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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...

LanceSoft is seeking a local contract nurse RN Case Management for a local contract nursing job in Woodland Hills, California. Job Description & RequirementsSpecialty: Case...

Building Location: Business Service Center Department: 1007190 PRE-SERVICE AUTHORIZATION - EH SS Job Description: Conducts Managed Care Programs in...

GQR Healthcare is seeking a travel nurse RN Care Manager for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Care...

Telephonic Care Manager Opportunity Are you an experienced nurse looking for the next challenge in your career? Do you have knowledge of case management or care coordination? Check out this fantastic new opportunity! UPMC Health...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

Nurse, Clinical Operations CVS Specialty Pharmacy provides medications and support for rare and complex conditions. The Nurse, Clinical Operations position is primarily responsible for supporting the clinical operations of CVS Specialty...

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Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...

Join Our Caring Community As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program...

Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...

General Information Press space or enter keys to toggle section visibility Work Location: Santa Monica, CA, USA Onsite or Remote Fully On-Site Work...

Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization Review Nurse is responsible for determining the clinical appropriateness of...

Clinical expertise meets analytical precision in a role that directly shapes how patient care is captured, understood, and valued across the health system. As a Clinical Documentation Specialist, you bring a seasoned nursing perspective into a...

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. Accountabilities include...

Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Summary of Primary Function In the capacity of a Registered...

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify and attract...

**Job Description**Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a passion for the highest quality and patient happiness? Then please respond to this...

Telehealth Triage Nurse - RN Purpose: Triages or manages symptom-based encounters with a patient over the phone or video, utilizing evidence-based triage protocols. Decreases unnecessary visits to physicians, APP's, and the emergency room...

Sr Utilization Management 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...

Assisted in Los Angeles is seeking a Per Diem Registered Nurse to support our Home Health division. You will deliver holistic, patient-centered care in the home setting, utilizing the nursing process from assessment to evaluation.Ideal candidates...

Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).

Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients,...