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Description: Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a...

RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...

Cincinnati Children's is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case management, authorization, compliance, and education within the Utilization Review department.

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a...

Thank you for considering a career at Conduit Health Partners! Scheduled Weekly Hours: 24 Work Shift: Evenings (United States of America) The RN Triage Specialist provides...

Advocate Health and Hospitals Corporation is seeking a full-time RN for our Virtual Nursing Observation department. This 36-hour-per-week telehealth role involves coordinating care, monitoring patients, and applying nursing processes for virtual...

This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $140,000.00/yr - $170,000.00/yr Direct message the job poster from...

JR0059223 Tele-Health Nurse (Remote/LPN) (Open) Full-time McKesson requires new employees to be fully vaccinated for COVID-19 as defined by the CDC, subject to applicable, verified accommodation requests. McKesson is in...

Prior Authorizations Nurse (RN) (Temporary) Remote in California OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful consideration.That'swhy we do not use AI or automated...

What You'll Do As an Enrollment Nurse, your primary responsibility is enrolling patients in a chronic care management program. You'll call eligible patients, educate them about the program, answer questions, and assist interested patients...

Overview Clinical Documentation Specialist - RN, Remote 40 hours per week Facilitates improvement in the overall quality, completeness and accuracy of medical record documentation. Educates members of the patient care team...

Cleveland Clinic Health System seeks an LPN Central Admissions to initiate Home Health, Hospice and Infusion Pharmacy services for referred patients. This remote role includes on-site training at the Independence, Ohio center and scheduling...

American Health Plans Franklin, TN 37067, USA Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors...

As a Clinical Documentation Review Specialist (RN), you will help medical staff clarify patient records to ensure appropriate reimbursement and reflect care complexity. You will perform concurrent reviews and engage with physicians...

WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant patient care. The role emphasizes adherence to HIPAA, state and federal regulations, and a...

Job Title Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital...

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...

RequirementsActive RN Compact License.Must reside in Ohio, Delaware, Pennsylvania, Texas, Tennessee, Louisiana, Florida, or Virginia.Minimum of 1-2 years clinical experience in acute or ambulatory care setting...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to...

Description Our Certified Nursing Assistants (CNAs) actively incorporate our “Philosophy for Person-Directed Care.” You would develop awareness of residents' interests and needs, and assist residents to maximize their independence and...

A-Line Staffing Solutions LLC is seeking a Clinical Review Nurse to support remote members in the Central Time Zone. This role focuses on concurrent reviews, care appropriateness, and discharge planning, with collaboration across medical affairs...

Enjoy a $1000 Hiring Bonus Part-Time Along with Great Benefits! Glen Park Glendale, Mariposa seeking a compassionate and dedicated Licensed Vocational Nurse (LVN) to oversee the wellness and care of our residents in a safe and supportive...

Saint Joseph Health System is seeking an RN Utilization Review specialist for a part-time, remote PRN role that requires on-site training in Mishawaka, Indiana. The position emphasizes reviewing medical necessity, insurance requirements, and...

Brighton Health Plan Solutions, LLC is seeking an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely in North Carolina. You will use evidence-based guidelines and internal criteria to determine...

OverviewAs our Educator, RN in Periop, you will serve as a consultant/resource professional by providing staff development expertise as an educator, facilitator, change agent, leader, and researcher, ensuring educational initiatives are...