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Job Description A bit about this role: Under the guidance of the Manager, Clinical Services and Escalations the Clinical Nurse Specialist will function in a very cross functional, diverse capacity working with multiple...

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Lead a team dedicated to delivering high-quality, cost-effective patient care.

AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and...

RN Case Manager Position Duties: DCP in an acute care setting Minimum Required Qualifications: 2-3 years' experience in an acute care setting; CA license Length of Assignment: 13 weeks Shift / Hours per Week: 08:30 AM...

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

Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse, you'll play an important role in helping us offer customized, self-funded...

JOB DESCRIPTION Opportunity in Southern California for an experienced Managed Care Leader to join our health plan in California. Candidates must have a minimum of 7 years of healthcare experience, 3 of those should be with a Managed Care...

Job Summary and Responsibilities As our RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient...

Humana is seeking a Pre-Authorization Nurse 2 to review requests for medical necessity and level of care, using clinical judgment and guidelines. The role supports education of providers and data entry in clinical systems, with opportunities to...

Concurrent Review Registered Nurse (RN) Location: Fully remote. Our client is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team. In this role, you will perform concurrent...

RN Case Manager - Home Health & Hospice Grand Island, Kearney, Holdrege NE & Surrounding Communities Full-Time Position Bring Compassion Home. Lead Care. Change Lives. At Brookestone Home Health & Hospice, we believe...

Senior Director of Nursing Connected & Remote Care (RN) About the Job Senior Director, Nursing - Connected & Remote Care Transform How Nursing Care Is Delivered MedStar Health is seeking a visionary nursing leader to...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make...

Utilization Management Admissions Liaison RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) L.A. Care Health Plan is an independent public agency created by the state of California to provide health...

RN Care Management Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality,...

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information...

Job Requirements Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need...

RN Case Manager | Registered Nurse Hardwick, MN $71,589 - $93,099 a year Full Time Job Summary: The RN Case Manager plays a vital role in promoting optimal social and emotional functioning while helping patients effectively...

Host Healthcare is the #1 ranked travel healthcare company in the U.S. with an immediate option for this RN position in Santa Monica, CA. Sign-up here to submit your application for this role or for more information about this role, contact a...

RN Hospice Case Manager We are hiring a full-time RN Hospice Case Manager to join the Athena Home Health & Hospice team in the Torrington area! This position is on-the-road covering Litchfield County and western Hartford County.

Nurse Care Manager - Telephonic (Local Remote) Tandigm Health, a transformational leader in population health management, is looking for a Nurse Care Manager - Telephonic in the greater Philadelphia area. We offer a competitive...

Join Gainwell It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career...

Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in...

Regional Case Manager (RCM) Registered Nurse (RN) Are you ready to reset your case management career with a dynamic and growing healthcare company? If you're ready for the challenge, YOU could be the right fit for this position! Prestige...