• UnitedHealth Group (Cypress, CA)
    …to make a difference? Join us to start Caring. Connecting. Growing together . The Clinical Appeals RN is responsible for providing expertise in clinical ... records and verify if the requested service meets criteria Review pre-service appeals for clinical eligibility for... license in state of residence 2+ years of clinical experience as an RN , including in… more
    Upward (07/19/25)
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  • AmeriHealth Caritas Health Plan (Wilmington, DE)
    …in Nursing (ASN) required; Bachelor's Degree in Nursing (BSN) preferred An active compact state Registered Nurse ( RN ) license in good standing is required 3 ... Role Overview Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates...cases are escalated to the Medical Director for further review . The reviewer independently applies medical and… more
    Upward (07/21/25)
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  • Veterans Health Administration (Fort Knox, KY)
    Summary The Robley Rex VA Healthcare System is actively recruiting for a Registered Nurse with the Daytime Clinical Contact Center in Primary Care located at ... have first consideration, current SF50 required for this consideration. Videos Duties CCC Triage Registered Nurse ( RN ) interprets the philosophy and goals of… more
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  • UnitedHealth Group (Grand Junction, CO)
    …a difference? Join us to start Caring. Connecting. Growing together. The Clinical Coordinator is responsible for processing all Behavioral Health and Substance Use ... approved medical necessity criteria, escalating cases to secondary medical director review when necessary, and collaborating with leadership and medical directors on… more
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  • Veterans Health Administration (Reno, NV)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation,… more
    Upward (07/18/25)
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  • Veterans Health Administration (Aurora, CO)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... Summary The Spinal Cord Injury (SCI) RN is responsible and accountable for all elements...medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid… more
    Upward (07/16/25)
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  • Advocate Aurora Health (Libertyville, IL)
    …Demonstrates flexibility by performing additional duties when and where indicated. Licensure: Nurse , Registered ( RN ) Education/Experience Required: BSN or ... procedures and how electrical medical devices function. Performs an independent daily review of remote transmission of the devices implanted within patients.… more
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  • Veterans Health Administration (Johnson City, TN)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation,… more
    Upward (07/14/25)
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  • Veterans Health Administration (Ann Arbor, MI)
    Summary The LTC Charles S. Kettles VA Medical Center is seeking a Registered Nurse ( RN ) for the Dialysis Clinic, aligned under Medicine Service, located in ... Ann Arbor, Michigan. The Dialysis Registered Nurse ( RN ) is responsible...medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid… more
    Upward (07/20/25)
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  • Veterans Health Administration (Indianapolis, IN)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... current Richard L. Roudebush VAMC employees. Videos Duties The Nurse V DADPCS is of an executive nature, comprised...medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid… more
    Upward (07/16/25)
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  • Mount Sinai Hospital (Brooklyn, NY)
    …area of nursing practice. Special skills/experience may be required in specialized areas. Registered Nurse License and current registration in New York State. ... reflect the scientific knowledge, judgment and teaching skills of a professional nurse Responsibilities Role & Responsibilities: Registered Professional Nurse more
    Upward (07/18/25)
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  • UnitedHealth Group (Eden Prairie, MN)
    Registered Nurses, Pharmacy Technicians, and Care Coordinators. The Registered Nurse will report into the Director of Clinical Programs. The ... Registered Nurse will perform telephonic, patient-centered clinical consults focused on Care for Older Adults annual pain and functional assessments. In… more
    Upward (06/25/25)
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  • HCA Healthcare (Mcallen, TX)
    …is your next step in your career path, we encourage you to apply for our Registered Nurse ICU opening. We review all applications. Qualified candidates will ... Introduction Do you have the career opportunities as a(an) Registered Nurse ICU you want in your...providers and other members of the care team, the RN provides individualized, comprehensive, and compassionate care using established… more
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  • Catholic Charities of the Archdiocese of Washington (Washington, DC)
    …in accordance with the Individual recovery Plan (IRP). JOB SUMMARY: The Registered Nurse provides medication management and somatic treatment for community-based ... comprehensive benefits package, a hybrid work model with both remote and in-office work, and a passion for building...Community Treatment (ACT) Program: ACT is an intensive mobile clinical service for adults with serious and persistent mental… more
    Upward (06/27/25)
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  • Veterans Health Administration (Saginaw, MI)
    Summary This job announcement is for a Registered Nurse in the Gynecology (GYN) Clinic at the Aleda E. Lutz VA Medical Center in Saginaw, MI. Responsible and ... level degree in Nursing may have opportunity to become registered as a nurse with a state...medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid… more
    Upward (07/18/25)
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  • Morgan Stephens (Long Beach, CA)
    …organization serving California Medicaid (Medi-Cal) members is seeking an experienced and compassionate Registered Nurse ( RN ) to join its Care Management ... Job Title: Remote RN Admissions Coordinator - Long-Term...care, skilled nursing facilities (SNFs), or subacute rehabilitation settings. Review clinical documentation and assessments to determine… more
    Upward (07/21/25)
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  • CenterWell Primary Care (Buffalo Grove, IL)
    …requires you to sit on-site at our Buffalo Grove, IL branch location. The RN Clinical Manager coordinates and oversees all direct care patient services provided ... standards. Assesses staff education needs based on own the review of clinical documentation in addition to...accredited School of Nursing. Current state license as a Registered Nurse . Proof of current CPR. Valid… more
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  • Veterans Health Administration (Lincoln, NE)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... to ensure timely and appropriate provision of services. The nurse brings principles and theory with limited application of...medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid… more
    Upward (07/16/25)
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  • Veterans Health Administration (Philadelphia, PA)
    …patient information. Completed work should need only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and conformity ... and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation,… more
    Upward (07/19/25)
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  • SCAN (Long Beach, CA)
    …Goals. Other duties as assigned. Your Qualifications Bachelor's Degree in Nursing required. Registered Nurse ( RN ) License current & active required. Graduate ... Nursing Facility Residents Transitioning Back To The Community. Ensure the clinical appropriateness of member-centered care plans by evaluating assessment findings… more
    Upward (06/28/25)
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