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Scope of work Provides health information, interacts, and acts as a resource for providers for complex clinical situations to ensure appropriate use of preservice and concurrent acute medical and/or behavioral health care services.

The Evidence-Based Practice Specialist/Nurse Scientist supports infrastructure for the dissemination and application of evidence-based knowledge to improve nursing practice and related outcomes. Collaborates and consults with nursing leaders and...

Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Staff Field Nurse (RN) Senior Helpers of Northern Queens is looking for a dedicated and compassionate Field Nurses (RN) to oversee the work of the LPN and Caregiver team on client assessments and while working with clients in the home.

Summary of Position Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members' health care needs, identifying gaps...

MS/Tele RNs are needed for per diem at Long Beach Memorial Medical Center! Applications will be sent to clinical! Please ensure information is updated and correct to avoid delays. Candidates with 2 or more attendance/performance issues or...

RN Clinical Documentation Improvement Specialist This is a REMOTE opportunity Your experience matters: Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital,...

City/State Virginia Beach, VA Work Shift Second (Evenings) Overview: Sentara is hiring a Registered Nurse for the Innovative Inpatient Care Model in the Brand New Centralized Virtual Acute Care...

Legacy IHP Solutions is seeking a casual Registered Nurse (RN) to provide remote clinical support in older adult, senior living, behavioral health, and chemical dependency communities. This is a work-from-home position open to those based...

Clinical Quality Reviewer – Nurse, Senior The Clinical Quality Team is responsible for reviewing and abstracting medical records to capture data and to ensure accuracy and completeness. The Clinical Quality Reviewer – Nurse, Senior...

Orb Health in California is seeking a licensed LVN, LPN, or RN to join their remote team as a Care Management Nurse. This role involves providing telephonic care management services to chronic patients and requires at least 1-2 years of clinical...

Are you a dedicated clinician passionate about providing exceptional care? Join our team at Adara Home Healthcare where we pride ourselves on delivering top-tier home health services. At Adara Home Healthcare, you'll not only make a difference in...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...

Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...

**A government contract requires that this position be restricted to U.S. citizens or legal permanent residents. You must provide documentation that you are a U.S. citizen or legal permanent resident to qualify. Provides...

Description We are seeking a Registered Nurse to serve as a Field Engineer providing hands-on support during a multicenter clinical study involving a surgical device used in open procedures. This per diem role involves working...

Nurse Practitioner At Claris Health, we believe that every individual is a story worth cherishing - a story of hope, resilience, and the chance for a brighter future. For nearly 50 years, we've stood beside individuals and families during...

Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States,...

Appeals and Grievances Nurse Specialist RN IIJob Category: ClinicalLocation: Los Angeles, CA, US, 90017Position Type: Full TimeRequisition ID: 13049Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)Job SummaryThe Appeals and...

Remote - Candidate is required to reside in California. The RN School Support Manager is responsible for the clinical oversight of the designated medical care needs per the district contract. This oversight includes support of care...

Job Description Manages specific patients throughout their admission to ensure the availability of sufficient clinical and medical center resources. Communicates on a daily basis with medical staff, medical center personnel...

This position supports the Mission of the Hospital through the provision of distinctive and compassionate care to our patients. This position will provide safe and therapeutic management of patient care to adult and elderly behavioral health patients...

Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...

Position Summary Reporting to the Director, Ambulatory Services of Martin Luther King, Jr. Los Angeles (MLK-LA) Healthcare Corporation, the Ambulatory Clinical RN as the leader of the health care team provides professional nursing care, utilizing...