Clinical Nurse Reviewer

Job Summary:TriWest Healthcare Alliance is seeking a skilled Clinical Utilization Reviewer to join our team. As a Clinical Utilization Reviewer, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key Responsibilities:Review and make decisions about the appropriateness and level of beneficiary care being...

Job Title: Clinical Utilization Review SpecialistJoin Centene Corporation, a leading healthcare company, as a Clinical Utilization Review Specialist. In this role, you will play a critical part in ensuring the quality and appropriateness of care for our 28 million members.Job Summary:We are seeking a highly skilled Clinical Utilization Review Specialist to...

Job SummaryThe Clinical Utilization Reviewer is responsible for reviewing and making decisions about the appropriateness and level of beneficiary care being provided to ensure cost-effective care and proper utilization of resources.Key ResponsibilitiesConducts prior authorization, continued stay, and referral management activities.Assesses medical necessity...

Job Title: Mobile Research NurseJob Type: Contract, PRN, Per diemHourly Rate: $50/hr onsite and travel timeWork Location: RemoteWe are seeking a skilled and compassionate nurse with a passion for clinical research to join our dynamic team as a Mobile Research Nurse. As a key member of our team, you will play a crucial role in ensuring the successful...

Mobile Research NurseWe are seeking a skilled and compassionate nurse with a passion for clinical research to join our dynamic team as a Mobile Research Nurse. This role plays a crucial part in ensuring the successful execution of research studies, providing high-quality clinical care to patients/participants, and adhering to study protocols with utmost...

Mobile Research Nurse Job DescriptionWe are seeking a skilled and compassionate nurse with a passion for clinical research to join our dynamic team as a Mobile Research Nurse. As a key member of our team, you will play a crucial role in ensuring the successful execution of research studies.Key Responsibilities:Administer investigational medications/products...

Job SummaryWe are seeking a highly skilled Clinical Reviewer to join our team at TriWest Healthcare Alliance. As a Clinical Reviewer, you will play a critical role in ensuring the medical necessity of procedures and services for our members.Key ResponsibilitiesConduct medical necessity reviews using InterQual Clinical Guidelines and Clinical Decision Support...

Job SummaryThe Utilization Management Clinical Reviewer plays a critical role in ensuring the delivery of cost-effective and high-quality care to our nation's heroes. As a key member of our team, you will be responsible for reviewing and making decisions about the appropriateness and level of beneficiary care, ensuring that resources are utilized efficiently...

About Us:Healing the Body and Mind:NeuroPsychiatric Hospital is a leading healthcare provider with a unique approach to neuropsychiatric and complex medical care. Founded 15 years ago, we have established ourselves as the largest hospital system in the nation, serving patients with both neurological and medical needs.Our Mission:We strive to provide...

Job SummaryWe are seeking a highly skilled Clinical Research Nurse to join our team at Phoenix Children's Hospital. As a Clinical Research Nurse, you will play a critical role in providing and coordinating clinical care for research subjects, ensuring participant safety, and maintaining the integrity of protocol implementation.Key ResponsibilitiesProvides...

Job Title: Clinical NurseWe are seeking a highly skilled and compassionate Clinical Nurse to join our Child Protection Team at Phoenix Children's Hospital. As a key member of our team, you will play a vital role in providing exceptional care to pediatric patients who have experienced sexual assault.About the Role:This is a challenging and rewarding...

Job Title: Utilization Review Authorization SpecialistThe Utilization Review Authorization Specialist is a critical role at Sanctuary Recovery Centers, responsible for ensuring timely and appropriate care for our patients. This position requires strong communication and organizational skills, as well as a deep understanding of healthcare regulations and...

Job SummaryThis Clinical Nurse Practitioner role is a vital part of Adelante Healthcare's team-based primary care medical home model. The successful candidate will assist patients and their families through the healthcare system by acting as a health educator and patient advocate.The ideal candidate will work collaboratively with the clinical team to develop...

Job SummaryCVS Health is seeking a skilled Nurse Consultant to join our team in a Clinical Appeals Specialist role. As a key member of our team, you will be responsible for administering review and resolution of clinical complaints and appeals.Key Responsibilities:Interpret data obtained from clinical records to apply appropriate clinical criteria and...

Job SummaryWe are seeking a highly skilled Clinical Research Nurse to join our team at Phoenix Children's Hospital. As a Clinical Research Nurse, you will play a critical role in providing and coordinating clinical care for research subjects, ensuring participant safety, and maintaining the integrity of protocol implementation.Key ResponsibilitiesProvides...

Aveanna Healthcare LLC: RN Case Manager OpportunityWe are seeking a skilled RN Case Manager to join our clinical team in Phoenix, AZ. This role offers the chance to develop and provide professional guidance to our field staff, while monitoring our clinical excellence.Key Responsibilities:Promote and enhance the level of clinical expertise of staff to provide...

Job Title: RN Case Manager - Clinical SupervisorAveanna Healthcare is seeking a highly skilled RN Case Manager - Clinical Supervisor to join our clinical team in Phoenix, AZ.This is a fantastic opportunity for a talented nurse looking to expand their footprint in the healthcare industry, truly increasing the number of lives they impact daily in their own...

Job Title: Clinical NursePhoenix Children's Hospital is seeking a highly skilled Clinical Nurse to join our Child Protection Team. As a key member of our team, you will play a vital role in providing exceptional care to pediatric patients who have experienced sexual assault.Job Summary:The Clinical Nurse will work under the general supervision of the Medical...

Job SummaryThis position provides and coordinates clinical care for research subjects at Phoenix Children's Hospital. The successful candidate will have a central role in ensuring participant safety, maintaining informed consent, and implementing study protocols.Key ResponsibilitiesProvides nursing care to research study patients, including administering...

Aveanna Healthcare LLC Job OpportunityWe are seeking a highly skilled and experienced RN Case Manager to join our clinical team in Phoenix, AZ.This role provides the opportunity to develop and provide professional guidance to our field staff, while also monitoring our clinical excellence.You will have autonomy and flexibility in scheduling, as well as the...