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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...

A Registed Nurse Care Manager (RNCTM) contributes to AHF by satisfying the AHF Core Measure of being Patient Centered, regulatory & contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on removing access to...

Schedule, Friday, Saturday and Sunday 7:00 am - 3:30 pm$1500.00 Sign on BonusJOB SUMMARY: Assists Solheim Senior Community (“Solheim”) to the success of Solheim by effectivelyassessing, planning, implementing, evaluating, and coordinating...

Nurse Case Manager I Location: The ideal candidate would reside within the state of Texas. Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as...

Job Opportunity Our client is a private health management company devoted to providing an exceptional clinical team in the comfort, and privacy of a patient's own home. We are seeking dynamic, experienced, and compassionate Registered...

Utilization Management Nurse, LVN/LPN California, United States 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...

RN Clinical Advocate 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...

Overview This is a short-term assignment. What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and...

Briarcrest Nursing Center is a skilled nursing facility with 135-beds located in Bell Gardens, CA. Facility location: 5648 Gotham St. Bell Gardens, CA 90201 This is a temporary position.

Description Qualifications Duly Certified with PTH privileges in good standing; Overall knowledge of medical office patient care; Knowledge of confidentiality issues involved with release of medical...

Position Summary Prepare and deliver advanced pharmacology/pharmacotherapeutics content to family nurse practitioner students using an asynchronous format for lectures, case presentations and small group discussions. Content...

RN Clinical Manager / Clinical Consultant (RN or MSW) – California Pay Rate: $52.50–$53.00/hr Position Type: Special Projects – 12-Month W2 Contract (renewal based on performance, project continuation, and health plan needs)...

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...

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:...

Job Overview Pay Range: $46.76hr - $51.76hr Requirement/Must Have 5+ years Clinical nursing experience. 2+ years Care Management. Bachelor's Degree in Nursing. In lieu of a Bachelor's...

Nurse Reviewer Appeals and Hearings- Remote 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...

Clinical Reviewer Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and...

JOB DESCRIPTION Centered in the heart of Montebello, Adventist Health White Memorial Montebello has a 70-year history of providing quality healthcare to the community. We are comprised of a 192-bed hospital, wound care medical office and surgical and...

Salary: See Position Description Location : North Central Community Health Center - St Louis County, MO, MO Job Type: Full-Time Remote Employment: Flexible/Hybrid...

Summary: Independently provides comprehensive quality medical services in a compassionate manner to patients to include for example, complete physical examinations, diagnosis, treatment, prevention of both chronic and...

QI Nurse Specialist (RN) (PQI) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs...

RN Clinical -Outcomes Coordinator To support and coordinate clinical quality improvement initiatives. To perform job duties in accordance with the medical center's purpose. Master's degree plus one (1) year of experience in...

Job Description Job Description Date posted: March 9, 2026 Pay: $62,000.00 - $65,000.00 per year Job description: POSITION SUMMARY: Perform duties that require knowledge, skills, and abilities as a licensed professional Nurse (LPN). Assists the...

CA Utilization Review Nurse I Job Category: Case Management This is a remote position. Description The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and...

Care Coordinator 2 (Field Care Manager 2) Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness...