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Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Connect America is seeking a Remote Care Nurse II to deliver high-quality nursing care to patients in a remote setting via telehealth. You will perform remote assessments, develop care plans, and coordinate with a multidisciplinary team to improve...

Nurse Care Manager The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while...

## Licensed Vocational Nurse, In-Patient Case ManagerApply: In Person: Montebello, CA 90640: Full time: Posted Today: JR10818**Grow Healthy**If you are as passionate about helping those in need as you are about growing your career, consider...

Join Cedars-SinaiCedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed among the very best in...

Neolytix is seeking a remote, full-time Clinical Operations reviewer in the United States. The role leverages a nursing background to assess documentation for authorization, utilization review, and payer workflows. You will manage...

Acentra Health is seeking a Clinical Manager (RN) to provide clinical and operational leadership for CA UIS Care Coordination and Case Management programs, ensuring quality outcomes and contract performance. This remote California role supports...

Baptist Health is seeking a remote Clinical Documentation Specialist to evaluate physician documentation and ensure accurate illness severity portrayal for coding precision. The role requires an active Kentucky license and involves guiding...

Included Health seeks passionate California-Based Nurse Care Managers for their Care and Case Management team. You will coordinate and deliver patient-centered care, helping members navigate their healthcare journey while ensuring they receive...

Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia! Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of...

Make a Difference Where It Matters Most Join a team that's been providing compassionate, patient-centered care to rural North Carolina communities for 50 years. At CommWell Health, you won't just care for patients, you'll...

RN Coordinator Utilization Management The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. This position reviews applicable...

Nursing QA Specialist The primary function of the Nursing QA Specialist is to review and audit Home Health Agency visit notes for documentation consistency with the patient's Plan of Care and adherence to the quality of care guidelines...

Job Title Employment Type: Full time Shift: Rotating Shift Description: This is a remote position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint...

Registered Nurse – Care Management (Remote) (Day Schedule) United States Job Title: Registered Nurse – Care Management (Day Schedule) Location: 100% Remote - United States Employment...

Administrative Assistant - Cancer Registry (Remote) Healthcare Admin Jobs has an excellent opportunity available within our Administration Department. This is a remote position. If you are looking for challenging work and meaningful...

Family Advocate Support Care - Senior Clinical Admin Nurse 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...

Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you'll perform both inpatient and outpatient...

Become a part of our caring community The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the...

Pay Range - $38/hr. to $40/hr. on W2 Description Responsible for performing care coordination duties using established guidelines to ensure the appropriate level of care and facilitate transition across the continuum of care for specialty...

Affect is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) for a fully remote telehealth role focused on addiction and mental health care in Oregon. You will lead member care with a collaborative team of counselors, therapists, and...

UnitedHealth Group seeks a Registered Nurse, Case Manager to perform telephonic nursing assessments, develop care plans, and coordinate care and benefits for patients. This role supports remote work and aims to improve patient outcomes from a...

Summary VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire an experienced Registered Nurse to work in our Inpatient Case Management Service. Incumbent is expected to function independently, collaboratively, showing...

Case Manager RN The University of Miami UHealth Department of UMHC-SCCC Business Operations has an exciting opportunity for a full time Case Manager RN. The incumbent coordinates the overall interdisciplinary plan of care for patients,...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem -...