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Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...

AltaMed Inpatient Case ManagerIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed – it's nurtured, celebrated, and promoted,...

Travel LVN/LPN Case Manager Near West Hollywood, CA Area Length of Assignment: 13-Week Contract (Full-Time / Part-Time / Per Diem Shifts Available) Our Client is a nonprofit, independent healthcare...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and utilization management? Join our team...

Clinical Specialist Utilization Management Pay Grade: 8 Under the general supervision of the Director of Utilization Management for the Detroit Wayne Integrated Health Network (DWIHN), Clinical...

Care Manager LPN LVN – Remote Candidates residing in Oregon are encouraged to apply. The purpose of this position is to provide care coordination services to Providence Health Plan (PHP) members. Care coordination services include...

Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

A leading case management firm is looking for a passionate RN to provide effective case management services. This remote position in Tallahassee involves evaluating medical cases, facilitating return to work solutions, and maintaining contact with...

Admissions RN Bristol Hospice Greater LA, CA - Lakewood, CA 90712 Overview Salary Range $55.00 - $58.00 Hourly Position Type PRN Hourly Job Shift Any Description Do you enjoy being at the beginning of the...

School Registered Nurse (RN) Setting: Schools Job Type: Contract - Full Time Pay: 50 Hour Hours: 35.00 Location: El...

Job Description Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed...

A leading health service provider in Kentucky is seeking experienced Registered Nurses for the Field Care Manager role. Nurses will conduct non-clinical, in-home assessments and manage their own schedules. The position offers a competitive salary,...

Registered Nurse Primary Care 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...

Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must Have requirements: RN,...

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

We're looking for California Based Nurse Care Managers for our Care and Case Management team, who resides in California and holds a CA RN license; have experience working with a health plan, health navigator or third-party administrator (TPA). Are...

Health Services Nurse - Occupational Health (Full Time) Job no: HN26-NURSE-GEN Work type: Full Time Location: Los Angeles Categories: USH - Operations, Park & Resorts Operations...

Title: QIC Part A Nurse Consultant Location: Remote Duration: 6 months Shift time: Hours; 8:30 am - 5:00 pm EST (Monday - Friday) Pay rate: 30.00/hr Job Description Essential Duties and...

Self Fund Health Nurse Navigator Remote · Full time The Nurse Navigator is a remote WI-based RN who acts as the member's single point of contact through the healthcare system — coordinating care, advocating for patients, and steering...

About Clarity Pediatrics Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD. After successfully launching our virtual clinic for ADHD and anxiety, we are expanding our pediatric care platform to...

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...

City/State Roanoke, VA Work Shift First (Days) Overview: Sentara Health Plans Roanoke is looking to hire a Care Coordinator- LPN. Sentara Health Plans is hiring a Remote Care...

Care Career is seeking a travel nurse RN Hospice for a travel nursing job in Glendale, California. Job Description & RequirementsSpecialty: HospiceDiscipline:...