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Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer...

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus — a rejuvenating place for associates...

Registered Nurse (RN) or Licensed Practical Nurse (LPN) The Registered Nurse (RN) or Licensed Practical Nurse (LPN) supports the Chronic Care Management (CCM) and Advanced Primary Care Management (APCM) Programs by providing ongoing care...

Actalent is Hiring a Team of UM/Appeals LPNs // Fully Remote!! Job Description The Appeals Clinical Reviewer serves as an Appeals Utilization Review Nurse responsible for reviewing and evaluating member and provider appeals related to...

Chronic Care Management LPN/LVN Location: Remote (Virginia license required) Hours: Flexible | Part-Time or Full-Time Role Overview PharmD Live is seeking a Virtual Chronic Care LVN/LPN to support patients with complex,...

A recognized healthcare facility in Los Angeles is looking for a dedicated Case Manager to join their team. The ideal candidate will be responsible for integrating and coordinating patient care services, ensuring quality outcomes. Applicants...

About GreyZone Health GreyZone Health is a professional patient advocacy practice specializing in complex, rare, and diagnostically challenging medical conditions. We partner with clients and families to achieve diagnostic...

Travel Rn Case Management Profession: RN Specialty: Case Management Weekly Pay: $3,019 Shift Details: Shift 8a-5p Job Order Details: Start Date 07/27/2026 End Date 10/26/2026 Duration 13 Week(s) Client Details:...

Providence Health and Services is seeking an RN Clinician to provide direct nursing services and case management for infusion therapy across home, hospital, clinic or alternate living sites. You will collaborate with patients, caregivers,...

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Summary of Primary Function In the capacity of a Registered...

Care Manager The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the...

" Licensed Psychiatric Nurse Practitioner Wage: Up to $196.58/hour Did you know that you can build a flexible...

Become a part of our caring community Humana/iCare is seeking an RN Care Manager to join the team in the Family Care Partnership (FCP) program to provide services to members in Milwaukee and surrounding counties. Reporting to the Manager of Care...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301...

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...

Clinical Quality Assurance Nurse (RN or LPN)Schedule: 3 different openingsM-F 11:30am – 8pm ESTM-F 8am-5pm ESTTues – Sat 8am-5pmPay:$24/hr for Licensed Practical Nurse (non- negotiable)$29/hr for Registered Nurse (non-negotiable)Training &...

Overview Med-Surg RN Virtual Interview Days Emory University Hospital Event Dates: July 13 - 16, 2026 Interview Hours: 9:00 a.m. - 3:00 p.m.

Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients,...

A Registered Nurse Care Manager (RNCTM) contributes to AHF by satisfying the AHF Core Measure of being Patient Centered, regulatory & contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on removing access...

Job SummaryUnder 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...

Position SummaryThe individual in this position is responsible for coordinating patient care activities to conform to evidence-based practice and/or regulatory/payor requirements. This position integrates functions typically considered to be case...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12...

Description: Our client is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity...

At Caregenix, we are committed to delivering exceptional, value-based care. Our team lives by the iCARE values-Integrity, Compassion, Accountability, Respect, and Excellence-in everything we do. If you are passionate about improving patient...

Care Coordinator, LPN Remote Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with...