• Denials Prevention Specialist, Clinician

    Datavant (Nashville, TN)
    …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
    Datavant (11/12/25)
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  • Coord - PAI Inpatient Rehab Facility

    HCA Healthcare (San Antonio, TX)
    …Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics: 1. Education: Licensed clinician , such as RN , PT, OT, ST 2. Experience: a. ... to join an organization that invests in you as a Coordinator - PAI Inpatient Rehab Facility? At Methodist Hospital, you come first. HCA Healthcare has committed up… more
    HCA Healthcare (09/19/25)
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  • Social Worker - Inpatient Behavioral Health

    Garnet Health (Harris, NY)
    … units. Frequent contacts with: law enforcement personnel, EMS, Medical Center security, ED RN staff, and family members. SW Clinician - is also responsible to ... make your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. Responsibilities The… more
    Garnet Health (11/25/25)
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  • Advanced Practice Provider (NP/PA)…

    Cleveland Clinic (Cleveland, OH)
    …developing educational programs. The Cleveland Clinic Neurological Institute seeks a **full-time inpatient APRN (Adult, Family, or Acute Care certified) or PA** to ... work as an independent clinician in collaboration with physicians, fellows, residents, and other APPs. The role supports **General Neurology** and **Stroke… more
    Cleveland Clinic (11/19/25)
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  • PRN Patient Logistics Coordinator RN Psych…

    HCA Healthcare (Kansas City, MO)
    …to charitable organizations. Apply Today! Job Summary and Qualifications The Registered Nurse coordinates and delivers high quality, patient-centered care ... your career as an PRN Coordinator Patient Logistics Psych RN with Research Psychiatric Center. Benefits Research Medical Center...growth, we encourage you to apply for our Assessment Clinician LCSW LPC opening. We promptly review more
    HCA Healthcare (10/29/25)
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  • RN Wound / Ostomy / Continence FT

    Houston Methodist (Nassau Bay, TX)
    …of the hospital policies and procedures as well as regulatory guidelines. As a nurse clinician , the RN Wound, Ostomy, Continence position integrates ... nursing experience in specialty or related area **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact… more
    Houston Methodist (11/06/25)
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  • Wound and Ostomy Nurse ( RN ) / IP…

    Hartford HealthCare (Bridgeport, CT)
    …and workflow related to wound ostomy continence care. Licensure, Certification, Registration * Licensed Registered Nurse from the CT DPH. * Enrollment in a WOCN ... opportunities for professional growth and skill maintenance as WOC RN . * Strong ability to review cases...**Organization:** **St. Vincent's Medical Center* **Title:** *Wound and Ostomy Nurse ( RN ) / IP Nursing Wound Care… more
    Hartford HealthCare (09/09/25)
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  • RN Medical Management Nurse

    Elevance Health (Los Angeles, CA)
    RN Medical Management Nurse - California...6pm PST. Rotating Weekends and holidays. The **Medical Management Nurse ** is responsible for review of the ... consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate types, places, or… more
    Elevance Health (11/25/25)
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  • Utilization Review Nurse

    US Tech Solutions (May, OK)
    …Activities Experience: . 3+ years of experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have ... MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF UTILIZATION… more
    US Tech Solutions (10/17/25)
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  • Behavioral Health Utilization Management…

    AmeriHealth Caritas (LA)
    …company holidays and 1 to 2 weekends per year **Education & Experience** + Registered Nurse candidates: Associate Degree in Nursing (required) or Bachelor Degree ... for completing medical necessity reviews. Using clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services,… more
    AmeriHealth Caritas (11/19/25)
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