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The Lead, RN Case Manager is an experienced RN Case Manager who provides clinical and operational support to the Care Management leadership team. In addition to performing the full scope of an RN Case Manager, the Lead is...

Alliance Health in North Carolina is seeking a Telework-enabled Care Management Consultant who will provide secondary care coordination and medication reviews for members with physical health needs. The role requires licensure in NC (RN or OT/PT)...

Job Description Make a difference every single day! When the work you do every...

Get in touch with a Weatherby consultant today to learn more about this and other opportunities available now.M - F or 4 x 10s per week -- day off TBD23 - 25 patients per dayAll ages seen -- family practice...

NOTE: THIS IS A PRIMARILY REMOTE POSITION THAT ONLY REQUIRES ONSITE WORK QUARTERLY Summary: The Senior Risk Management Consultant will provide a broad range of administrative, facilitation and support functions in the areas of Risk Management and...

A technology firm specializing in AI is seeking a Care Transition Nurse to ensure the accuracy and quality of AI model outputs related to healthcare. The ideal candidate will have a healthcare-related degree and exceptional English fluency. This...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and...

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...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

RN - Quality & Safety Improvement Consultant V, Patient Safety Onsite in Downey, CA. Travel: Yes, 10% of the time. Patient Safety Officer RN in acute care hospital setting. You will attend national safety goal monitoring...

*Job Summary and Responsibilities* As our Director Nursing Perioperative Services at St. Mary Medical Center, you will be responsible for Surgical service departments including OR, PACU, GI, Short Stay (Pre and Post Op Outpatient Surgery), and...

JOB DESCRIPTION This RN will act as a Care Coordinator (Long Term Care Services) supporting our Medicaid and Medicare dual members. The Care Coordinator will support them to ensure their long-term services and support needs are met. The...

Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render determinations for cases assigned. - Resolve all other technical...

Vaya Health in North Carolina is seeking a registered nurse to support adults transitioning from Skilled Nursing Facilities back to the community. This remote, home-based role requires NC residency within 40 miles of the NC border and NC RN...

Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

Desert Oasis Healthcare seeks an Intense Case Manager (LVN) to lead care management for high-risk patients with complex behavioral health and substance use needs. The role involves comprehensive physical and psychological assessments, care...

Community Health Network is seeking a Post-Acute Care Coordinator LPN for a fully remote role supporting adults with complex mental health needs. You will coordinate assessments, referrals, and care plans, and monitor treatment in collaboration...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plansis hiring for a Manager, Integrated Care Management- Nursing Facility/ HCBS / LTSS Waiver - Remote! ...

OverviewPosition Type: Full timeJob Title: Care Review Clinician ILocation: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle),...

Become a part of our caring community Humana Gold Plus Integrated is seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

A professional healthcare organization in Minnesota seeks a Registered Nurse to help improve AI models. In this role, you will evaluate chatbot logic and measure their progress while solving healthcare-related problems. This is an independent...

Pager Health℠ redefines how members navigate to care and wellness, validated by clinicians and powered by AI. We connect people to the right care at the right time, closing care gaps, reducing total cost of care, and...

*Lahey Clinic | Beth Israel Lahey Health* Londonderry, NH | Full-Time, Hybrid (3 days in-person / 2 days remote) *About the Role* Join our collaborative team of physicians, APPs, behavioral health specialists, and registered dietitians dedicated...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...