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CVS Health Corporation is seeking a Utilization Management Nurse Consultant to review inpatient and outpatient services remotely. You will apply evidence-based criteria, collaborate with providers, and authorize care while maintaining...

Vassar Brothers Medical Center in Poughkeepsie, NY is seeking a skilled Utilization Review Nurse to perform clinical reviews, determine level of care, and collaborate with physicians to ensure appropriate patient placement and regulatory...

About This Role As a Telephonic Oncology Preservice Review Nurse, you will perform pre-service clinical coverage reviews of services requiring notification, utilizing benefit plan documents and clinical guidelines. This fully remote...

Piper Companies is seeking a Clinical Appeals Nurse for a fully remote, long-term contract role focused on clinical review, appeal resolution, regulatory compliance, and member/provider support within a complex health insurance environment.

Registered Nurse Days Seeking a Registered Nurse for an 8 week contract in Los Angeles, CA. Work 40 hours per week, day shifts only. Key responsibilities include: Deliver nursing care per CA law. Float between...

Humana is seeking a Utilization Management Nurse to support coordination, documentation, and communication of medical services and benefit determinations. This role suits experienced nurses who can work independently and make critical patient-care...

Sagility is hiring an RN Utilization Management Reviewer for a fully remote, home-based role in the United States. You will perform day-to-day clinical and service authorization reviews for medical necessity and ensure compliance with CMS...

Hospice Nurse / Hospice Aide – Providing Compassionate End-of-Life In-Home Care Company: All Seniors FoundationLocation: Los Angeles, CA About Us: All Seniors Foundation is dedicated to supporting seniors at every...

Piper Companies is seeking a Clinical Appeals Nurse for a fully remote, long-term contract in the healthcare sector. The role focuses on clinical review, appeal resolution, regulatory compliance, and member/provider support within a complex health...

Admissions Nurse The Admissions Nurse is responsible for establishing and maintaining positive relationships with customers and referral sources within the community. The Admissions RN is also responsible for developing and increasing the...

Registered Nurse Specializing In Utilization Review Join our team as a Registered Nurse specializing in Utilization Review, where you'll play a crucial role in patient care management. What You'll Be Doing Conduct...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...

The Veterans Health Administration at the Charleston VA Medical Center seeks a Nurse Manager (RN) to lead and supervise designated units within Community Care. The role emphasizes staff development, evidence-based practice, and collaboration with...

Job DescriptionMake a Difference Every Single Day at Cedars-Sinai!When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and...

LVN (7-3 Shift) Full Time (Healthcare)Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific...

Open Non-Competitive Job Opportunity Employer: County of Los Angeles Salary: $102,181.68 - $152,952.96 Annually Location: Los Angeles County, CA Job Type: Full time Job Number: Y5135L Department: HEALTH...

Ethos Risk Services is seeking a full-time Clinical Recruiter (REMOTE) to lead hiring for the Case Management division. You will own full-cycle recruiting for nurse case managers and other clinical pros, from posting to onboarding, ensuring a...

Job ID: 32677 Description In this role you will provide direct patient care for diverse patient population. Work with clinic management, administration, faculty physicians, fellows, residents, medical students, and...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO: Aurora Department: UCHlth Metro Float Pool Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Day and Night Rotation Pay: $35.29 - $54.71 / hour. Pay is...

Job Title Starting Pay Range $3,211.53 - $3,721.15 - Bi-Weekly Depending on experience Job Description Essential Functions include, but are not limited to the following: Assess the health and...

Physicians East seeks a QEC Pre Procedure Screening Nurse for a part-time remote role based in Greenville, NC. The nurse will review patient charts, screen for procedural eligibility, and coordinate with physicians to ensure proper evaluation and...

Community Registered Nurse (RN)Part-TimeJefferson CountyAt Chariton Valley Association (CVA), a proud partner of Center for Human Services, we EMPOWER people with disabilities to achieve their highest level of independence through high-quality,...

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

Vivo Care is seeking a Care Navigator to build trust-based relationships with patients, triage vital signs via a Remote Care Platform, and coach patients toward healthier behaviors. The role focuses on RPM data, wellness calls, and collaboration...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...