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A national health insurance company is seeking a Prior Authorization RN to review clinical appropriateness of prior authorization requests. This role is pivotal in ensuring compliance with Medicare and Medicaid criteria, while improving the...

A healthcare organization is hiring a skilled Nurse Advice Line Clinical Triage Nurse for a part-time position. The role involves performing clinical triage and coordinating care based on inbound calls. The ideal candidate must hold an RN License...

RN Care Review Clinician The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

Join Sedgwick and become part of a meaningful mission to support individuals facing challenges every day. Our team of 33,000 dedicated colleagues is committed to excellence and a caring culture that fosters growth and work-life balance. Here, your...

A healthcare provider is seeking a full-time Clinical Informatics System Analyst, RN, to improve clinical information systems. This role involves optimizing EMR applications, providing user support, and collaborating with clinical staff.

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

A leading healthcare provider is seeking a Group Clinical Recruiter to support multiple facilities across Southern California. The role is mostly remote and involves full-cycle recruitment for clinical positions, particularly nursing roles.

*Employment Type:* Part time *Shift:* Day Shift *Description:* *Position Purpose: * * Registered Nurse will provide care in an atmosphere sensitive to each person's physical, emotional, social and spiritual needs within the scope of the Ohio...

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America)...

A healthcare management company is seeking a remote Nurse Advocate to provide care management for high acuity members in renal care programs. The role requires a native fluent bilingual in Spanish and a minimum of 3 years of RN experience. The...

Care Coordinators (LPN) (LVN) 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...

Employment Type: Full timeShift: 12 Hour Night Shift Description: Qualified applicants may submit a resume to Senior Talent Acquisition Partner, Tonya...

A major healthcare provider is seeking a Clinical Advisor, RN for a remote position. This role involves analyzing population health data, delivering impactful presentations to clients, and making strategic recommendations to improve healthcare...

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...

Bridge Nurse Requirements Normal 0 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 State of Ohio required. A minimum of one-year...

Immediate Hiring for Remote Clinical Review Nurses Immediate hiring for remote clinical review nurses. Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital admissions.

We offer a great FULL TIME benefits and perks package! You could be just the right applicant for this job Read all associated information and make sure to apply. Company Paid Benefits: Short Term Disability (Guardian)-for employee only, benefit...

Job Description Job Summary Join our team as a Clinical Review Nurse, where you will play a crucial role in supporting the review of medical claims and appeals. You will ensure compliance with state and federal...

In order to have an accurate count of participants, we need you to register for the Recruitment Fair on the District's website. Please select "apply for this position" under the heading to the right labeled "Apply Now". Interviews slots will fill up...

A local medical group is seeking Registered Nurse (RN) candidates to join their Primary Care team for Family Medicine and Internal Medicine. This full-time position offers a competitive pay range and benefits, including medical, dental, vision,...

Summary We are currently hiring for a Quality Nurse Navigator to join BlueCross BlueShield of South Carolina. In this role as a Quality nurse Navigator, you will monitor/implement quality improvement/management activities,...

Overview Are you a compassionate, self-motivated registered nurse with top-notch critical thinking and clinical skills? Seeking a challenging yet remote registered nurse position that keeps your abilities sharp?

The range for this role is $25 - $34.13 Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested applicants...

JOIN TEAM TRILOGY:At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay,...

Department WMH FRIMA-RHC - 259441Worker Sub Type RegularWork Shift First Shift (United States of America) Pay Grade Job Description Job...