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It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: This role is open to applicants that reside in SSM Health's 4 state footprint -...

Job Description Title: Utilization Management Nurse - Post Acute Location: Remote | Candidates must reside within Minnesota or Wisconsin Job Type: Contract (3 months)...

Vetted is seeking a RN - Med Surg for a travel job in Columbus, Ohio. Must have 2+ years of experience. This contract pays approximately $9,206/month gross. Assignment...

Registered Nurse (12pm - 10pm) The Buckeye Ranch is seeking a Registered Nurse (RN) or Licensed Practical Nurse (LPN) to join our Residential Treatment Program. The Residential Nurse performs nursing procedures for the comfort and...

Job Description Summary of Essential Functions To provide general nursing care and/or supervision of personnel delivering general nursing care to patients in the hospital, ages infant to...

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...

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 know you've honed your career in a fast-moving...

Make written and oral reports/recommendations to the attending physician, Medical Director, or the DON concerning the status and care of the residents. • Agree not to disclose resident's protected health information and promptly report...

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Clinical Review Nurse - REMOTE. In this role, you will leverage your nursing expertise to make a significant impact in the healthcare...

Public Health Nursing Consultant - Quality Assurance Job No: 538472 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX, TUCSON Categories: Healthcare/Medical Support Level,...

The Hospice Field Registered Nurse (RN) PRN plays a critical role in delivering compassionate, patient-centered care to individuals facing life-limiting illnesses in their homes or care facilities. This position focuses on managing and...

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.

Overview DEPARTMENT: Samaritan Center for Adult Care REPORTS TO: Adult Day Services Director SUPERVISES: NA STATUS: Contingent -...

Job Opportunity At Highmark Inc. Job Summary: This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...

Summary Delivers knowledge-based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates the effectiveness of the Veteran's care. Serves to support delivery of high quality, timely care to the Veteran...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

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...

Job Summary The Nursing Home Life Safety & Environment of Care Regulatory Consultant serves in a non-practicing, advisory consulting role providing expert-level regulatory guidance specific to skilled nursing facilities...

Job Profile Summary Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to...

The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes...

The Hospital Bill Audit Nurse conducts hospital bill charge audits by reviewing medical records to verify that services were provided and charges are appropriate based on medical documentation and industry guidelines. The types of audits performed...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job...

Everlywell is a digital health company pioneering the next generation of biomarker intelligence-combining AI-powered technology with human insight to deliver personalized, actionable health answers. We transform complex biomarker data into...

Join our growing Collaborative Health team! We are excited to welcome a remote per diem Nurse Practitioner to our thriving behavioral health program, supporting our team of primary care providers, patients, and behavioral health care managers. In...

JOIN TEAM TRILOGY - At Trilogy, youll 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, and...