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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...

Pursue Your Purpose Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team.

RN - Nurse Navigator SHIFT:5x8 DAYS WEEKEND REQ: None FLOATING REQ: None YEARS OF EXPERIENCE REQ: 2+ CERTIFICATIONS REQ: BLS, CA RN PENDING LICENSE ACCEPTED: No ADDITIONAL REQUIREMENTS: Experience with case management and navigation SCRUBS:...

Details Client Name Providence Saint Joseph Medical Center Job Type Travel Offering Nursing Profession Registered Nurse...

Telephonic Nurse Case Manager: California RN License (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location:...

Details Client Name Kindred Hospital - Paramount Job Type Travel Offering Nursing Profession RN Specialty...

Description Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most appropriate...

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...

Details Client Name ScionHealth South Bay Job Type Travel Offering Nursing Profession RN Specialty Case...

Utilization Management Nurse The primary role of the Utilization Management Nurse is to review and monitor members' utilization of health care services with the goal of maintaining high quality cost-effective care. The role includes...

Details Client Name Providence St Joseph Med Ctr Job Type Travel Offering Nursing Profession RN Specialty...

UM Review Nurse - Texas Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting...

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...

Job Title New Castle County territory - Registered Nurse Job Description This community-based Case Manager position is responsible for delivering comprehensive case management services to DSHP Plus LTSS and DSNP members.

Nurse Case ManagerUnder the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies and...

Skilled Nursing Facility (SNF) Case Manager Optum UT is seeking a Skilled Nursing Facility (SNF) Case Manager to join our team in Draper, UT. Optum is a clinician-led care organization that is changing the way clinicians work and live.

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...

Community Care Case Manager We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...

Medical Solutions is seeking a local contract nurse RN Case Management for a local contract nursing job in Pasadena, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and discharges, ensuring appropriate levels of care and compliance with regulations. This role is ideal for those who excel in a fast-paced...

Primary City/State: Virtual Arizona Category: Case Management Shift: Day Department: Case Management Seeking Applicants That Can Work at Least 8 Shifts per Month...

Nurse Care Coordinator The Nurse Care Coordinator delivers and oversees care management services for medically and/or socioeconomically complex patients in accordance with patient-defined goals, multi-disciplinary plan of care, and...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This is a hybrid remote position with occasional float in-person at our Mount Auburn Primary Care offices 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...

Utilization Management Nurse We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for...