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Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine...

Optum is seeking a SSBV Clinical Claim Review Nurse Manager – Remote to lead a team conducting clinical reviews and ensure determinations meet guidelines and regulatory requirements. The role supports a fast-paced, production-driven environment...

Enlyte is seeking a Field Case Manager (RN) in the Torrance, CA area. This full-time, hybrid role requires regular local travel for in-person patient appointments. Spanish is preferred.The position includes a comprehensive benefits package, paid...

Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must Have requirements: RN,...

Humana is seeking to fill the Compliance Audit Nurse role to audit care management activities and documentation for regulatory compliance. The position involves independent determination of appropriate courses of action, data collection and...

Genex Service LLC in El Monte, CA hires a Medical Field Case Manager to coordinate in-person patient appointments, collaborate with treating physicians and employers, and develop treatment plans aimed at quick, safe return-to-work. The role...

A health care organization in Monterey Park is seeking a Case Manager (LVN or RN) to manage patient care effectively. This role involves working collaboratively with medical teams to establish discharge plans and ensure compliance with health...

Case Management SupervisorThe Case Management Supervisor assists the Director with the overall development of the case management program and implements at the hospitals. This includes oversight of all case management staff, development and...

Sentara Health Plan is currently hiring a Medical Policy Research Specialist/ Registered Nurse (RN) - Remote in Virginia! Status: Full-time, permanent position (40 hours) Work hours: 8am to 5pm EST,...

Upper Peninsula Health Plan (UPHP) seeks a Remote Community Based Clinical Coordinator - Care Manager to support Western UP members. This full-time remote role requires frequent visits to homes and nursing facilities, plus periodic travel to...

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...

Wellpath is hiring a Registered Nurse Telehealth to provide remote nursing support and assist in delivering patient care via telehealth services. You will work under the Regional Telehealth Nurse Manager and collaborate with onsite staff to assess...

Job Description \n \n Perm Staff Jobs is seeking a Registered Nurse (RN) Labor and Delivery for a nursing job in Commerce City, Colorado. Job Description & Requirements\n \n Specialty: Labor and Delivery \n Discipline: RN \n Duration: Ongoing \n...

WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

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

Bristol Hospice seeks an Admissions RN in Lakewood, CA 90712, who is responsible for building community relationships and facilitating hospice care access. The ideal candidate will possess an RN license in California and demonstrate effective...

A national health services organization is seeking a clinical professional to develop and coordinate complex discharge plans for high-risk members. You will interact with various providers and educate members and their families, ensuring smooth...

Hospice Care CoordinatorEvaluates patients referred to the Organization; identifies insurance coverage, plans, and coordinates referrals for hospice care services. Provides General Inpatient (GIP) Start of Care and daily visits for Torrance...

Optimal Care is hiring an Overnight Hospice Registered Nurse to deliver expert care in patients' homes and facilities within the Lansing/Jackson area. You'll work a 7-on/7-off night rotation (5pm–8am) with on-call duties, ensuring comfort and...

Job Title This position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

Overview Evaluates patients referred to the Organization; identifies insurance coverage, plans, and coordinates referrals for hospice care services. Provides General Inpatient (GIP) Start of Care and daily visits for Torrance Memorial Medical...

Compliance Nurse 2, Long-Term Care Unit The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for...

Bestica is seeking a travel nurse RN Case Management for a travel nursing job in GLENDALE, California. Job Description & RequirementsSpecialty: Case...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.30+ days ago Requisition ID: 2856Salary Range: $28.50 To $33.10 HourlyCHA Hollywood...