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Job Summary This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care.Required Job Qualifications LPN with valid, current,...

Registered Nurse (RN) - Monterey Care Center $5,000.00 SIGN-ON BONUS (FT employees) Come be a part of some exciting changes! Join the growing Optalis Team! Weekend and night shift differential.

Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through...

About Scene Health Scene is reimagining medication adherence with our 360° model of care, bringing the gold standard of Directly Observed Therapy into the digital age. Through personalized video coaching, engaging...

Shift: Night Working Hours: 6:30p-7a Summary: The Admission/Discharge Registered Nurse (RN) is a member of the Nursing Care Team and is responsible for collaboration, communication & facilitation of optimal provision of...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

Schedule: PRN - as needed coverage No set hours or consistent days This position is fully remote, however the selected candidate must reside in a state that Rogers currently operates in - (WI, MN, IL, PA, TN, FL, GA, CO, CA, WA,...

Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...

We're unique. You should be, too. We're changing lives every day. For both our patients and our...

We are seeking a dedicated Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our Child Protection Team. This part-time position involves both independent and team-based clinical practice and consultation in the...

Lighthouse Behavioral Health Solutions (LBHS) offers a full continuum of care, including outpatient, intensive outpatient, partial hospitalization, residential treatment, psychiatric services, and medication-assisted treatment. We take pride in...

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Providence Medical Foundation in Orange County, California is excited to announce a full-time remote opportunity for an experienced nurse practitioner. This is a new and exciting position, where your experience and expertise will shape the role,...

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...

The RN School Support Manager is responsible for the clinical oversight of the designated medical care needs per the district contract. This oversight includes support of care management as required by regulation, contract and personnel management...

Overview Position: Registered Nurse (RN) Location: Columbus, OH Schedule: Full Time - 12 Hour Shifts - DaysCompensation: $37.90 to 51.00 per Hour, Based off...

Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...

Welcome to Pine Park Health! About Us Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get healthy, stay...

Job Description Position Summary: We have an exciting opportunity to join our team as a Telehealth Nurse - Access Center - Boynton Beach, Florida. In this role, the successful candidate carries...

NOW HIRING REGISTERED NURSE ABOUT US Blue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and...

Host Healthcare is seeking a local contract nurse RN Post Partum for a local contract nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Post Partum Discipline: RN Start Date: 04/20/2026 Duration: 13 weeks 36 hours per week...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

Schedule: Full-Time | Flexible Scheduling Options Guaranteed Hours: Yes (varies by assignment) About the Opportunity We are seeking a licensed, patient-focused Registered...

Education experience highly preferred 32 hours a week- 4 days variable 8:00 a.m. to 4:30 p.m. Scope of Work: In collaboration with nursing leadership, designs, develops, implements and...

Company Description Company Culture and Values: At Monarch Communities, we value compassion, innovation, and community. Our team is committed to making a meaningful impact on the lives of our residents and...