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SCAN is seeking a part-time, telephonic care coordinator RN to support frail seniors in navigating the healthcare system and living independently. You will work with members remotely to assess needs, develop plans of care, and deliver health...

Mass General Brigham Health Plan Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we...

Spectrumforce Technologies, Inc. is seeking a Clinical Review Nurse - Concurrent Review for a 3-month contract to hire. The role is remote with work location listed as Remote-MS CST, schedule 8 am-5 pm Central time, with occasional weekend...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's...

UF Health is seeking a Clinical Denial Management Nurse to support enterprise denial processes across UF hospitals. The role requires RN or LPN licensure in Florida, a BSN preferred, and clinical denial/appeals experience. You will...

LVN – Outpatient Clinic Infusion Day 5x8-Hour (08:00 - 17:00) Assignment Details Floating required. Requirements 2 years of outpatient clinic experience Active California LVN license...

Senior Clinical Quality of Care RN At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for...

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

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. CNA Rehab Full Time Nights Full Time 72 Hrs Los Angeles, CA, US CHA...

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,...

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...

Job Title This position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

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...

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...

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...

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...

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...

CVS Health Corporation is seeking a compassionate and experienced Registered Nurse Case Manager to support members in Essex County, NJ and nearby areas. This is a remote role with up to 75% field travel, Monday–Friday, 8:00 AM–5:00 PM EST.

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...

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...

Logan Health is hiring a Utilization Management Specialist to join the UM team. The role focuses on reviewing admissions, validating documentation and determining appropriate admission status across the hospital system. You will collaborate...

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

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

Purpose Provide nursing care to patients/families by utilizing the nursing process via the telephone for all patients. Provide nursing care to patients/families by utilizing the nursing process via the telephone for all patients.