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Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

Registered Nurse Care Coordinator, Chronic Care Management Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group Overview: Covenant Medical Group is the employed and managed medical practice organization of...

Job Description The Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator clinically assesses, plans, implements, coordinates, monitors,...

Nurse Manager Job Type: Permanent Position Urgency: Normal Offering Nursing Profession: Nurse Management Specialty: Nurse Manager OR Shift Details: Shift 08:00 AM - 04:00 PM Shifts Per Week: 5...

POSITION SUMMARY: Immediate opening available for a full time experienced Primary Care Telephone Triage Registered Nurses interested in telecommuting from home. Requirements Minimum Requirements/Qualifications: -...

Job TitleWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity...

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri. No matter where you start with us, we're committed to taking our team to the top. If you're ready for the challenge of...

Nurse Care Manager We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Full-Time Hospice RN Case Manager Position Summary We are seeking a compassionate and experienced Hospice Registered Nurse (RN) Case...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job...

DRG Appeals Specialist The DRG Appeals Specialist performs reviews of inpatient DRG payer denials on behalf of our hospital client partners. Responsibilities include reviewing denial letters, determination and data entry of audit...

The ECM Case Manager will assume responsibilities for community outreach and engagement. This position will determine eligibility, complete enrollment assessments, and perform outreach to potential ECM members to offer an enhanced case management...

Salary: $82,555.20 - $123,822.40 Annually Location : Chaska Government Center, MN Job Type: Full-Time Remote Employment: Flexible/Hybrid Job Number:...

Trustaff is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

OverviewJobs for Humanity is partnering with CEDARS‑SINAI to build an inclusive and just employment ecosystem. We prioritize individuals from diverse communities including Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard...

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...

RN Case Manager | Remote | Contract Walker Healthforce is seeking an RN Case Manager with 3+ years of clinical nursing experience to provide comprehensive care coordination...

Tripod Partners USA is seeking an experienced RN Case Manager for a Care Management – RevCycle travel opportunity in Glendale, CA. The role requires stepping into a fast-paced environment with minimal training and managing complex discharge...

Description Patient Business Services Provide clinical review, audit, analytical, and quality improvement support for utilization management, medical necessity determinations, and denial prevention...

About the Job The Supportive Housing Case Manager (Ages 18-25) supports young adults in securing and keeping stable housing while building life skills and independence. Using a positive, youth-centered approach, you'll carry a small...

RN Clinical Coordinator Home Health Attention all RN Home Health Clinical Coordinators! You Your new Journey awaits!!! Come share our passion, mission and vision tor extraordinary community-based services around the Hampton Roads. Lake...

Triage Nurse LPN or RN (Part Time/Weekends) Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Case ManagerThe Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures the correct level of care: critical, telemetry, acute, observation, for all patients.