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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,...

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...

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...

Licensed Professional Nurse A licensed professional nurse directly under the supervision of the Director of Nursing Services that provides care and services to residents in a long-term care setting. Qualifications: •...

Admissions Nurse Do you enjoy being at the beginning of the journey? The Admissions Nurse is responsible for establishing and maintaining positive relationships with customers and referral sources within the community. The Admissions RN...

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...

Registered Nurse Location: Nation Wide Position Type: Full time (30-40+ hours/week), and Part Time (per mission) hourly. FLSA Status: Non-exempt Education Level: ASN/BSN is required, RN license Job Category:...

Blackbird Health is hiring a Registered Nurse (RN) for a 100% virtual role to support pediatric behavioral health care. You will coordinate patient care, manage appointments and medication refills, respond to crisis calls, complete prior...

Remote Prior Authorization Reviewer 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...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Utilization Review Nurse/ RN for Imaging/Commercial- Remote! Status:...

Are You Ready to Make a Difference in Healthcare? We are currently seeking a Registered Nurse (RN) to join our exceptional healthcare team! Salary Range: $46.00 - $51.05 per hour We are passionate...

Salary : $107,352.48 - $160,692.96 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: PH5230H Department: PUBLIC HEALTH...

Telephonic Insurance Case Manager (RN) | ARIZONA RESIDENTS ONLY Insight Global is seeking a Telephonic Insurance Case Manager (RN) to join a growing and well-established organization focused on helping injured employees navigate their...

McLaren Health Care is seeking a Registered Nurse to join the Utilization Management team. The role focuses on determining appropriate patient status, ensuring medical necessity, and documenting care for insurance and government payers within an...

Registered Nurse (RN) Are You Ready to Make a Difference in Healthcare? We are currently seeking a Registered Nurse (RN) to join our exceptional healthcare team! Salary Range: $45-47 per hour We are passionate about...

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...

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.

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.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...

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...

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...

About US: Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private & public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial...

Redesigning heart health via virtual cardiac rehab for older adults. Mission-driven team of clinicians and engineers. Responsibilities: Review EMRs to determine eligibility and create orders.

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...

Registered Nurse The MT Youth Challenge Academy (MYCA) registered nurse (RN) provides services for daily sick calls, skilled nursing assessments, recording and maintaining accurate records, administer medications and monitor patient's...