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Utilization Management Registered Nurse The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration...

Alliance Liaison If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where...

At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital...

Salary: See Position Description Location : North Central Community Health Center - St Louis County, MO, MO Job Type: Full-Time Remote Employment: Flexible/Hybrid...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a...

PRN Telehealth Nurse (RN) Job Category: Outpatient Nursing Requisition Number: DSSRE017266 Part-Time Remote Hourly Range: $28.71 USD to $40.19 USD Job Details Job Overview: This is a Registered Nurse who...

Regional Nurse Consultant (RN) - Assisted Living Americare Senior Living is seeking an experienced Regional Nurse Consultant (RN) to support our Assisted Living communities...

Rising Medical Solutions has an opening for a Utilization Review Nurse, and we want to hear from you! We're a bill review and cost containment company - so what does that mean? Basically we are trying to fix a very broken healthcare...

Utilization Review Nurse Remote Ability to travel on-site to 3031 NE Stephens St., Roseburg OR, 97457, as needed for business operations. Employment Type: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job offer 2 years of RN experience Proficiency...

**A government contract requires that this position be restricted to U.S. citizens or legal permanent residents. You must provide documentation that you are a U.S. citizen or legal permanent resident to qualify. Provides...

Job Title This is a remote position but will need onsite training in Mishawaka Indiana. Shift: PRN/Days - 8 hr shift Considering local candidates only!!! Why Choose Saint Joseph Health System? At Saint Joseph Health...

Job Posting Location: 6595 Springfield Center Drive, Springfield, VA, 22150, United States Base Pay: $51.77 / Hour Job Category: RN Employee Type: SCA- Full Time Required Degree: 4 Year Degree Travel: 5%...

Clinical Appeals RN At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come...

Senior Nurse Reviewer Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support...

Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures. Demonstrates performance consistent with the...

About the job Registered Nurse - Remote Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our...

Nurse Reviewer – State of Illinois Location: Remote with on-site visits across Illinois We are currently seeking Nurses who reside in Central Illinois - preferably in McLean and Sangamon Counties. Position Overview...

Transfer Center Triage Nurse Baptist Health is looking for a Transfer Center Triage Nurse to join our team! This is a remote position that requires residency in KY or IN. The Nurse Call Center Registered Nurse implements...

City/State Williamsburg, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Prevention Nurse Specialist- Williamsburg, Virginia Sentara Health Plans...

RN-Peer Review Specialist Schedule: Day Shift. Monday - Friday. About the Position The RN-Peer Review Specialist screens and assesses medical records for the quality and appropriateness of care. Case review is determined by...

Professional Review Nurse The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical...

Registered Nurse Utilization Managers (RNUM) Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM). These will be completely remote positions, working entirely from the Nurse's home. The Nurse...

SCHEDULE: Looking for someone to work every Monday plus Friday, Saturday, or Sunday each week. 10-20 hr a week. An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home,...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...