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Spectraforce Technologies, Inc. is seeking a Clinical Review Nurse - Prior Authorization for a 12-month assignment. The role is remote (PST/CST) with scheduling across multiple shifts, supporting national guidelines and contractual requirements.

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, community is still the heart of our organization. It means providing our neighbors with the best care possible,...

Job Summary At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable...

Orlando Health Medical Group is hiring an Ambulatory Triage Nurse (RN) in Orlando, FL. You will handle high-volume patient calls, provide acute intervention guidance, and coordinate care with providers and nurses. This role offers a...

Advocate Health is seeking a Telehealth Triage Nurse (RN) for a remote, part-time role. Location is within the Winston-Salem area with eligibility for remote work, second shift, 24 hours per week. Requires RN license and strong triage and...

Case ManagerJob Summary: The Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures correct level of care: critical, telemetry, acute, observation, for all...

Overview Join our team as a day shift, full-time, Virtual Care Registered Nurse (RN). Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We...

Buena Vista Home Health, Palliative Care & Hospice (BV) is seeking an experienced OASIS Review Nurse (RN) for a remote, part-time QA role. The RN will ensure OASIS assessments are accurate, complete, and compliant with CMS regulations and state...

Come care with us at West Coast University! As a Nursing Academic Specialist for a certified Great Place to Work, you will guide nursing students to do more than change their own lives – you will help change the lives of...

AIS Healthcare is seeking a Home Infusion IVIG RN to provide infusions in patients' homes in the Evansville area. This PRN, remote position emphasizes autonomy, patient relationships and quality care outside traditional hospital settings.

Netsmart Technologies, Inc. is seeking a Registered Nurse with utilization management experience to review ED admissions and apply InterQual/MCG criteria for medical necessity. You will discuss documentation with ED physicians and ensure proper...

Remote Review Nurse SUMMARY DESCRIPTION: The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set...

We are seeking a compassionate and skilled Licensed Vocational Nurse (LVN) to join our team at a Skilled Nursing Facility. As an LVN, you will be responsible for providing direct nursing care to our residents under the direction of a Registered...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

Details Client Name Providence - Saint John's Health Center Job Type Travel Offering Nursing Profession RN...

Department: 12707 Enterprise Corporate - Patient Access & Care Team: NC/GA Nursing Status: Part time Benefits Eligible: Yes Hours Per Week: 24 Schedule Details/Additional...

Moments Hospice Triage RN The Moments Hospice Triage RN is a key member of the interdisciplinary team, providing after-hours clinical support to patients and families. In this fully remote role, you will assess needs, provide guidance,...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...

Nurse Practitioner – Virtual Care Location: 100% Remote (Canada) Employment Type: Full-time (32+ hrs), part-time (21 hrs), or contractual (minimum 8 hrs/week) Redefine primary care practice, wherever you are Do you...

Job Summary This position is responsible for ensuring compliance with Utilization Management (UM) and Quality Review (QR) functions performed by the health plan. The role supports clinical review activities requiring 5+ years of experience...

***Flu Vaccination Required, NO DECLINATIONS*** ***No Christmas RTO. Thanksgiving RTO may be considered, but will need final approval from director upon submission review*** JOB REQUIREMENTS: - Experience: 2 years of NICU RN exp. NICU III required...

Medical Management And Health Education Program Coordinator Fully Remote JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs.

Dermatology Practice Manager Work Location: Los Angeles, CA, USA Work Schedule Monday, Tuesday, Wednesday, Friday 7:00am-6:00pm Salary Range: $132,300 - $307,100/annually Under the supervision of Operations Director,...

Mosaic Life Care is seeking a CDI reviewer to perform initial and intermediate clinical documentation integrity reviews. You will work with providers to clarify documentation and ensure accurate ICD-10-CM/PCS coding and DRG assignment.

Benefits: Bonus based on performance Competitive salary Flexible schedule Havenova Home Care Solutions is seeking a Registered Nurse (RN) to support clinical oversight, care...