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JOB DESCRIPTION AND POSITION REQUIREMENTS If you reside in one of the states listed in the above Notice to Out of State Applicants, please complete our SAFE‑T TeleSANE interest form. We accept qualified applicants from all states. Shape the next...

Utilization Review Nurse Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical...

Central California Alliance for Health is seeking a Prior Authorizations Nurse (RN) for a temporary, full-time role. This remote-in-California position reports to the Utilization Management Supervisor and involves ensuring PA requests comply with...

SCAN Health Plan in Long Beach, CA is seeking a HEDIS Nurse for a temporary, remote role. You will review medical records for NCQA-guided quality initiatives and perform member outreach. The position requires RN or LVN license, an associate degree...

🧠 About Legion Health Legion Health is a technology-forward psychiatry company delivering world-class outpatient mental health care while expanding access for patients through insurance. [We show...

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...

Vitability Health of New Jersey is seeking a licensed PA/NP to deliver telehealth services, conducting remote consultations and guiding preventive care and health management. The role emphasizes patient-centered care and strong communication with...

Infection Preventionist (IP LPN LVN)Are you looking for your new career? We are now hiring an Infection Preventionist (IP LPN LVN) to be the newest member of our awesome team!Salary Range: $$-$$ 93,600 per year.We believe in cultivating a family...

Infection Preventionist Nurse - Acute Care is an exciting opportunity to lead infection prevention initiatives at a respected Southern California medical center. The Infection Preventionist Nurse - Acute Care will advance patient...

Ways2Well is redefining healthcare through data-driven, personalized care delivered remotely. The Clinical Support RN will interpret medical data, educate patients, and collaborate with providers to ensure safe, effective care in a fast-paced...

Job Summary: Collaborates with Education Consultants and managers to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental goals and needs, as well as...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

RN Health Care Facility Surveyor - Georgia (#1147) CMS's Long-Term Care Basic Training and SMQT certification are required Airline and hotel points accumulate for...

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...

Claims Medical Review Nursing Consultant Job No: 544045 Work Type: Full-time Location: REMOTE OPTIONS, VARIOUS-STATEWIDE, PHOENIX Categories: Healthcare/Medical Support Level,...

The Nurse Consultant I role with Health & Human Services (North Carolina) conducts licensure and certification surveys for acute and home care providers. The position is home‑based in the Central/Eastern Region with travel across counties and...

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

MedWatch LLC is seeking a Remote Utilization Review Coordinator licensed practical nurse (LPN) to perform review and certification duties. The role requires an unrestricted LPN license and at least three years of clinical nursing experience.

Description Are you looking for your new career? We are now hiring an Infection Preventionist (IP LPN LVN) to be the newest member of our awesome team! Salary Range: $$-$$ 93,600 per year. We believe in...

Registered Nurse I (RN I) Kedren Community Health Center, Inc. is seeking a compassionate and dedicated Registered Nurse I (RN I) to provide professional nursing care to patients in an acute psychiatric setting. Working as part of...

Case Management Nurse The Case Management Nurse delivers comprehensive, client-centered case management services across the continuum of care, ensuring that each individual receives the most appropriate level and type of health, medical,...

Staff Education RNCollaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental goals and needs, as...

Sanford Health Careers Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility:...

Fuze Health seeks a Registered Nurse to support the FuzeRx Central Operations telehealth care team. This remote role focuses on ensuring Medicare member compliance with a new Stars measure and confirming ED discharge success, with additional HEDIS...