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Leading the Utilization Management activities, the full-time remote Supervisor of Clinical Review will oversee clinical review processes, manage staff performance, and ensure compliance with regulatory standards while fostering strong...

Job Summary: In addition to the responsibilities listed below, this position is also responsible for applying advanced clinical and regulatory knowledge of evidence-based guidelines, insurance policies, and clinical criteria to consult on...

Overview The Legacy/OHSU Interventional Radiology practice provides services at four locations (EMC, GSMC, MHMC and MPMC) including ambulatory clinics at each site. The IR team cares for both adult and pediatric patients with...

Registered Nurse Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout...

Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer...

Full-time Description About Aspirion At Aspirion, our mission is simple and meaningful: to help healthcare providers get paid accurately, quickly, and transparently for the care they deliver. By combining deep human expertise with...

Summary The Greater Los Angeles VA Health Care System is seeking 1 Nursing Assistants (NA) full time in Nursing Service for it's Community Living Center 215-3 Day Shift. Located in Los Angeles, CA. Responsibilities As a Nursing Assistant you will...

Keck Medicine of USC is seeking a Patient Safety Quality Specialist to enhance patient safety initiatives and ensure regulatory compliance. This role involves assessing survey readiness, providing consultation, and implementing corrective actions...

Pharmacy Nurse Consultant - LPN or RN If your answer is "all of the above," consider joining our team at Consonus Pharmacy. It's a perfect opportunity for compassionate people dedicated to people's health and well-being. Consonus...

Summary The Registered Nurse (RN) for Remote Patient Monitoring-Home Telehealth (RPM-HT) delivers knowledge-based, patient-centered care to Veterans across the care continuum. The RN provides comprehensive assessment, monitoring, and...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Harris Health System is seeking a Utilization Management Review Nurse (UMRN) to assess the necessity and appropriateness of medical services. The UMRN utilizes clinical expertise to ensure care aligns with industry standards, works with healthcare...

Duties Help Duties include, but are not limited to: Participate in several facility councils, committees, and workgroups. Apply specialized principles and practices to ensure a systems approach to healthcare...

Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

Critical Care Nurse, Clinical Solution Specialist - Patient Monitoring (Southern IN/KY/MI) Bring your passion for patient care and technology to this role where you'll be responsible for providing clinical customer support as the clinical...

Nurse-11-180-SC/Hope Harbor Job Category: Medical & Health Part-Time Location: Los Angeles, CA, USA Job Details Description The Salvation Army, an international movement, is an evangelical part of...

The University of Southern California (USC), founded in 1880, is the largest private employer in the City of Los Angeles. As an employee of USC, you will be a part of a world-class research university and a member of the "Trojan Family," which is...

Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We...

Clinical Reviewer Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and...

Job Description The Division of Metabolism, Endocrinology and Nutrition has an excellent opportunity for a Registered Nurse 2 - Research to join their team. This is an hourly position with a variable shift. Located in...

Company Mission/ statement: Our mission is to inspire and empower people to seek and maintain recovery and health. Daymark Recovery Services, Inc. is a mission driven, comprehensive community provider of...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Nursing Home Quality Improvement Consultant Our client is seeking a Nursing Home Quality Improvement Consultant to support Skilled Nursing Facilities and Long Term Care providers in improving patient outcomes, strengthening regulatory...

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward...

Position is Hybrid serving the EAST VALLEY (Time spent in the field, working from home and occasionally in the office for meetings or training) For those who want to invent the future of health care, here's your opportunity. We're going beyond...