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Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Humana, Inc. and CenterWell Pharmacy are seeking a Registered Nurse with a BSN to join as Care Manager, Telephonic Nurse 2. This full-time, call-center role focuses on medication therapy management and patient education for complex conditions,...

Inpatient Care 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...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you'll oversee a department of frontline nurses caring for patients. Every day you will advocate for your fellow nurses as you support them in reaching their full potential,...

Care Manager At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build...

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...

Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...

Supervisor of Utilization Management (UM) RNSalary Range: $102,183.00 (Min.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to...

CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays,...

About This Role The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and continued stays, ensuring appropriate care levels and safe discharge plans. This role is ideal for those who thrive in a...

*Job Summary and Responsibilities* As our Director Nursing Perioperative Services at California Hospital, you will be responsible for Surgical Services including Main OR, Pre-Op, PACU, GI, and SPD. We have 7 operating rooms and a robust surgical...

Job TitleFacilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS. Reviewing paper and electronic...

Clinic Supervisor - Registered Nurse Reports to: Executive Director Supervises: Clinic Nurses (RN, CNA) and Clinic Clerk About the Role...

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, pharmacy benefits, data...

*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 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 meet the medical...

Registered Nurse Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Evenings Job Description Join a team that's shaping the...

Sedgwick is seeking an RN Telephonic Case Manager to coordinate medical recovery and return-to-work efforts. You will work remotely with injured workers, employers and providers to develop a care plan, communicate progress, and advocate for...

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...

Company Description WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services,...

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Job Description This position offers a blend of on-site and remote work, along with a $5,000 sign-on bonus for eligible new hires. If you're an experienced...

Case Manager RNBurbank, CA$2537 /Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur8H Days26 Weeks40Short Term Acute Care Hospital368EPICRequirementsAt least 2+ years' experienceEither an...

Salary : $101,190.00 - $151,468.56 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5134L Department: HEALTH SERVICES...

Job Title Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital...