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Actalent is seeking an LVN Nurse Consultant for a fully remote telephonic nursing position. You will contact patients or caregivers to ensure adherence to prescribed therapies and address issues they may encounter, including nursing home...

Utilization Management RN Remote I'm currently working on a Utilization Management RN opportunity with a health plan client, supporting a temporary assignment during their Epic Tapestry system implementation and optimization. This is a...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Nurse 3 Job Location: Redondo...

The Registered Nurse is responsible for overseeing the health, wellness, and psychiatric stability of patients receiving Full-Service Partnership (FSP) and broader outpatient behavioral health services. The position is primarily...

Registered Nurse I Position allocable to RN I focus on applying recognized nursing principles/practices and developing nursing knowledge and skills while providing professional nursing care to patients in a variety of settings under close...

Details Client Name Norris Healthcare Consultation Center HC3 Job Type Travel Offering Nursing Profession Nursing...

Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues...

Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...

PHASE 1 Clinical Research RN CCRC Preferred Computer Skills: • IDX, Meditech, NextGen, PACS experience a plus • Bilingual English/Spanish a plus. This role will be involved with clinical trials centered around Rheumatology. Rheumatology,...

CareHarmony is seeking a licensed practical nurse to join as a remote Intake Coordinator in a full‑time role. The position supports value-based care management by coordinating resources for patients and conducting preliminary health assessments...

Cunningham Children's Home in Illinois seeks a Nurse Case Manager to support residential programs with medical case management, screening, education, counseling, and medication management. The role involves coordinating with community providers...

Care Coordinator Job Title: Care Coordinator Profession: RN (Registered Nurse) Specialty: Case Management Duration: 13 weeks Shift: 8H Days Hours per Shift: 8 hours, 08:30-17:00, 2 weekends a month...

Job Profile Summary 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 member's...

Job Title Day to Day Responsibilities Research and design treatment/care plans to promote quality of care, cost-effective health care services based on medical necessity complying with contract for each appropriate plan type.

Infection Prevention 3401 Cedar Ave, Long Beach, California, USA 72,800-118,560 per year Pay Based on Experience & Status RN or LVN Salary Full Time Full Benefits package for Health, Dental, Vision, PTO and...

Nurse Case Manager II - Illinois Position Type: Full-Time Contract Role Location: Fully Remote (Work from Home) Work Type: Work from Home Est. Pay Range: $30.00/Hour to $35.86/Hour on W2 (USD) Schedule: Mon - Fri 8:30 AM - 5:00 PM (3...

Job Description Registered Nurse (RN)- Torrance,CA Local Pay: $56.75/hour - (W2) Join our team and make a meaningful impact by delivering exceptional care in a professional...

Amerit Consulting is seeking an experienced Utilization Management Nurse (RN) in California for a remote 6-month contract. The incumbent will support inpatient utilization review, medical necessity determinations, and facility claims compliance,...

Travel Rn Labor And Delivery Nurse In Los Angeles, Ca This Labor and Delivery travel nurse job in Los Angeles, California, with Advantis Medical is a 13-week Travel Labor and Delivery Registered Nurse (RN) contract at PIH Health - Good...

Public Health Nurse The County of Los Angeles Department of Public Health is seeking qualified candidates to fill emergency Public Health Nurse vacancies related to the homelessness crisis. Under the emergency order, applicants who...

Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the identification of diagnoses, conditions, and procedures that are representative of the...

Aesthetic Registered Nurse $50/hr base + $5/hr weekend differential Fixed schedule No overnights You'll be the clinical expert patients trust to achieve results they didn't think were possible without surgery —...

JOB DESCRIPTION This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes...

Georgetown University comprises two unique campuses in the nation's capital. With the Hilltop Campus located in the heart of the historic Georgetown neighborhood, and the Capitol Campus, just minutes from the U.S. Capitol and U.S. Supreme Court,...

CVS Health is seeking a Nurse Consultant in Utilisation Management for a 100% remote role in the United States. You will review inpatient and outpatient services, authorise care, and coordinate with providers, while maintaining documentation and...