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A leading health solutions company seeks an Associate Manager for Clinical Health Service in Hartford, CT. The role involves overseeing healthcare management services, implementing clinical policies, and ensuring compliance with standards.

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective complimentary utilization and case management strategies for an assigned member panel.

A healthcare provider is seeking a Medicare UM Case Manager, RN, to perform utilization management activities for Medicare Advantage. This remote role focuses on reviewing authorizations for various services and requires an Associate's Degree in...

Registered Nurse Explore opportunities with LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best,...

Concentric is currently seeking candidates in Registered Nurse profession with focus in Registered Nurse (Clinic) for a week contract in the Columbus, OH area. Concentric is a premier staffing firm dedicated to matching outstanding talent with...

ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we...

Employment Type: Full time Shift: Day Shift Description: Position Purpose: The Pre-Admission Testing (PAT) Department at Mount Carmel St. Ann's...

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...

Location: Avera Medical Group Pulmonary & Sleep Medicine-Sioux Falls Worker Type: Regular Work Shift: Pay Range: The pay range for this position is listed below. Actual pay rate...

Medical Review Nurse (RN)- Remote at Molina Healthcare in Nampa, Idaho, United States Job Description JOB DESCRIPTION Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job...

Details Client Name Ohio State University Dodd Rehabilitation Hospital Job Type Travel Offering Nursing Profession RN...

A healthcare provider located in Atlanta, GA is seeking a Home Infusion Registered Nurse. This fully remote role involves providing infusion therapies in patients' homes, allowing nurses to create one-on-one relationships with their patients.

Who We Are: At Neurocrine Biosciences, we pride ourselves on having a strong, inclusive, and positive culture based on our shared purpose and values. We know what it takes to be great, and we are as passionate about our...

Registered Nurse Case Review Specialist Position is Remote/Nationwide Job Summary STGi is currently seeking a Registered Nurse Case Review Specialist. The position is remote and open to candidates nationwide. Provides direct...

Wound Care Nurse - LPN or RN Riverview Full-Time Flexible hours Competitive Wages. plus Attendance Bonus We offer paid holidays, generous PTO, excellent benefit package as well as...

Employment Type: Full time Shift: Day Shift Description: Position Purpose: The Pre-Admission Testing (PAT) Department at Mount Carmel St. Ann's takes pre-procedure instruction calls for surgery, endoscopy, radiology, and pain management.

Role SnapshotOur Case Management RN (Registered Nurse) coordinates care and services of select member populations with complex health care needs across continuum of care. The primary focus of the...

A leading healthcare provider seeks a Utilization Management Specialist to assess patient admissions, ensuring compliance with appropriate care standards. The role requires collaboration with internal teams and may involve a signing bonus. A...

Department VALLEY PARTNERS LLC - 838376Worker Sub Type RegularWork Shift First Shift (United States of America) Pay Grade 135Job Description...

Overview Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion!? With over 100 cutting-edge outpatient center locations, dedicated to providing...

Scope of Position The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institutes (OSUCCC-James) mission is to improve health in Ohio and across the world through innovation in research, education, and...

RN Care Review Clinician The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

Nursing Care Coordinator Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes...

Under general supervision, provides routine nursing care within the limits of nursing knowledge, education, licensure, experience and ethical, legal standards of care. Carries out all duties while maintaining compliance and confidentiality and...