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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...

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...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

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 purpose, hold...

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...

Benefits: Simple IRA Part-Time transition to Full-Time Opportunity Bonus based on performance Company parties Competitive salary Dental insurance Health insurance Paid time off Training &...

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...

Case Management RN Location: Roseville, CA Onsite Flexibility: Remote Contract Details Position Type: Contract Contract Duration: 3 months Start: April 27, 2026 Pay Rate: $20.00 /...

As a Patient Family Liaison Clinical, you will:Collaborate with Admissions Department and Marketing staff to manage patient family information and sign-on visits. Communicate appropriately with providers, attending physicians, other appropriate...

Job Title 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 people with the care,...

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...

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...

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...

Gallagher Bassett Medical Management Position 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 day, we help clients navigate...

Job Title The position is work from home with field visits. Job Purpose This position is responsible for conducting medical management and health education programs for customers on government health care programs.

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...

Job Opportunity Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating...

Registered Nurse – Utilization Review (Remote) Contract Length: 13 Weeks (Extension Possible) Facility: Providence Medical Center Location: 4101 Torrance Blvd, Torrance, CA 90503 Shift: Days – 5x8-Hour (08:00 AM – 04:30 PM)...

OSU Case Manager This is a remote job opportunity (hourly pay only). Shift: 08:00-16:30. Accepts first time traveler. Require certifications: active RN licensure to practice in Ohio (can be compact). BLS. 2 years of experience required.

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...

Job Type Full-time 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...

Care Coordinator 2 (Field Care Manager 2) Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness...

Job Title This is a remote position but will need onsite training in Mishawaka Indiana. Shift: PRN/Days - 8 hr shift Considering local candidates only!!! Why Choose Saint Joseph Health System? At Saint Joseph Health...

Ssbv Clinical Claims Review Rn 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...

" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...