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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...

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...

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...

Utilization Review Nurse Auditor Fully Remote • Mount Laurel, NJ 08054 Salary Range $33.00 - $46.00 Hourly Position Type Full Time Travel Percentage 10% ExamWorks is looking for a Utilization Review Nurse Auditor to join...

Job Description The Clinical Documentation Integrity Specialist II(CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of provider-based...

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...

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...

Immediate Hire for Hospice RN Case Manager Immediate hire for Hospice RN Case Manager to join our Hospice Team! We provide high-quality, compassionate care focus on encouraging independence in the comfort and security of our patient...

Req #655 Job Description Summary The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Glendale, California. Job Description & RequirementsSpecialty: Case...

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.

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, affordability,...

Details Client Name Cedars-Sinai Medical Center Job Type Travel Offering Nursing Profession RN Specialty...

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...

Registered Nurse Clinical Annotator Location: Remote Job Type: Full-time Experience Level: Mid-Senior Level Department: Clinical Operations Pay Rate: $37-$39/hr ...

Job Profile Summary Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's...

Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you'll perform both inpatient and outpatient...

New York Community Care is seeking a Pediatric RN Case Manager for our Brooklyn office. You will coordinate patient care, supervise clinical staff, and review cases to ensure timely and effective home health services. The role offers a...

Case Manager Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed among the very best...

Job Title Case Management Nurse Job Description Centered in the heart of Boyle Heights, Adventist Health White Memorial is one of the area's leading healthcare providers since 1913. We are comprised of a 353-bed hospital,...

Case Manager Ready for a role that supports your unique calling in patient care and fits your life? At Work from Home, you'll find clear pathways to advance backed by our unmatched nationwide transfer policy that lets you grow 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...

Utilization Management Nurse Specialist RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary...

Details of the RN - Case Management (CCM) opening in Los Angeles, CA: Anticipated Start Date: 10/19/2026 Anticipated Pay Range: $2606.18 - $3009.83 Work Setting: Short Term Acute Care Hospital Anticipated...

Our Client, a Retail Pharmacy, is looking for a RN Case Manager located in the eastern time zone and holds and active, unrestricted RN license in the state of New York. Responsibilities: Telephonic engagement...