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Ensemble is seeking a Virtual Utilization Review Specialist to join our remotely-based team. The role requires at least 1 year in denials management and 5+ years of acute care clinical experience, with RN licensure and Epic EMR familiarity.

Job Opportunity Our client is a private health management company devoted to providing an exceptional clinical team in the comfort, and privacy of a patient's own home. We are seeking dynamic, experienced, and compassionate Registered...

Guidehealth is seeking an Illinois-licensed registered nurse to join its remote Value Based Care Services team as an RN Case Manager. You will conduct telephonic outreach, assess needs, coordinate care, and document in compliance with...

Per-Diem Hours: Sundays 12am to 8am Summary & Objective The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

Providence Home Services Oregon is seeking a Clinical Documentation Specialist, Registered Nurse (RN) for a full-time, day-shift remote role open to multiple states. You will review OASIS admission documents and Plans of Care to ensure CMS...

LVN We are looking for dedicated LVNs who want to provide quality care to home-based patients. You will work one-on-one with the patient and truly impact their life as well as their family's. The job is consistent, long-term, and can work...

External Case Manager - Inpatient Rehab (RN, PT, OT, SLP)Cal Rehab, a joint venture with Select Medical, UCLA, and Cedars SinaiFull‑time (Mon‑Fri 8 am‑5 pm, plus rotating weekends) in Los Angeles, CA.Base salary $80,000–$115,000...

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation...

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 Experience!! The Emergency...

Flex Nurse Educator - San Francisco, CA IQVIA – Advancing Patient Support and Education. IQVIA, the world's premier provider of commercial healthcare solutions, is seeking licensed healthcare professionals for the position of Flex Nurse...

Staff Nurse (RN) - Oncology Continuing Care Triage James | Continuing Care The Ohio State University Wexner Medical Center's mission is to improve health in Ohio and across the world through innovation in research, education, and...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing...

Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

Maximus is seeking a Registered Nurse, Clinical Assessor to join our growing team. As a Nurse Assessor, you will conduct person-centered assessments in accordance with contract directives, company processes, and contract requirements. You'll...

*Description* *RN - Emergency 0.9 Mid Shift. This position is Full time, Mid Shift and will work 12 hours (3 to 3).* Providence Cedars-Sinai Tarzana Medical...

TEEMA partners with a top healthcare organization to recruit a Clinical Quality Reviewer. You will review medical records for quality and utilization concerns, and prepare clear recommendations for quality improvement. Remote or onsite...

Job DescriptionCentered in the heart of Montebello, Adventist Health White Memorial Montebello has a 70-year history of providing quality healthcare to the community. We are comprised of a 192-bed hospital, wound care medical office and surgical...

Job Type Part-time Description *PART-TIME POSITION OF TUESDAYS, THURSDAYS, AND ALTERNATING SATURDAYS* NURSE PRACTITIONER (PART-TIME) JOB SUMMARY Provides continuous and...

Evergreen Nephrology in Nashville, TN, is seeking a Nurse Care Manager to join our patient-centered team. You will manage an assigned patient panel, collaborate with physicians, APPs, and IDTs, and drive programs like Chronic Complex Care...

Corrections RN Opportunity Genie Healthcare is looking for a RN to work in Corrections for a 12.71 weeks travel assignment located in Appleton, MN for the shift (3x12hr flex-Please verify shift details with recruiter, 19:00:00-07:00:00,...

Clinical Nurse Consultant At Bristol Myers Squibb, our employees often ask, "Who are you working for?"—a question that fuels collaboration, accountability, and urgency in our work. Our purpose-driven culture inspires us to discover,...

About This Role Are you prepared to embark on an invigorating role within a dynamic, multi-disciplinary team? As a Clinical Nurse Specialist, you'll have the extraordinary chance to deliver specialised Mental Health nursing services that...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal health care professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

*** There is a separate BR for local candidates *** *** Modified schedule requests cannot be accommodated *** *** This is an OUTPATIENT CLINIC and does not include any surgeries *** Required Qualifications: • CA LVN License • BLS (AHA or ARC...