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Bay Crest Care Center in Torrance, CA is seeking a Full-Time Case Manager (LPN/LVN) to join their healthcare team. The role involves managing resident care through various stages and collaborating with healthcare providers. Candidates must have...

University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and...

Jobgether is seeking a Coding Consultant Outpatient – PRN based in the United States. This remote, part-time role focuses on accurate outpatient coding, review of documentation, and ensuring proper APC and reimbursement details. The...

Nurses - are you looking for a change? Want to work no nights, and no holidays? Check out Hines & Associates! ABOUT US: Hines is a nationwide, independent leader in personalized managed health care,...

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...

RN - Registered Nurse - Case Manager The Community - El Segundo, CA El Segundo is a city in Los Angeles County, California, United States. El Segundo, from Spanish, means The Second in English. Located on the Santa Monica Bay, it...

Guidehealth is seeking an Utilization Management Registered Nurse to perform medical-necessity reviews and document findings for determinations. The role involves collaborating with medical leadership, reviewing cases for appropriate treatments,...

Senior Utilization Management Assistant - REMOTE position. This position is Part tinme and will work 8- hour, Evening shifts. Under the supervision of Regional Director of Care Management, the Utilization Management Coordinator is...

Employment Type: Full time. Shift: Day Shift. Description: Purpose Work Remote Position The Nursing Support (NS) colleague (uncertified, certified, unlicensed, or licensed) provides safe, quality health care services & / or...

PharmD Live is seeking a compassionate Licensed Practical Nurse (LPN) to remotely support patients in chronic care and population health programs. This role conducts telephonic and virtual encounters, delivers education on disease management,...

Remote Registered Nurse Case Manager Ansible Government Solutions, LLC (Ansible) is currently recruiting multiple remote registered nurse case managers to support the VA Office of Veterans Community Care. If you accept employment with...

Job Title Employment Type: Full time Shift: Rotating Shift Description: This is a remote position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint...

Responsible for the retrospective review of medical records and compiling data to validate quality of...

Remote Insurance Case Management Nurse 100% Remote in the 28 states - North Carolina, Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri,...

Job Title Pay Rate: $27.50 per hour Work Mode: Fully Remote Duration: September to February with possible extension Responsibilities: Work telephonically with claimants, physicians, employers, and customers to ensure...

Where You'll Work Founded in 1887, Dignity Health - California Hospital Medical Center is a 318-bed, acute care, nonprofit hospital located in downtown Los Angeles. The hospital offers a full complement of services including...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

Hospice Registered Nurse Case Manager Location: Central LA (need to be willing to commute) Lead with Compassion & Excellence in Hospice Care Are you an experienced Hospice RN who thrives in leadership and is passionate about...

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

Clinic RN Opportunity In Waterloo, IA The Iowa Primary Care Association is actively recruiting a full-time Clinic RN to provide care at a vibrant community health center (FQHC) in Waterloo, IA! What is a community health center...

Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical...

Clinical Reviewer, Inpatient RN Duration: 4 months contract (with possible extension) The Clinical Reviewer, Inpatient RN is a licensed professional expected to function independently in her/his role and is responsible for managing...

Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service. We're growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South,...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Sentara Health in Richmond, VA is hiring an Integrated Case Manager, RN to coordinate patient care across the continuum. This remote-friendly, full-time role requires in-person assessments and travel to Winchester, Leesburg, Alexandria, and other...