Find your dream job now!

Click on Location links to filter by Job Title & Location.
Click on Company links to filter by Company & Location.
For exact match, enclose search terms in "double quotes".

Keywords: Clinical Review Nurse - Prior Authorization, Location: USA

Page: 3

Nurse RN Clinical/HC Research Associate - ICTS - Clinical Research Unit

The clinical research nurse is at the front line of medical innovation, helping research teams test the lates... their safety and wellbeing. The clinical research nurse for the Institute for Clinical and Translational Science (ICTS...

Location: Iowa City, IA
Posted Date: 26 Sep 2025

Per Diem - Research Nurse Practitioner - Clinical Research - Brooklyn - 8hr Days

: We have an exciting opportunity to join our team as a Per Diem Research Nurse Practitioner at the NYU Langone Brooklyn Clinical Research... Health Nurse Practitioner is strongly preferred. Hours/schedule may vary depending on the needs of the Clinical Research...

Location: Brooklyn, NY
Posted Date: 25 Sep 2025

Clinical Appeal Nurse

, modified, or terminated services. Review member medical records, prior authorization documentation, and internal appeal... decisions. Ensure all relevant clinical and administrative documentation is complete and accurate. Create and review hearing...

Company: Fallon Health
Location: Worcester, MA
Posted Date: 24 Sep 2025

Clinical Reviewer - LPN/LVN or RN (Remote U.S.)

+ years of Utilization Review/Management (UR/UM) and/or Prior Authorization. 2+ years of knowledge of medical necessity... is looking for a Clinical Reviewer - LPN/LVN or RN (Remote U.S.) to join our growing team. Job Summary: Review medical records...

Location: Indiana
Posted Date: 24 Sep 2025

Clinical Nurse II-Pediatric Neuro Triage

, extending the reach of Duke Health's mission across the state of North Carolina. Clinical Nurse II- Duke Children...'s at Creekstone Location: 4709 Creekstone Dr, Durham, NC 27703 Job Summary: We are seeking a Clinical Nurse II in our Duke...

Company: Duke University
Location: Durham, NC
Posted Date: 10 Sep 2025

Registered Nurse (RN) Manager, Appeals and Grievances General Operations (Clinical)

of Coordination of Care, Medicare and Medi-Cal regulations, prior authorization, level of care and length of stay criteria sets... & Grievances (A&G) & General Operations (Clinical) is responsible for the daily oversight of clinical appeals and grievances...

Posted Date: 10 Sep 2025

Clinical Nurse Supervisor

Job Posting Title: Clinical Nurse Supervisor ---- Hiring Department: Dell Medical School ---- Position Open... School is seeking a Clinical Nurse Supervisor for the Ambulatory Clinic. Purpose The Clinical Nurse Supervisor...

Posted Date: 30 Aug 2025
Salary: $93500 per year

LPN - Clinical II (MEDS)

.Department-Maui-Lani-Medical-Offices---After-Hours-Clinic---1208 custom_fields.jobtitleLI-LPN---Clinical-II-(MEDS)---1369154....FacilityServicesandMaterialsManagementTheme-Nursing-Licensed Licensed Nurses & Nurse Practitioners Deliver total care While advancing the art and science...

Location: Wailuku, HI
Posted Date: 28 Aug 2025
Salary: $29.84 - 33.16 per hour

Clinical Research Nurse

as a leader of positive change. The Clinical Research Nurse is responsible for coordinating and overseeing clinical research... Patient Care in clinical research trials. The Clinical Research Nurse carries out the research and works under the general...

Posted Date: 14 Aug 2025

Clinical Research Nurse - JTCC - Phase 1 Oncology - P/T with Benefits Days

as a leader of positive change. The Clinical Research Nurse is responsible for coordinating and overseeing clinical research... Patient Care in clinical research trials. The Clinical Research Nurse carries out the research and works under the general...

Posted Date: 18 Jul 2025
Salary: $55962.4 per year

Clinical Appeals Nurse - Remote Plus a $10K Sign On Bonus

with disputed/denied clinical claims or those eligible for clinical review b) Preparing and documenting appeal based on industry.../denials or those eligible for clinical review. Demonstrates proficiency in use of medical necessity criteria sets, currently...

Company: Tenet Healthcare
Location: USA
Posted Date: 17 Sep 2025
Salary: $30.85 - 46.28 per hour

Clinical Evaluation Manager, Utilization Management

related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...

Location: New York City, NY
Posted Date: 27 Sep 2025
Salary: $85000 per year

Clinical Pharmacist (MA and NH Licensed)

's patient care note/assessments for supportive clinical data needed for prior authorization approvals and development of care...Clinical Pharmacist Job Purpose: Provide integrated support to patients and physicians by providing a "hands...

Posted Date: 27 Sep 2025

Clinical Evaluation Manager, Utilization Management

related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...

Location: New York City, NY
Posted Date: 26 Sep 2025
Salary: $85000 per year

Clinical Evaluation Manager, Utilization Management

related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...

Location: New York City, NY
Posted Date: 26 Sep 2025
Salary: $85000 per year

TCHP Clinical Navigator-RN - Ft Wright Medical Oncology - Full Time - Days

Job Description The Clinical Nurse Navigator uses their oncology-specific clinical knowledge to offer individualized..., a Clinical Nurse Navigator provides education and resources to facilitate informed decision making and timely access to quality...

Posted Date: 26 Sep 2025

Clinical Evaluation Manager, Utilization Management

related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...

Location: New York City, NY
Posted Date: 26 Sep 2025
Salary: $85000 per year

Clinical Evaluation Manager, Utilization Management

related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...

Location: New York City, NY
Posted Date: 26 Sep 2025
Salary: $85000 per year

Referral Clinical Coordinator

opportunity for donation, facilitating completion and review of brain death notes, representing OneLegacy to the potential donor...’s authorizing party and when appropriate, undertakes registry notification or approach for donation authorization when necessary...

Company: OneLegacy
Location: Redlands, CA
Posted Date: 24 Sep 2025
Salary: $58604 - 70707 per year

Clin Trials Rsrch Asst/Data Mg Paramedic - ICTS - Clinical Research Unit

Under the supervision of a physician, and/or Nurse Manager and/or designee, the clinical research assistant for the... in planning and providing care. · Collaborates with nursing, medical staff and research professionals in the review of clinical...

Location: Iowa City, IA
Posted Date: 23 Sep 2025