in our history as we strengthen our clinically-driven, patient-centered preadmission pathway for DSH patients! Under direction of the Chief Psychologist of the Patient Care Coordination...