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Sentara Health is hiring an Integrated Case Manager, RN. This remote role requires travel to Roanoke, VA for in-person assessments and periodic member visits. You will manage care plans, coordinate services, and collaborate with medical directors...

Concurrent Utilization Review (UR) Nurse The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members...

Job description RN'S NOW HIRING! All SHIFTS! We are looking for a qualified nursing supervisor to oversee patients and manage the nursing team of our facility. Our ideal candidate has solid experience as a registered...

Navitus is hiring a Telehealth Registered Nurse to conduct telephonic comprehensive medication reviews (CMRs) and provide medication counseling to members. This role ensures CMS and HIPAA compliance while coordinating with healthcare providers,...

Job Summary and Responsibilities As our CNA Patient Care Assistant (PCA), you will be a central figure on our patient care team, providing direct, compassionate, hands‑on support to patients and assisting nurses and other healthcare...

MDS Solutions, a division of Key Rehabilitation, is seeking a remote MDS Coordinator to plan, organize, and coordinate the completion of the Minimum Data Set (MDS) in accordance with Federal and State regulations. RN license is required;...

Health & Human Services in North Carolina seeks a Nurse Consultant I (NS) to perform regulatory nursing home inspections, ensuring compliance with federal and state requirements and preparing deficiency reports. The role is home-based with regular...

Keck Medicine of USC is seeking a Care Partner to assist nursing staff in patient care delivery, clerical duties, and unit organization. Responsibilities include equipment setup and ongoing maintenance, with emphasis varying by unit.A California...

Job Description The Robotics Surgery Specialist works under the direction and supervision of the Associate Director and Executive Director. The RSS is responsible for developing and implementing services and activities related to the...

Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...

TriWest Healthcare Alliance is seeking a Utilization Management Clinical Review nurse to assess medical necessity and manage prior authorizations for Behavioral Health and Medical/Surgical requests. You will apply InterQual criteria, document in...

Peraton, through SafeGuard Services (SGS), is seeking a Nurse Reviewer to conduct medical record reviews and determine claim payments with sound clinical judgment. The role involves researching Medicare regulations, identifying billing issues, and...

DescriptionCNA - Sub Acute at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full-Time and will work 12-hour Day shifts. Provides basic nursing care to patients, under direct supervision of RN; assists...

Virtual Care Registered Nurse (RN) Join our team as a day shift, full-time Virtual Care Registered Nurse (RN). Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team...

Overview Join our team as a day shift, full-time, Virtual Care Registered Nurse (RN). Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We...

Job Description Clinical Quality Assurance Nurse (RN/LPN) - Remote | $26.50/hr Title: Clinical Quality Assurance Nurse (RN/LPN) - Remote Location: Remote (U.S.-based)...

Details Client Name Northridge Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

Triage Registered Nurse Per-Diem Hours: Sundays 12am to 8am Summary & Objective The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive...

Intermountain Health is seeking an RN Utilization Review Care Management I for flexible, enterprise-wide coverage, including shifts across Peaks/Canyons/Desert regions. The role emphasizes utilization review, clinical decision-making, and...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Registered Nurse I (RN I) Los Angeles, CA | $43.50 - $55.00 per hour Kedren Community Health Center, Inc. is seeking a compassionate and dedicated Registered Nurse I (RN I) to provide...

Nurse Practitioner / NP or Physician Assistant / PA in Urology Join a collaborative, established urology team offering a competitive salary, quarterly productivity bonuses, and an excellent work-life balance! About the Company:...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

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...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...