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Clinical Specialist, Utilization Management Company: Community Health Options Work Type: Remote Employment: Full Time Location: US Seniority: Mid Level Technologies: Microsoft Office, Electronic health records Requirements: Provides clinical...

Elevance Health is seeking a Nurse Case Manager II to perform care management for members with complex and chronic care needs. You will assess, develop, coordinate, monitor, and evaluate care plans, providing telephonic or onsite support including...

Case Manager RN Torrance, CA, United States Salary - $51.44 to $64.87 (US Dollar) Job Summary: Salary - $51.44 to $64.87 Experience: Requires Case Management (Care Coordination or Utilization Management) in...

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...

A healthcare technology company in the United States seeks a Triage Registered Nurse to provide effective telephone triage for patients. The ideal candidate will have a BSN, strong clinical assessment skills, and at least 2 years experience in...

Nurse Case Manager II Our client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Falls Church, Annandale, Springfield, Arlington, Alexandria Counties, VA location. Responsibilities: The Case...

Specialist Nurse This is an exciting opportunity for a passionate and patient-focused Registered Nurse to play a key role in delivering high quality care beyond the traditional hospital setting. As a Specialist Nurse, you'll support...

Nascentia Health is seeking a Remote Care Manager to provide care coordination for health plan members, develop PCSPs, and document care in accordance with plan standards. This role operates Monday–Friday, 8:00 AM–4:30 PM, with a remote-first...

Join Our Team at Lynwood Healthcare CenterThe purpose of your job position is to provide each resident with routine daily nursing care in accordance with the residents assessment plan, with current federal, state and local standards and...

Certified Nursing Assistant Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit...

A healthcare management company is seeking an experienced Licensed Practical Nurse (LPN) to facilitate value-based care for patients. This fully remote position offers the chance to work from home, with consistent hours and opportunities for...

LVN We are looking for dedicated LVNs who want to provide quality care to home-based patients. You will work one-on-one with the patient and truly impact their life as well as their family's. The job is consistent, long-term, and can work...

Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is good for people...

Enlyte is seeking a Telephonic Case Manager (RN/LPN) in New Jersey for a temporary, full-time, work-from-home assignment. The role involves collaborating with physicians, employers, and patients to develop and implement treatment plans aimed at...

Utilization Review Nurse Auditor Fully Remote • Mount Laurel, NJ 08054 Salary Range $33.00 - $46.00 Hourly Position Type Full Time Travel Percentage 10% ExamWorks is looking for a Utilization Review Nurse Auditor to join...

Centene Corporation seeks an experienced nursing leader to direct long-term care management for members with complex health needs. The role oversees RN managers, drives data-informed care strategies, and ensures NCQA-aligned policies across a...

Atria Health Institute Nurse Practitioner Or Physician Assistant The Atria Health Institute is a membership-based primary and specialty health care practice with a focus on prevention and longevity. We bring together a multidisciplinary...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you will help lead and coordinate our exceptional nursing team so they can deliver timely, compassionate, and life-saving care to patients in critical situations. Every...

Nurse Advisor - PDT Coverage Remote About Private Health Management Private Health Management guides patients and families through the chaos and complexity of serious medical care, for cancer and beyond. As an independent...

Remote Miami, FL Full time R100101175 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...

AllMed Medical Management is seeking a Clinical Quality Assurance Coordinator to support 100% remote utilization review services. The role focuses on applying evidence-based guidelines to determine medical necessity and ensure accuracy and...

U.S. Army Perioperative Nurses ensure the proper care and safety of our nation's heroes throughout the surgical journey. If your goal is to be part of a fine-tuned surgical team, the U.S. Army can offer you a fulfilling career as a Perioperative...

Senior Clinical Quality and Safety Specialist At Prenuvo, we are on a mission to flip the paradigm from reactive "sick-care" to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing...

Hospitals on Incredible Health are actively hiring and accepting applications in the Los Angeles, CA area for the following position: Registered Nurse - Medical Surgical Educator. Nurses with experience in any of the following areas are strongly...

Cleveland Clinic Home Care Services seeks an LPN to provide nurse-led care in patients' homes across West-Cuyahoga and Lorain County. You will visit approximately six patients daily, administer medications, and coordinate with RNs to ensure safe...