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Health Care Service Corporation is hiring a Nurse Liaison I for Utilization Management & Quality Review. This remote nationwide role supports clinical review activities, benefit determinations and medical necessity assessments, ensuring compliant,...

Elevance Health in Nashville, TN seeks an RN with managed care experience to investigate and process medical necessity appeals from members and providers. The role combines clinical review with documentation and regulatory compliance, with virtual...

Pay Package: Total weekly gross $ 2979 for 40 hrs Job Description: Tittle: RN Case Manager Location: Mission Hills, CA 91345 Duration: 13 weeks Guaranteed hours: 40 hrs Shifts: Day Job Description: Start Date:...

The Columbus Organization is hiring a Clinical Intake Specialist-LPN to act as the primary contact for individuals with complex care needs. You will conduct initial visits, perform needs assessments, and coordinate care with the Case Manager to...

Alliance Health is seeking an UM Clinical Specialist RN-Physical Health (Remote, NC Based) to assess medical necessity and oversee reviews across inpatient, outpatient, and elective services. The role emphasizes remote work with occasional...

RN - Mother/Baby Units Scheduled Weekly Hours: 36 Work Shift: Evenings/Nights (United States of America) Shift Hours: 7:00pm - 7:30am every Friday, Saturday, and Sunday Seeking prior postpartum, nursery or transition...

About the Job ASSIGNMENT SUMMARY: The Registered Nurse (RN) will be responsible for coordinating, implementing and supervising all nursing and personal care services at the Adult Day Health Care Center. The...

Details Client Name The Angeles Clinic and Research Institute - Crisis Response Job Type Travel Offering Nursing Profession...

Centene Corporation is seeking a fully remote Appeals Nurse Reviewer to conduct clinical reviews of medical records and data to determine medical necessity under NCQA standards. The role supports NY-state regulatory considerations and operates...

Hines & Associates, Inc. seeks a Registered Nurse reviewer to assess patient conditions and certify treatments according to URAC and applicable regulations. The role emphasizes clinical judgment, documentation, and collaboration with case managers...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Director Nursing Practice & Workforce Solutions (Remote) EDUCATION &...

Job Title: Registered Nurse - Full Time: 3 shifts per week, weekend availability required Base Rate: $41.73- $61.35 12 hr. shifts- paid overtime after 8 hours, resulting in an average rate...

Posting Date 10/06/2026 601 Hawaii St, El Segundo, California, 90245-4814, United States of America RN Case Manager - Position Highlights Location: Pasadena, CA Hybrid - (ESKD) This is a...

LVN – Outpatient Clinic Day shift, 5x8-hour, from 08:00 to 20:00. Floating required; possibly one weekend per month to assist at an Urgent Care location if needed. Requirements 2 years of experience in an...

Voted one of the best companies to work for by Modern Healthcare Magazine: Valley Vista Nursing and Transitional Centeris an award winning family company providing healthcare services...

Job Description: To show our commitment to you and to assist with your transition into our organization, we will also offer a $15,000 sign-on bonus for experienced RNs The Registered Nurse (RN) is a professional caregiver who assumes...

Nurse Case Manager II Location: Georgia Shift: M-F 9am-5:30pm with one 11:30am-8pm shift each week. Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions,...

Job Description Are you ready to bring your expert clinical skills to a world-class facility recognized as top ten in the United States for transplant services? Do you have a passion for the highest quality and patient...

Registered Nurse (RN Juvenile Corrections: Downey, CA Job Type : Assignment City : Downey State : CA Job Description: Registered Nurse...

Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as an RN Appeals Analyst, you will research the substance of complex appeal or retrospective review...

Clinical Triage Specialist (CTS) (RN) - Access Center St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are...

Wellness Nurse (LVN/LPN) Ciela offers seniors a state-of-the-art community which features incredible 360-degree views, expansive outdoor spaces, floor-to-ceiling windows, light-filled residences, gourmet California cuisine, engaging...

A leading healthcare recruiting firm seeks an RN Case Manager for field position in Newark. This full-time role involves managing care for 30 members weekly, conducting assessments, and developing care plans. Applicants should have at least 1 year...

Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

General PurposeThe primary purpose of your job position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and as may be directed byyour...