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Telephonic Nurse Case Manager II Telephonic Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and...

Travel Case Manager Nurse This Case Manager travel nurse job in Downey, California, with Advantis Medical is a 13-week Travel Case Manager Registered Nurse (RN) contract at PIH Health - Downey Hospital. This role pays $2,697 per week and...

About the Job Job Description: All Care Home Health is currently seeking a Licensed Vocational Nurse (LVN) Care Coordinator to join our team supporting the Kaiser region. We...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not simply...

Sagility is seeking an experienced Registered Nurse for a Senior Care Specialist role that can be performed from home. The position involves telephonic health assessments, care planning, and education to Medicare, Medicaid, or group plan members.

Admissions Nurse Do you enjoy being at the beginning of the journey? The Admissions Nurse is responsible for establishing and maintaining positive relationships with customers and referral sources within the community. The Admissions RN...

Why This Role Matters Every determination you make decides whether a member gets the care they need, when they need it. This role sits at the exact point where clinical judgment meets real-world impact, translating evidence-based criteria...

Premise Health Care Manager Premise's mission is to help people get, stay, and be well. We hope you will join us in our mission and experience why amazing health starts with amazing healthcare. As a Full Time Registered Nurse, Care...

Licensed Vocational Nurse - Home Health Excell Home Care is actively recruiting for LVN Case Manager. Our innovative company is focused on the best possible outcomes for our patients, outstanding and highly personalized patient care, and...

Triage RN Performs as an (RN) Nurse in the Mercy Virtual triage program in accordance with all applicable Federal, State, and Mercy rules, regulations, policies, and procedures, and performs all duties assigned by Medical Director, in the...

Medical Services Manager - RN/LVNSalary Range $100,000.00 - $112,000.00 Salary/yearDescriptionTitle of Position: Medical Service ManagerLocation: Percy VillageExempt/Non-Exempt: ExemptUnion/ Non-Union: Non-UnionSupervisor: Program DirectorGateways...

Overview: Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Disability. We offer an exciting work environment, competitive compensation, and strong growth...

IV Infusion Specialist Assessment Nurse The IV Infusion Specialist Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires...

Job Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...

RN Educator, Clinical Documentation Integrity We are recruiting for a mission-driven RN Educator, Clinical Documentation Integrity - Must Reside in Colorado to join our team! We're with you for life's journey. At Denver Health,...

Appeals Nurse The 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 Medicare...

Oncology Nurse Shift: 4/10's M-F , No Weekends, no holidays Sign On: 10k Relo: case by case Must haves Oncology Certified- OCN Outpatient experience (no exceptions) 3+ years of experience OCS Job description: Do you have a passion for the highest...

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 Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator clinically assesses, plans, implements, coordinates, monitors,...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard...

Job Description ESSENTIAL DUTIES & RESPONSIBILITIES All duties and responsibilities must be performed in accordance with VITAS Palliative Care policies, procedures, guidelines, contractual commitments, and...

Travel LVN/LPN Case Manager Near West Hollywood, CA Area Length of Assignment: 13-Week Contract (Full-Time / Part-Time / Per Diem Shifts Available) Our Client is a nonprofit, independent healthcare organization committed to...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...

AltaMed LVN Case Manager If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed – it's nurtured, celebrated, and...