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Job Title: Medical Claims Review Nurse Duration: 6 Months Location: Remote Payrate: $43.39/hr. on W2 Description 100% Remote (CANDIDATES MUST LIVE IN ONE OF THE PREFFERED 17 STATES (SC, MS, AZ,...

Utilization Review Rn 1st time ok/ 2 yr exp required for utilization review rn every other weekend required or more depending on unit needs no call or floating required must have experience with milliman care guidelines and acute hospital...

Nurse Reviewer – State of Illinois Location: Remote with on-site visits across Illinois We are currently seeking Nurses who reside in Central Illinois - preferably in McLean and Sangamon Counties. Position Overview...

Pre-Payment Review Nurse Consultant- Wisconsin It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible.

Registered Nurse – Utilization Review (Remote) Contract Length: 13 Weeks (Extension Possible) Facility: Providence Medical Center Location: 4101 Torrance Blvd, Torrance, CA 90503 Shift: Days – 5x8-Hour (08:00 AM – 04:30 PM)...

Utilization Review Nurse Health Plans - Case Management US:NM:Alamogordo | Utilization Management | Full Time This position has a remote option for those living close and will be able to come into the hospital as needed.

Job Description: Job Summary: Responsible for patient focused programs which may include but is not limited to: collaborating with health care team in providing direction for maintaining high quality...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to...

Utilization Review NurseWork Location: Los Angeles, CAJob #: 30315Work Hours: Monday-Friday 8am-4:30pmEmployment Type: 4 – Staff- LimitedDuration: 6 monthsSalary Range: $74.16–107.75 hourlyPosted Date: May 15, 2026Bargaining Unit: CNA –...

The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...

Care Manager—Registered Nurse We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...

ECM Lead Care Manager The ECM (Enhanced Care Management) Lead Care Manager will outreach and enroll clients in enhanced care management and be responsible for overseeing the development and implementation of comprehensive care plans for...

How you'll change lives...

Overview:Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Appeals and Grievance RN .*** Candidate must be authorized to work in USA without requiring sponsorship...

Pacificare Health Management - Nurse Consultant We are seeking a highly skilled and experienced Nurse Consultant to join our team at Pacificare Health Management in Los Angeles, CA. As a Nurse Consultant, you will be responsible for providing...

Job Description Registered Nurse - Full Time - Home Health (Florence County) *$15,000 with 2 years commitment Sign On Available! Responsibilities ...

For further inquiries regarding the following opportunity, please contact our Talent Specialist, Hema at (630) 847-0275 or Sri at (630) 847-0953 Title: Occupational Health Nurse - Remote Duration: 12 Months...

Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...

Registered Nurse – Clinic/Wellness/Immunization The Registered Nurse – Clinic/Wellness/Immunization works in a variety of either remote or clinic locations to serve a specific population's health and wellness needs. The Registered...

Posting Date 06/15/2026 100 Washington Blvd, Montebello, California, 90640-6211, United States of America DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to...

RN Med/Surg Tele Per Diem ATC Healthcare is currently hiring for a registered nurse medical surgical telemetry per diem assignment for a prominent healthcare facility in Culver City, CA. Pay is $48-$53/hr. Work type is temporary: per diem...

Become a part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...

Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...