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Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).

Details Client Name CSMN - 1101180 - OBGYN Crisis Response Job Type Travel Offering Nursing Profession RN...

Description WHAT IT'S LIKE AT SGMC HEALTH Purpose. No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

Mission-Driven RN Educator, Clinical Documentation Integrity We're with you for life's journey. At Denver Health, purpose isn't just something we believe in—it's something we live every day. Our Values Respect | Belonging...

Job Summary The Care Manager—Registered Nurse is a key member of the Special Needs Plan (SNP) care team, responsible for coordinating care for members with multiple chronic medical and behavioral health conditions and social determinants of...

Benefits: Health insurance Paid time off 401(k) Competitive salary About the Role: Bell-Clinica Familiar Medical Corp is looking for a passionate and dedicated Nurse Practitioner to join our growing healthcare...

Product TesterWork from home nationwide in the United States. Fulfill upcoming contracts with national and international companies. Guaranteed 15‑25 hours per week with an hourly pay of $25.00.Type: Full‑time +1ABA Case SupervisorBehavioral...

Compliance Nurse 2, Long-Term Care Unit The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply...

Registered Nurse Duty Days: 187 Pay Grade: T07-T08 Salary Schedule: Click for Salary Schedule Primary Purpose: Ensure that learning is not hindered by a correctable health problem and educate students toward worthwhile decisions...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

Title: Family Nurse Practitioner Base Salary Range: $142,000 - $145,000 plus benefits FTE: Full -Time - Exempt We are seeking a dynamic and experienced Family Nurse...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Overview Under the supervision of the RN Patient Scheduler Manager, provides timely, efficient, and accurate triage response and documentation according to nursing standards and physician protocols. Evaluates patient needs,...

Overview Community Focused. Care Driven. Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a...

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...

Remote Work Opportunity Position eligible for remote work after in-house orientation period. Orientation will be located at the Carle Methodist location in Peoria, IL. There will be in-person meeting requirements at various times...

Job purpose The Clinical Nurse Specialist owns clinical education, clinical staff competency, and the advancement of professional practice across a region of Avem-managed entities. The role exists to develop, empower, and enable...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Clinic Discipline: RN Start Date: 07/27/2026...

Job Description University of Washington Medical Center-Montlake has an outstanding opportunity for an experienced registered nurse to work on our Rehab unit. WORK SCHEDULE 36 or 40 hours per...

Public Health Nurse DEFINITION Under direction, to provide public health nursing services to individual clients and the community at large in connection with the prevention and control of disease or adverse health conditions; and to...

Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization Review Nurse is responsible for determining the clinical appropriateness of...