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Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit...

Legal Nurse (Registered Nurse) At TLC Management, our mission is grounded in compassionate care, accountability, and doing what's right—every time. As a multi-state senior care organization, we are committed to supporting our...

Scope: The Case Manager Assistant assists the RN Case Manager in performing necessary functions using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers. This includes, but is not...

The RN School Support Manager is responsible for the clinical oversight of the designated medical care needs per the district contract. This oversight includes support of care management as required by regulation, contract and personnel management...

Job Details Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish...

Job Description JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated...

Nurse- Residential Services Program Columbus, OH Part-Time Non-Exempt Ministry Central Ohio Area Gracehaven Other Ministry Model Hours: 20-29 Position Summary...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...

Clinical Advisor (RN) This role is for a Registered Nurse with strong analytical skills who can review and interpret clinical and population health data. The nurse will analyze high-cost claims, healthcare utilization patterns, and...

RN Care Manager, Team Lead Chamber Cardio – Where Care Comes Together Cardiovascular disease remains the leading cause of death in America. At Chamber, we're rebuilding the system for cardiology, creating a world where outcomes,...

Hospice RN Case Manager Full Time Position Available Lake Prince At Home a part of Lake Prince Woods, CCRC, located in Suffolk has a CHAPS Certified Hospice and Home Health organization. We are seeking an experienced Hospice Nurse...

Job Profile Summary "Position Purpose: **For use by Arizona, Superior, and Sunflower only.** Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. **This position is remote. Candidates must be local to New England States for consideration** The Clinical...

Duration: 03 Months Job Description: 3-4 days in Columbia to obtain computer/equipment and make sure able to log into applications than remote. Work area has to be in a separate room in home with door that will remain closed/locked with no...

Clinical Services Director - RN PRN; Remote role with travel nationwide for accepted assignments Company Overview: AMSURG is an independent leader in ambulatory surgery center services,...

Job Type Full-time Description This is a flexible, hybrid position involving regular collaboration with teams at Saint Agnes Hospital and approximately 30% onsite presence Summary/Position...

Nurse Advocate Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris...

Pediatric Behavioral Health Nurse Care Manager We're looking for a Pediatric Behavioral Health Nurse Care Manager to join our Care and Case Management team—someone passionate about supporting children, adolescents, and their families...

We are hiring an Appeals & Grievance Nurse Analyst at BCBST! In this role, you will review and process appeals submitted by members and providers, ensuring timely and accurate resolution in compliance with CMS, Medicare, and TennCare...

Senior Accreditation Manager Community Health Accreditation Partner (CHAP) has been a trusted, independent, nonprofit accrediting organization dedicated to improving the quality of care delivered in home and community settings since 1965.

Hospice Registered Nurse / RN Case Manager At OhioHealth at Home in Partnership with Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and...

Concurrent Review Case Manager Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations...

RN - Organ Allocation Coordinator, Remote Charleston, South Carolina Nursing Full Time Hospital Authority (MUHA) Job Description Summary **REMOTE POSITION, ROTATING NIGHTS/WEEKENDS/HOLIDAYS, REQUIRES...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range:...