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Please make sure to complete all the questions in the application and continue through to the end in order to sign and submit it. The preferred work hours are 8:30 am / 9 am - 5 pm / 5:30 pm central time...

Working remotely in a full-time capacity, the Florida RN Utilization Reviewer will conduct admission, concurrent, and retrospective reviews of medical records to ensure compliance with clinical performance standards and reimbursement guidelines...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

Job Description: The Flight Nurse I provides advanced, autonomous medical care to critically ill or injured patients during air and ground transport. This position demonstrates exceptional critical thinking, technical skills, and collaboration...

WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from...

About the role We are seeking an RN Case Manager to focus on long-term wellness, independence, quality of life, stability, and daily health maintenance. In this role, you will bridge clinical health care needs with...

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any...

Iconma Portal is seeking a Registered Nurse-Review Analyst for a remote position with a Health Insurance client. You will conduct prospective, concurrent, and retrospective reviews across inpatient, outpatient, ambulatory, and ancillary services...

Infection Preventionist Nurse - Acute Care is an exciting opportunity to lead infection prevention initiatives at a respected Southern California medical center. The Infection Preventionist Nurse - Acute Care will advance patient...

Munson Healthcare is seeking a remote Front Desk Clerk to greet patients and families and manage registrations. Responsibilities include collecting insurance information, scheduling appointments, and coordinating with care teams. Remote...

Registered Nurse - Case Manager Join our team as a Registered Nurse - Case Manager and make a difference in patient care at Providence Saint Joseph Medical Center. What You'll Be Doing Perform care coordination and...

CareSource is seeking a Manager of Utilization Management in Massachusetts. The role leads the UM team, ensuring consistent application of authorization criteria and adherence to NCQA/URAC standards. Requires MA RN license and 5+ years in clinical...

Details Client Name Ronald Reagan UCLA Medical Center Job Type Travel Offering Nursing Profession RN...

Company Highmark Inc. Job Summary This job works with appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines.

Arkansas Blue Cross and Blue Shield is seeking an experienced Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and benefit inquiries. The role evaluates medical necessity using evidence-based...

Registered Nurse - Case Manager Join our team as a Registered Nurse - Case Manager and make a difference in patient care while enjoying a flexible travel contract. What You'll Be Doing Coordinate care for patients in...

Mass General Brigham Health Plan in Somerville, MA is seeking a clinical RN with UM experience to provide escalation support and triage inquiries, evaluating medical necessity and ensuring adherence to guidelines. You will collaborate with Nurse...

Join our team at Briarcrest Nursing Center, a 135-bed facility! 5648 Gotham St, Bell Gardens, CA 90201 Prioritizing AM and PM shift hires! CNA Lic# must be verified on CDPH.gov (all CNA positions have a CNA license...

Spanish Speaking LPN Nurse (REMOTE), Colorado Location: 100% Remote Flexible Hours: Set your own schedule Requirement: Must hold an active Colorado's LPN license Job Summary We are seeking a bilingual...

Clinical Nurse Reviewer As one of the fastest growing Independent Physician Associations in Southern California, our organization offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and...

A healthcare management firm is seeking an RN Care Management Coordinator – Compliance Specialist to ensure compliance with relevant regulations and standards. This remote position requires a minimum of five years of clinical experience, an...

Logan Health Medical Center is seeking a Utilization Management Specialist to review admissions across the system and determine appropriate status. This role suits an RN or Social Worker with acute care experience, capable of collaborating with...

Sentara Health Plans is seeking a Care Coordinator- LPN to provide case management for Members in Nursing Facilities across Roanoke, Lynchburg and Danville areas. The role is remote from home with periodic travel to facilities; typical hours are...

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current employees and candidates who reside in Idaho and Utah* Build a career with purpose.

Benefits: High Degree of Independence Flexible schedule Elevate Patient Care from the Comfort of Home Are you a highly skilled RN looking for the autonomy of independent practice and the flexibility of a part-time...