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We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

Overview: Schedule: 7a-3:30p 0.6 or 0.8 FTE (24 or 32 hours per week) Every other weekend required Starting pay: $36.90/hr, commensurate with experience Job Description...

A company is looking for a Clinical Review Nurse - Correspondence.Key ResponsibilitiesDrafts correspondence letters based on clinical review outcomes in accordance with NCQA standardsInvestigates denials and provides supplemental information to...

Care Coordination Nurse Overview: 5,000 Net Sign-on Bonus New Employees 1.0FTE, 40 hours per week, Monday - Friday 8a - 5p. Salaried Nursing position. Full-time benefits. Job Description Summary: The...

Ssbv Clinical Claims Review Rn 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...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...

A company is looking for a Utilization Review Clinician - Behavioral Health.Key ResponsibilitiesEvaluate member's treatment for mental health and substance abuse to ensure medical appropriatenessPerform prior authorization reviews and concurrent...

Care Coordinator Ensures the provision of quality patient care in the appropriate setting through care coordination, case management, utilization management of inpatient admissions, and transitions of care to different levels of care.

RN Case Manager Full Time-Flexible Schedule Monday-Friday 8-4 On call rotation with bonus pay Locations Covered: South Franklin County and Madison County Mileage Reimbursement About Us: National...

Sr Utilization Management Nurse Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our...

A company is looking for a Nurse Auditor.Key ResponsibilitiesPerform charge audits and assessments to resolve incorrect or missing chargesMonitor revenue loss reports and identify documentation needs to support charge captureEducate stakeholders...

Telephonic Maternal Health Registered Nurse Case Manager At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of...

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

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

A company is looking for a Clinical Faculty, Graduate Nursing Practicum.Key ResponsibilitiesTeach and manage up to ten course sections annually in graduate nursing, focusing on practicum and leadership/education coursesMentor and support adjunct...

Requisition number: 2357526 Job category: Nursing 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...

CVS Health Care 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 deeply,...

A company is looking for a Clinical File Review Specialist (RN) to support physician reviewers by analyzing complex medical records in a remote, non-patient-facing role.Key ResponsibilitiesReview medical records for disability, workers'...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help...

A company is looking for a Licensed Practical Nurse - Case Manager.Key ResponsibilitiesCollaborates with members, families, and healthcare providers to coordinate services and develop care plansPerforms assessments and telephonic reviews for...

Requisition number: 2356920 Job category: Nursing Optum NY/NJ, is seeking a Senior RN Case Manager to join our team in Fishkill, NY. Optum is a clinician-led care organization that is changing the way...

A company is looking for a Bilingual (English/Spanish) Transitions of Care RN Case Manager.Key ResponsibilitiesEngage with newly discharged patients to assess their needs and develop care plansCoordinate care with healthcare providers and...

Requisition number: 2353879 Job category: Nursing 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...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...