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UM Review Nurse - Texas Astrana Health is looking for a Utilization Review Nurse with a Texas LVN license to assist our Health Services Department in reviewing a high volume of outpatient and inpatient cases. This position will require...

Registered Nurse (RN) Lake Regional Healthcare is currently seeking Registered Nurses (RN) to deliver the best possible nursing care in LRH's patient-focused setting. Summary: Utilize the nursing process to identify patient...

Job Description Primary Duties And Responsibilities The Triage Nurse I provides professional telephone triage nursing services to Hoag Clinic patients. This role performs detailed evaluation of patient symptoms and...

Asure Wound Solutions seeks a Clinical Specialist, Wound Care Supplies for a remote role based in the Providence area. Requires nursing home/long-term care experience and strong wound care knowledge. Travel up to 2 hours for site visits is...

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 Title This is a remote position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values guide...

Job Description WHAT YOU'LL DO As an admissions nurse at VITAS Healthcare, you will be the first face of hospice for patients and families. Your meeting will likely be the first time they...

Registered Nurse Carson, California Full-time Our Clinic Nurse, RN plays a vital role by caring directly for our participants in the clinic including support with clinic overflow, day center triage,...

Registered Nurse (RN) PALS, Inc. is a leading provider of services for individuals with intellectual and developmental disabilities throughout Santa Barbara, Ventura, and Los Angeles Counties. We are seeking compassionate and dedicated...

Job Description: To show our commitment to you and to assist with your transition into our organization, we will also offer up to a $15,000 sign-on bonus when applicable. This position is full time, with openings on both day shift and night shift.

Summary VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire experienced Registered Nurses to work in our Case Management/Care Coordination Program. The Case Manager provides patient centered care with expertise in the...

RN - OR Location: Los Angeles, CA, 91342, US Start Date: ASAP Type: Per Diem Shift: Unknown Shift Job Description Registered Nurse (RN)– Los Angeles,CA Local Pay: $70.80/hour - (W2)...

*Job Summary and Responsibilities* As our Director Nursing Perioperative Services at St. Mary Medical Center, you will be responsible for Surgical service departments including OR, PACU, GI, Short Stay (Pre and Post Op Outpatient Surgery), and...

Job Profile Summary Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's...

Ansible Health Ansible Health is a virtual multi-speciality medical group that unites physicians, nurses, respiratory therapists, and tech experts from Columbia, Johns Hopkins, Google, Amazon, and other top institutions to revolutionize...

Utilization Management Nurse The primary role of the Utilization Management Nurse is to review and monitor members' utilization of health care services with the goal of maintaining high quality cost-effective care. The role includes...

TEKsystems seeks a Clinical Quality Assurance Specialist (RN/LPN) for a 100% remote, full-time role in the United States. The position offers a competitive hourly rate and a four-day work week with comprehensive benefits for full-time employees.

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Join Us at our Virtual Job Fair to learn more about this position! Tuesday, November 3rd | 12pm - 2pm CDT Register here: At UnitedHealthcare, we are simplifying the health...

Details Client Name Adventist Health White Memorial - Healthvines Job Type Travel Offering Nursing Profession RN...

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...

Job Description Why work here? Beyond outstanding employee benefits including...

Home Care RN Position Employment Type: Full time Shift: Monday - Friday 8am -5pm, with a weekend rotation every 4 weeks and two rotating holidays a year. No call requirements! $10,000 sign on bonus - Flexible Scheduling...

Sentara Health Plans seeks a Clinical Claims Reviewer RN for remote work. You will perform utilization management, review pre/post payment claims and authorizations for inpatient/outpatient cases, and address provider inquiries with appropriate...

Centene is seeking a remote Utilization Review Nurse to perform concurrent reviews, determine appropriate levels of care, and support discharge planning for inpatient services. You will collaborate with Medical Affairs and care teams to ensure...