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Description Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise...

Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Registered Nurse (Utilization Management). *** Candidate must be authorized to work in USA without requiring sponsorship...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Granite VNA, New Hampshire's largest home health and hospice provider, seeks a Clinical Resource Nurse (Triage) to serve as the vital clinical link between patients and care teams. You will triage calls, provide symptom management, and coordinate...

Parenteral Services Clinical RN Specialist The Parenteral Services Clinical RN Specialist provides clinical support to the Parenteral Services team through advanced nursing expertise, education, care coordination, and operational...

Clinical Documentation Integrity Specialist Evaluates the day to day documentation practices of the Medical Staff and healthcare team on a complex patient population, and offers education and recommendations in accordance with the...

Chronic Care Coordinator Location: MICHIGAN - 100% REMOTE (NOT A COMPACT STATE) Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before...

Location 1200 Providence Road,Wayne, NE, 68787,United States Job Category Case management, Remote patient monitoring Employee Type Non-Exempt - FT Required Degree 4 Year Degree Manage Others No ...

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...

Job Description TactStaff is seeking a dedicated Registered Nurse Case Management - Hospital for a rewarding opportunity located in Glendale, CA. At TactStaff, we prioritize being your lifelong career ally. This dedication is...

Clinical Specialist Base Compensation Range $72,000 - $85,000 USD Compensation & Benefits Competitive cash compensation Comprehensive health plans Generous PTO Future focused 401k match...

Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

Posting Date 10/06/2026 601 Hawaii St, El Segundo, California, 90245-4814, United States of America RN Case Manager - Position Highlights Location: Pasadena, CA Hybrid - (ESKD) This is a...

Workers' Compensation Care Coordinator Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors and...

Nurse - Clinical Review Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies agreed upon with the Client and any applicable governing body. Facilitates...

Care Management Team Member The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

Details Client Name Adventist Health Glendale - Westways Job Type Travel Offering Nursing Profession Registered Nurse (RN)...

Triage Nurse Case Manager The Triage Nurse Case Manager evaluates workers' compensation injury referrals to determine the appropriate level of medical case management intervention. This role reviews injury details and medical information...

Chronic Care Coordinator Location: MICHIGAN - 100% REMOTE (NOT A COMPACT STATE) Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing...

SCAN is seeking a part-time, telephonic care coordinator RN to support frail seniors in navigating the healthcare system and living independently. You will work with members remotely to assess needs, develop plans of care, and deliver health...

Medical Solutions is seeking a local contract nurse RN Case Management for a local contract nursing job in Glendale, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

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...

Details Client Name Adventist - Glendale Job Type Travel Offering Nursing Profession RN Specialty Case...

Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical...

Pay Package: Total weekly gross $ 2979 for 40 hrs Job Description: Tittle: RN Case Manager Location: Mission Hills, CA 91345 Duration: 13 weeks Guaranteed hours: 40 hrs Shifts: Day Job Description: Start Date:...