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$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 & Requirements Maximus is hiring a Clinical Reviewer RN/LPN to support our LTSS Tennessee contract. Areas will include but are not limited to PASRR Level 1 and Katie Beckett. In this role, you will review...

Job Description Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive...

Clinical Research Nurse – Home Visits (PRN) Are you a skilled, compassionate nurse looking for flexible work in clinical research? As a Clinical Research Nurse – Home Visits (PRN), you'll provide high-quality nursing care directly in...

Clinical Nurse Consultant As part of the Oncology Field Medical organization, the Clinical Nurse Consultant (CNC) is a trusted clinical expert responsible for developing professional relationships and educating key Health Care...

Cardiopulmonary Patient Educator 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...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

Job Description Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible...

Morning Caregiver Needed - Pico-Robertson, LA 90035 (4 miles from UCLA) Schedule: Monday-Thursday, 7:00-9:00 AM Pay: $40-$50/hour, based on schooling/experience Ideal candidate: Nursing student, medical student, CNA, or RN We're...

Utilization Management Nurse Consultant 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...

Medical Review Nurse Analyst Our Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This analyst ensures that providers are being...

Location: HealthPark Medical Center - 9981 So HealthPark Circle Fort Myers FL 33908 Department: Resource Nurse Team Work Type: Part Time Shift: Shift 1/7:00:00 AM to 7:30:00 PM Minimum to...

Job Summary and ResponsibilitiesAs our Educator, RN in Periop, in accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position serves as a consultant/resource professional by providing staff...

Itemization Review Nurse II The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position.

Nurse Reviewer Contract Duration: Initial 6-months Pay: $27.50/hr on W2 Start Date: 9/8/2026 Location: Fully Remote (US Only) LPN State...

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not...

Quality of Care Investigative Nurse (RN) - Remote Join the Arizona Division of Developmental Disabilities' Quality Management team and help protect the health, safety, and well-being of individuals receiving...

Location: Skid Row, Downtown Los Angeles, CA Position Purpose:The Registered Nurse (RN) will serve as a leader within a multidisciplinary care team, delivering professional nursing care to unhoused...

Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients,...

The RN Clinical Educator, Ancillary Services is an advanced clinical expert in Cath Lab and procedural-based services who supports...

Perinatal Reviewer Perinatal Reviewer can work anywhere in the United States. Perinatal Reviewer, with minimal immediate direction or supervision, survey and/or review health care organizations throughout the United States. Perinatal...

Optum Clinical Claim Review Nurse 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 by connecting...

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in...

Job Description Summary The In-basket clinical coordinator will report to the In-basket Lead. Under general supervision, the In-basket clinical coordinator will be the first line of contact. A single in-basket for this team pool fields...

Job Title Job duties include, but are not limited to, the following: Works collaboratively consulting with Chiefs, Nurse Managers/Supervisors, Medical Directors, and organizational Leadership to assess, develop, implement,...