• Licensed Practical Nurse III - Rifle

    State of Colorado (Garfield County, CO)
    LICENSED PRACTICAL NURSE III - Rifle, CO Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5175964) Apply  LICENSED PRACTICAL NURSE III - ... Assessment + Performs both admission and daily assessments during clinical stay, identifying critical stay, identifying critical incidents, emergencies, acute… more
    State of Colorado (12/18/25)
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  • Utilization Review Nurse

    Actalent (Rancho Cordova, CA)
    Utilization Review Nurse About the Role We're looking for a Utilization Review (UR) Nurse to join our team and support high‑quality, cost‑effective patient care ... from a fully remote environment. This role is ideal for nurses who...environment. This role is ideal for nurses who enjoy clinical evaluation, structured decision‑making, and collaborating with providers to… more
    Actalent (12/24/25)
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  • Nurse Case Manager I

    International Medical Group (Indianapolis, IN)
    …an active RN license in good standing in Indiana. + Location: Hybrid or Remote working options. + Corporate office is in Indianapolis, IN. + Relocation Expenses ... outpatient management of assistance cases. + Knowledge of the Non-certification process and Appeals process including logs and time frames. + Participate in the on… more
    International Medical Group (11/16/25)
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  • PRN Clinical Utilization Review Specialist

    Community Health Systems (Franklin, TN)
    **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital ... role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers to facilitate efficient… more
    Community Health Systems (12/03/25)
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  • Clinical Documentation Specialist

    CaroMont Health (Gastonia, NC)
    …for promoting and monitoring safe, high-quality, cost-effective healthcare with the best clinical outcomes possible. Provide physician and nurse education to ... and reporting. Perform data collection and analysis, trend identification for assigned clinical outcomes, and present this data at the appropriate meetings as… more
    CaroMont Health (12/17/25)
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  • Behavioral Health - Case Manager

    Texas Health Resources (Arlington, TX)
    …are Better + Together_ Work location: Texas Health Resources - Behavioral Health, Remote Work hours: Full-time (40hours) Monday - Friday 9:00AM - 5:00PM Education * ... Master's Degree Counseling or Social Work Required Experience * 3 Years Clinical psychiatric or chemical dependency experience Required and * 6 Months in case… more
    Texas Health Resources (01/02/26)
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  • Mental Health Clinician I - Colorado Mental Health…

    State of Colorado (Denver, CO)
    …duties. This position works under the supervision and direction of a registered nurse and assists with psychiatric nursing care of mentally ill patients; observes, ... Therapeutic Patient Care: Under the direction and supervision of a registered nurse , engage with patients to establish and maintain a therapeutic relationship which… more
    State of Colorado (01/01/26)
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  • Health Care Tech II- Mhtl- Pueblo West

    State of Colorado (Pueblo, CO)
    …medications and treatments; documents refusals of medications and reports this to the clinical team; and all information relevant to all aspects of the clients' ... pain or other medical needs to the Provider or Nurse + Knowing the 10 rights of Medication Administration,...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (10/21/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (Tacoma, WA)
    For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for … more
    Molina Healthcare (12/24/25)
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  • Care Advocacy Case Manager RN - Bilingual Spanish

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services About Blue Cross and Blue Shield of ... needs across the continuum of care by leveraging member partnership, pre-service clinical utilization review, case and disease management processes, skill sets and… more
    Blue Cross and Blue Shield of Minnesota (10/21/25)
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