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Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Job Summary and ResponsibilitiesAs our Educator, RN in Periop, in accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position serves as a consultant/resource professional by providing staff...

Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...

Responsibilities Leads best practice implementation and patient care delivery systems across multiple locations.Delegates investigation and resolution of patient/family concerns regarding care and services.Facilitates physician and healthcare team...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

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...

ResCare Community Living, a part of the Sevita family, provides quality services that empower individuals, enhance independence, and help people...

Position Overview ACT is an intensive, community-based multidisciplinary treatment team that provides person-centered care to a shared caseload of adults whose needs are not able to be met through traditional outpatient services. In...

Employment Type: Full timeShift: 12 Hour Night Shift Description: The licensed Registered Nurse (RN) plans & provides professional nursing services &...

Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role involves developing and implementing...

Description The Faculty Advisor for Nursing and Health Professions is a key member of the Faculty Advisory Team within the Pearson North America Higher Education Customer Success Organization. They will strategically identify and partner...

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 with the care, pharmacy benefits, data...

HumanGood is always looking for top talent! This advertisement is not for an actual position but an opportunity for you to join our talent community. By applying to this posting, you are giving HumanGood permission to contact you when a future...

College Nurse This is a continuous recruitment to fill part-time, temporary, hourly assignments on an as-needed basis. Departments or divisions will refer to the pool of applicants on file to fill temporary assignments as needed. You will...

Advance Practice Nurse Psychiatric Nurse Practitioner – Tele-Psychiatry (Evenings/Nights) 100% Remote | Flexible Evening & Overnight Schedules | Full-Time, Part-Time & Per Diem Opportunities Remote (New Jersey-based...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301...

Community Health Nurse Supervisor Do you want to help shape public health programs that improve lives in Pennsylvania? As a Community Health Nurse Supervisor with the Department of Health, you will guide staff, coordinate services, and...

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means...

Pager Health℠ redefines how members navigate to care and wellness, validated by clinicians and powered by AI. Our solutions help people get the right care at the right time in the right place and stay healthy, while...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: ClinicDiscipline:...

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in...

Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

Job Description The Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Medicare Appeals and Grievances...

Your RoleThe Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Medicare Appeals and Grievances RN Lead will...

Details Client Name Kaiser Permanente Los Angeles Medical Center Job Type Permanent Offering Nursing Profession Nurse...