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Alliance Liaison If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where...

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

RN Care Manager The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare...

Job Description JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

Clinical Research Registered Nurse (RN) Infusion Registered Nurse (RN) to support the execution of clinical trials in a fast-paced research environment. This role combines direct patient care with clinical research responsibilities,...

RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...

In addition to the responsibilities below, this position is also responsible for establishing best practice models; performing strategic planning and designing patient care delivery systems and practice standards in several locations; leading the...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a PRN Clinical Review Specialist based in the United States. This role provides on-demand...

Overview Join Our Team as a Remote RN Clinical Supervisor We are looking for strong, compassionate clinical leaders to join our hospice team who are committed to creating...

Remote Rn Mds Consultant-Full Time Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, and Quality Measure experience to join our team. This is a fully remote opportunity for a detail-oriented...

Care Manager The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the...

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...

Field Care Manager Nurse (Physical Health) The Field Care Manager Nurse (Physical Health) plays a critical role in assessing and coordinating care to support members in achieving and maintaining health outcomes. The Field Care Manager...

Registered Nurse Utilization Managers (RNUM) Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM). These will be completely remote positions, working entirely from the Nurse's home. The Nurse...

Concierge Home Health RN In Los Angeles/Orange County Looking for a rewarding nursing career with independence and flexibility? Join us as a Concierge Home Health RN in Los Angeles/Orange County today! Rates starting at $70/hr (varies on...

NeueHealth is a value‑driven healthcare company grounded in the belief that all health consumers are entitled to high‑quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make...

Licensed Psychiatric Mental Health Nurse Practitioner (New Jersey) – 100% Remote | W2 Employee Deliver care that matters—where it matters most. Join the nation's leading virtual behavioral health practice and help expand access...

Discharge Care Manager (Central or Eastern Region) Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes...

Summary VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire experienced Registered Nurse to work as our Chief Nurse of Acute Care Units. As Chief Nurse, you will provide program management to ensure coordination of care,...

Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower...

Role SnapshotThe Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with...

WE ARE TITANIUM HEALTHCARE Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren't getting the medical care they need. We're on a mission to change that. For patients that means...

Overview The Legacy/OHSU Interventional Radiology practice provides services at four locations (EMC, GSMC, MHMC and MPMC) including ambulatory clinics at each site. The IR team cares for both adult and pediatric patients with...

Summary of Position Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members' health care needs, identifying gaps...

Employment Type: Full time Shift: Description: ESSENTIAL FUNCTIONS Our Trinity Health Culture : Knows, understands, incorporates &...