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DescriptionThe Utilization Management (UM) Nurse supports appropriate level‑of‑care determination, patient flow, and revenue cycle integrity across inpatient, partial hospitalization, and intensive outpatient programs. The UM Nurse functions...

Job Type Full-time Description Skilled Nurse Reports to: Director of Nursing JOB DESCRIPTION: The Skilled Nurse (LPN) role requires a compassionate, detail-oriented, and clinically capable Licensed...

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

A hospice care provider in California is seeking a compassionate Licensed Vocational Nurse (LVN) for the In-Office Hospice LVN Case Manager position. This critical role involves coordinating and managing patient care, ensuring regulatory...

About Company: Lunera Health Center is a private, 501(c)(3) non-profit community health center serving Prince William County and the Cities of Manassas and Manassas Park, as well as other surrounding areas of Northern...

Network Resident Housing Liaison The Network Resident Housing Liaison oversees compliance processes for InnovAge PACE/LIFE contracted facility providers. The Network Resident Housing Liaison (RHL) is responsible for compliance activities...

Nurse Abstractor Job Role: Nurse Abstractor Remote 99% (occasional in-person attendance required) Part-Time (flexible hours, including evenings and weekends) Can work 20-40 hours per week based on availability Program Overview The...

About Seen HealthAt Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, we are a culturally-focused, technology-enabled healthcare...

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...

Discharge Care Manager Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with...

RN Clinical Supervisor (Part-time, Remote/Flexible) We are seeking a Registered Nurse to join our team. In this role, you will primarily be creating and managing a plan of care for individual patients. You are a Registered Nurse (RN) who...

Field Nurse Case Manager I - Bilingual (Spanish/English) CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Field Nurse Case Manager position in Phoenix AZ. Work from home,...

Field Care Manager Nurse (Physical Health) The Field Care Manager Nurse (Physical Health) plays a critical role in assessing and coordinating care to support members in achieving and maintaining health outcomes. The Field Care Manager...

Clinical Nurse Navigator (RN) Compensation: $80,000 - $85,000 annual salary, plus annual potential for bonus and merit increases Employment Type: Full-Time, Salaried, Exempt Reports to: Director of Oncology and Infusion...

Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...

MSA Nurse Reviewer We are seeking a MSA Nurse Reviewer with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical...

# Legal Nurse Consultant## Company DescriptionAt Expert Institute, we are pioneers and disruptors in the legal space. Simply put, we pair attorneys with the perfect expert witnesses to win high-stakes cases and be the hero for the people,...

Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...

Clinical Documentation Specialist The Clinical Documentation Specialist is responsible for the quality review of all OASIS documents and review of key elements of the Plan of Care to ensure CMS program compliance is met. The Clinical...

Company: Providence at Home with Compassus Position Summary The Clinical Liaison serves as the primary connection between Providence hospital facilities, Compassus Providence Joint Venture (JV) Agencies, and...

CHA Hollywood Presbyterian Medical Center CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed...

Description The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically based appeals between Providence Health and Services, California Region (PH&S) outside...

JOB SUMMARY: *Note: Candidate will be fully remote however needs to travel to members homes around Mystic Valley Elder Services area such as Chelsea, Everett, Malden, Medford, Melrose, North Reading, Reading, Revere,...

POSITION TITLE: Licensed Vocational Nursing (LVN) ManagerREPORTS TO: Director of Recuperative CareLOCATION: Corporate, Los AngelesCLASSIFICATION: ExemptSALARY: $80,000.00 - $85,000.00 (Depending on Experience)Pertinent InformationWork Shift:...

Clinical Reviewer, Precertification RN Duration: 8 months contract (with possible extension) The Clinical Reviewer, Precertification RN, is a licensed Registered Nurse that is expected to function independently in her/his role and...