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Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

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 deeply, innovate with purpose, hold...

Job Summary Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical...

*Pay: $28.50/hr (Fixed rates, no opportunity for negotiation)* *Shift: *Monday- Friday- 8-4:30PM EST, MUST have flexibility twice a month to start as early as 7 and end as late as 7PM) EST * * *Overview* We're hiring Clinical...

Job Summary and Responsibilities As our Utilization Management Nurse, you will be a critical guardian of healthcare efficiency and quality, ensuring integrity in clinical decision-making, regulatory compliance, and...

Job Description The registered nurse (RN) is accountable for the coordination of nursing care, including direct patient care, patient/family education and transitions of care. The RN supports professional nursing practice...

Anticipated End Date: 2026-02-27 Position Title: Triage RN I - Virtual - CareBridge Job Description: Work Location: Virtual This role enables associates to work virtually...

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: Provide all of your...

Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS This job is Remote, but onsite training is required. FTE: 0.400000 Standard Hours: 16.00...

We are looking for an experienced home care RN to work in a Full-Time hybrid role- both field and office hours. Enhanced rate! Find flexibility & balance - take control of your career, your schedule, and your future with...

Description As an RN Care Manager, you will function as a clinician, advocate, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization. The RN Care Manager...

RN Health Care Facility Surveyor - Remote Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting...

$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...

Description Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your...

$7,500 Sign-on Bonus for External Candidates Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family...

Registered Nurse - House Supervisor Job Type: Full Time Shift: Days 36 hour weeks (7 am - 7:30...

Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass Health offers a...

North Columbus Location Assisted Living and Memory Care Week 1 Monday and Saturday Week 2 Tuesday and Sunday This is a day time position 7 am to 7 pm Summary of Duties Licensed Practical Nurse (LPN) staff serve...

Job Type Full-time Description Schedule: Monday - Friday 5:00am-1:30pm with rotating Saturdays 8:00am-10:00am *Required to travel to the prison as necessary due to staffing needs. Mileage will be reimbursed...

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...

CareHarmony's Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse to work 100% Remote –...

Join COMPLETE HEALTHCARE as an Ancillary Nurse and immerse yourself in a dynamic and fulfilling work environment. Here, you will play a vital role in enhancing patient care, bringing your skills to the forefront of innovative healthcare practices.

Care Manager Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...