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Immediate need for a talented Registered Nurse Utilization Review - Onsite-Santa Clara, CA.This is a 03+ months contract opportunity with long-term potential and is located in U.S(Remote). Please...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help...

Responsive recruiter Benefits: Competitive salary Flexible schedule Opportunity for advancement Training & development RN Home Assessment (Per-Case...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable,...

Job Description Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal...

Explore Opportunities With [Agency Name] A part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their...

Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals, denials or...

Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance...

Review the work of others. Develop innovative approaches. Work collaboratively in a matrix environment. Sought out as expert. Anticipate customer needs and proactively develops solutions to meet them. Serve as a key resource on complex and/or...

Job Type Full-time Description Join our team and earn a $4,000 sign-on bonus! | No Nights | No Weekends | Paid Holidays | | Competitive Pay | Bonus Potential | Generous Benefits/Retirement...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide...

Description Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity...

Details Client Name Ohio States Richard M Ross Heart Hospital - Columbus - AYA Job Type Travel Offering Nursing Profession RN...

We're unique. You should be, too. We're changing lives every day. For both our patients and our...

Details Client Name Ohio State University Wexner - Richard M. Ross Heart Hospital Job Type Travel Offering Nursing Profession...

RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

About the Heart Optimization & Evaluation (HOPE) Clinic Join the Heart Optimization and Evaluation (HOPE) Clinic at Corewell Health, a multidisciplinary program caring for patients with advanced heart failure. HOPE RNs play a...

The School Registered Nurse oversees the application of the nursing process and the delivery of student care in a school setting. The School RN supports the physical, mental and emotional well-being of students within the school setting. The...

What You'll Do: The Ohio Department of Health / Complex Medical Help program is looking for an experienced nursing leader to oversee statewide public health nursing programs, guide policy development and ensure consistent,...

About the Opportunity We are seeking experienced Med-Surg / Telemetry RNs to provide high-quality care to patients requiring continuous cardiac monitoring and medical-surgical support. This role is ideal for...