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This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

A leading health care organization is seeking an experienced RN for a Field-Based role in the Dallas area. The position involves approximately 75% travel to provide individualized care strategies and manage health plans for Medicaid members.

Where You'll Work St. Elizabeth Community Hospital provides state-of-the-art health care to the North State communities. This award-winning facility is a member of the Dignity Health system of health care providers and is a...

A leading healthcare provider is seeking a Care Management Nurse to establish and maintain efficient patient care processes. This remote position requires a valid Texas RN license and experience in patient care nursing. The role involves assessing...

Christie Clinic's department of Value-Based Care is seeking a full-time RN at the University clinic in Champaign from Monday-Friday 8:00am-5:00pm. with no night or weekend requirements. This position will allow for remote work following the...

A regional healthcare organization is seeking a Level I Utilization Management Clinician to perform utilization review for medical or behavioral health requests. This fully remote position involves collaborating with healthcare teams and ensuring...

Research Nurse (Per Diem) - Lexington, MA Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research...

Registered Nurse, Quality Assurance Reviewer The Registered Nurse, Quality Assurance Reviewer will work in conjunction with the Quality Manager and will be responsible for completing quality reviews for the Clinical Services and Provider...

OASIS & Utilization Review Nurse – Home Health (Florida) We are seeking an experienced and certified OASIS & Utilization Review Nurse to join our dynamic review team. This role is critical to ensuring the accuracy, compliance, and...

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America)...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: Aids patients in obtaining the correct level of care with...

Description 1 years of recent ED, ICU, or IR experience strongly preferred. Fast paced minimally invasive procedural department. RNs are responsible for care of the patient during interventional radiology procedure, including assessment, sedation,...

Overview This position is a temporary role facilitated through one of our contracted agencies and is not a direct employment opportunity with IEHP. The contracted agency offers an assignment length of up to six months, during...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

A public university health system in Santa Monica is hiring a skilled Clinical Nurse who will provide comprehensive nursing care across various phases. This position requires a BSN or MSN, with a preference for candidates having experience in...

This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

Salary: $70,779.53 Annually Location : Homebased, GA Job Type: Full-Time Salaried Job Number: 2020-02252 Division: Healthcare Facility Regulation...

A leading healthcare provider in Virginia Beach is hiring a full-time Senior Inpatient Case Manager Registered Nurse. The role requires a Registered Nurse license and three years of related experience in acute care. Responsibilities include...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions...

A healthcare organization is seeking a Recovery Audit Contractor (RAC) Coordinator (RN) to manage denial and recovery audit requests. This role involves coordinating approvals and denials and ensuring proper policy implementation. The ideal...

The overall purpose of the Wellness Nurse position is to provide Person-Centered Care consistent with accepted standards and expectations of Sunshine Retirement Living and state regulations. The Wellness Nurse's responsibilities include, but are not...

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Reporting To:...

RN Care Review Clinician The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

Utilization Review Case Manager The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts...