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A national health insurance company is seeking a Prior Authorization RN to review clinical appropriateness of prior authorization requests. This role is pivotal in ensuring compliance with Medicare and Medicaid criteria, while improving the...

About RPM Roman Pennsylvania Medical, P.C. (RPM) is a telehealth practice dedicated to providing high-quality, patient-centric care. RPM is part of the provider network affiliated with Ro, a direct-to-patient healthcare company.

Quality Assurance Position Contract-to-hire details and pay: $34/hr for a 520-hour contract-to-hire, long term opportunity. Compensation: listed below, fixed rates (no opportunity for negotiation). Training schedule: MondayFriday, 46...

CVS Health Aetna Case Manager RN 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...

A healthcare provider in Slidell, Louisiana is seeking a dedicated Registered Nurse to provide exceptional patient care using the nursing process. Candidates must be graduates of an accredited nursing school with a current RN license and BLS...

Color Health is revolutionizing cancer care with the nation's first Virtual Cancer Clinic, delivering high-quality, physician-led multidisciplinary care across all 50 states. Our innovative, guideline-based approach spans cancer screening, risk...

A healthcare organization in Manchester, NH, seeks a Nursing professional to provide centralized medication access support. Responsibilities include reviewing medication requests, communicating with patients, and adhering to clinical guidelines.

The School of Nursing seeks a didactic adjunct faculty member to deliver high quality learning experiences and education for students in the Graduate Nursing PMHNP program. The Adjunct Didactic Faculty of the School of Nursing fosters the...

Day to Day Responsibilities Triage and review cases as needed, working on prior authorisation cases following medical policy utilizing resources as needed Required Skills (top 3 non-negotiables):...

Deep Roots. Solid Growth. Caring People. Rooted in Wyoming! We are Blue Cross Blue Shield Wyoming: a not-for-profit health insurer with offices throughout the state. Ever since a small group of caring,...

Nurse Practitioner (Licensed NP) for Mobile Wound Healing LLC as a member of the medical team that specializes in wound care. Mobile Wound Healing LLC delivers wound care services at patients' residences inclusive of their homes, Assisted Living...

Overview The Physician Assistant (PA) or Nurse Practitioner (NP) will work under the general supervision of their Medical Director, all physician partners, and their APP Manager, in WakeMed Physician Practices to deliver...

A healthcare organization is looking for a Preservice Review Nurse RN in Boston, Massachusetts. The role involves performing pre-service clinical coverage reviews for Home Health services, ensuring patient access to appropriate care. Successful...

Come Grow with Us! TruHealth is a division of American Health Partners, a multifaceted company with operations in multiple states. We own nursing homes, health plans for Medicare beneficiaries living in...

A healthcare management firm is seeking a Medical Review and Appeals RN. This remote role involves reviewing and authorizing medical service requests, ensuring compliance with regulations, and implementing discharge planning. Candidates must have...

Overview At Houston Methodist, the Nurse Practitioner PRN position is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and...

1099 PRN CRNA - Mt Carmel Health - East CRNA OPPORTUNITY AT MT. CARMEL EAST IN COLUMBUS, OH! Premier Anesthesia has been providing service at Mount Carmel West/Grove City since 2014. We are actively recruiting PRN...

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...

Registered Nurse - Case Review Specialist STGi is currently seeking a Registered Nurse-Case Review Specialist. The position is remote and open to candidates nationwide. Job Summary: Provides direct support...

Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse plays a critical role in analyzing prior authorization requests to determine the medical necessity of services and the appropriate level of care. This position...

UW Health is seeking a Registered Nurse (RN) Med Surg for a nursing job in MADISON, Wisconsin. Job Description & Requirements Specialty: Med Surg Discipline: RN Duration: Ongoing Employment Type: Staff Description: Work Schedule: This is a 100%...

Job Details Responsibilities: The Virtual Primary Care Family Medicine Advanced Practice Provider (Nurse Practitioner/Physician Assistant) provides comprehensive primary care to new and established patients for Jefferson Health via...

Care Manager Sharecare is the leading digital health company that helps people unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers,...

*Clinicians must have at least 7 active state NP licenses to be eligible Wheel Medical Group is seeking nurse practitioners with multiple state licenses to join our network of world-class clinicians delivering virtual care.

A leading healthcare provider in Virginia is seeking a Registered Nurse Case Manager (RN) to join the team. The role is full-time, focusing on patient discharge planning, data analysis for care continuity, and collaboration with healthcare...