Clinical Reviewer - SCA (Remote - RN)
McLean, Virginia
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 rallying c...
7d
| Job Type | Full Time |
Clinical Nurse Specialist-2N Obs/4N Ortho Units
Parkersburg, West Virginia
Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important inform...
7d
| Job Type | Full Time |
Utilization Management and Review Coordinator
Byron Center, Michigan
Responsibilities Southridge Behavioral Hospital is a beautiful and new state-of-the-art facility. As a joint venture with the Trinity Health System and Universal Health Services, we serve up to 96 adult and geriatric patients across four un...
7d
| Job Type | Full Time |
RN Patient Services Manager II - Pain Management Center
Chapel Hill, North Carolina
Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Assists a higher level nurse manager in the following duties...
7d
| Job Type | Full Time |
RN Care Manager (Full time weekdays)
Little Rock, Arkansas
Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions...
7d
| Job Type | Full Time |
Portland, Oregon
Posting Date02/13/2026 6828 Se Foster Rd, Portland, Oregon, 97206-4546, United States of America DaVita is seeking a Clinical Coordinator who is looking to give life in an outpatient dialysis center. You can make an exceptional difference i...
7d
| Job Type | Full Time |
Utilization Management Reviewer - Behavioral Health (LMHC, LICSW) Massachusetts only!
Boston, Massachusetts
Commonwealth Care Alliance (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed ca...
7d
| Job Type | Full Time |
Clinical Appeal and Grievance Nurse
Somerville, Massachusetts
Mass General Brigham Health Plan
The role is an integral part of our Appeals and Grievance review process and will ensure clinical/pharmacy appeal case reviews meet contractual, regulatory, and business goals. The position collaborates with members of the Appeal and Grieva...
7d
| Job Type | Full Time |
Utilization Management Nurse, Consultant- Lead
Rancho Cordova, California
Your Role The Utilization Management team manages accurate and timely prior authorization and inpatient stays reviews for our members and correctly applies the guidelines for nationally recognized levels of care for our Shared Services depa...
7d
| Job Type | Full Time |
Utilization Management Nurse, Consultant- Lead
Long Beach, California
Your Role The Utilization Management team manages accurate and timely prior authorization and inpatient stays reviews for our members and correctly applies the guidelines for nationally recognized levels of care for our Shared Services depa...
7d
| Job Type | Full Time |