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Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

Home Care Coordinator (LVN/RN) Alhambra, CA About the Role Under the supervision of the Clinic RN, the Home Care Coordinator (LVN/RN) provides home-based nursing services under the LVN or RN scope of practice and...

Job Title CRN - Case Review Nurse Job Description The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level. The CRN builds...

Specialised Part-Time Consulting Opportunity for Nursing Professionals We are sharing a specialised part-time consulting opportunity for nursing professionals experienced in patient care, clinical monitoring, medication administration,...

RN-Staff Nurse Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a mission - it's our way of life, and you'll be at the heart of...

Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (Possible FT conversion) The Care Management Coordinator primary responsibility is to evaluate a member's clinical condition through the review of medical...

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...

Job Details Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Dallas, TX, USA Medical Case Management Full Time Description Overview Are you looking to make a difference by providing...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Psychiatric-Mental Health Nurse Practitioner (PMHNP) in Texas or Washington Fully Remote, Part Time 16-32 hours a week $85 to 90 an hour Who we are At Televero Health, we're building something...

CCM Case Management RN Hi, we're Oscar. We're hiring a CCM Case Management RN to join our team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our...

Job Details Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish...

Horizon BCBSNJ Primary Nurse Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care...

Nurse Case Manager Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

Remote Care Management Licensed Practical Nurse (LPN) – Florida Location: Remote (Must Reside in Florida) Job Type: Full-Time | Remote Help Patients Stay Healthier—From Home At EPIC Health, we believe exceptional care...

Remote LPN/LVN – Nevada Work Arrangement: Fully Remote (Nevada LPN/LVN license required) Schedule: Flexible | Part-Time or Full-Time Licensure: Active Nevada LPN or LVN (Required) Role Overview: PharmD Live seeks a proactive...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Outpatient Case Manager (RN/LVN) Recruiting on behalf of a leading healthcare organization in Southern California About the Opportunity Vivo HealthStaff is proud to partner with our client, a fast-growing provider organization...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Remote Nursing Role Shift: Mid 5x8-Hour (15:00 - 23:00) / Day 5x8-Hour (12:00 - 08:30) Remote Role (facility will provide all equipment needed. traveler will need to have high speed internet & private office space) This role does...

Case Manager At Prestige Healthcare Services, we are committed to delivering exceptional care and support to our patients and their families. Our skilled facilities offer a range of short-term and long-term skilled rehabilitation services...

Float Nurse - Licensed Psychiatric Nurse Or Licensed Vocational Nurse Aegis / Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 35,000...

Position Summary Description for Internal Candidates The Clinical Education Specialist is responsible for the planning, design and implementation of education programs/services and professional development of...