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A leading healthcare provider seeks an UM Nurse Reviewer responsible for conducting medical reviews, identifying at-risk patients, and ensuring continuity of care. The ideal candidate will have an active RN license, strong analytical and...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

Job Summary Job Description: Job Summary: Start Date: Monday October 27, 2025 Salary: $85,000 annually, plus comprehensive benefits package The Care Manager supports...

Deep Roots. Solid Growth. Caring People. Rooted in Wyoming! We are Blue Cross Blue Shield Wyoming: a not-for-profit health insurer with offices throughout the state. Ever since a small group of caring,...

A leading medical service provider in Washington, DC is seeking a DME Medical Reviewer to ensure compliance with nursing standards and provide comprehensive management reports. The ideal candidate must hold an active RN license and have at least...

A healthcare organization in Manchester, NH, seeks a Nursing professional to provide centralized medication access support. Responsibilities include reviewing medication requests, communicating with patients, and adhering to clinical guidelines.

The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute?s (OSUCCC-James) mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The...

Become a part of our caring community and help us put health first The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS at our CP-NORTH HILLS HEALTH CENTER facility. This job is ON - SITE. FTE: 0.400000 Standard...

A leading health system is looking for a Registered Nurse Quality Improvement Analyst to lead quality improvement initiatives in Baltimore. Responsibilities include conducting QI activities, leading performance improvement teams, and ensuring...

A healthcare organization is seeking a Registered Nurse-Regional Clinical Support Specialist. This nationwide role requires a compact Registered Nurse License and at least 3 years of relevant nursing experience, including 1 year of management or...

ChenMed is seeking a Registered Nurse (RN) Educator for a nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: EducatorDiscipline:...

A leading healthcare organization is seeking a Clinical Appeals RN to ensure timely resolution of clinical/pharmacy appeals. This role involves collaborating with various teams to analyze clinical cases and provide recommendations. Candidates must...

Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...

Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

Pre-Access Utilization Management Registered Nurse Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for...

A prominent oncology care provider is seeking a Virtual Triage Nurse (RN) to enhance their remote care team. This position supports the Virtual Care Program, assessing patient needs over the phone, collaborating with qualified staff, and ensuring...

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...

Amergis Healthcare Staffing, Inc. is seeking a travel nurse RN Rehabilitation for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Rehabilitation Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours...

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...

Description Location: UCHealth UCHlth Leprino Building AMC, US:CO:Aurora Department: CTRC Outpatient FTE: Full Time, 0.9, 72.00 hours per pay period (2 weeks) Shift: Days Pay: $33.61 - $52.10 / hour. Pay is dependent on applicant's relevant...

Nightingale Nurses is seeking a travel nurse RN Med Surg for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Med SurgDiscipline: RNStart Date:...

VITAS Telecare RN The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing...

Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...