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Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does...

Care Manager - Registered Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

To support healthcare revenue solutions, the full-time Remote Clinical Review Nurse will analyze denied insurance claims, draft persuasive appeal letters, and collaborate with legal teams to optimize patient care revenue without direct patient...

Assessment of the status of nursing needs of assigned patients and overall management of the patients care plan. Complete initial patient assessment upon admission, including appropriate patient history. Selects appropriate nursing diagnosis.

Nurse Case Manager (RN)-Field & Remote-{171308} Location: Field-based in Northern Virginia Work From Home (WFH) Must reside in ear: Sterling, Reston, Chantilly, Oakton, Herndon (VA) Travel: Up to 75% local travel (remaining time WFH) Pay Rate:...

Position Summary We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with...

The University of Southern California in Glendale is looking for a skilled R.N. to handle admissions and conduct reviews of patient care in adherence to regulatory requirements and policies. The role demands a current California R.N. license and...

Care Manager - Registered Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

Providing telephonic case management in a workers' compensation environment, the full-time Registered Nurse Case Manager will coordinate resources and facilitate individualized treatment goals while working remotely.Key responsibilitiesConduct...

Choices Case Management, Inc. is seeking a Medical Case Manager to work from home while providing care coordination in workers' compensation cases. This is a training position for Registered Nurses without prior workers' comp experience, requiring...

Job Summary: Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

Description: About Us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates,...

Case Manager RNParamount, CA$2280 / Weekly Gross (Estimated pay package. Does not include taxes, insurance, or other deductions that may occur)Shift: 8 Hours per Day (8:00 AM - 4:30 PM)Length: 13 WeeksWeekly Hours: 40Facility Type: Long Term Acute...

Field Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an...

Field Nurse Case Manager - Glendale, CA Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

About the job Remote | Nursing Clinical Review Expert - $65-$95/hour We are sharing a specialised part-time consulting opportunity for nursing professionals experienced in patient care, clinical monitoring, medication administration,...

Rose Senior Living - Avon is looking for an Inpatient Case Manager to oversee patient care from admission to discharge. This full-time role involves assessing patient needs, creating care plans, and ensuring a smooth transition post-discharge.The...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: NICU Neonatal Care Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $52.33 - $83.73 / hour. Pay is dependent on applicant's...

Integrated Case Manager, RN Sentara Health in Harrisonburg, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Harrisonburg and surrounding areas as travel is...

Field Nurse Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has...