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A healthcare company is seeking a Nurse Appeals specialist to investigate and process medical necessity appeals from members and providers. The role involves reviewing grievances, preparing summaries for Quality of Care cases, and ensuring timely...

Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass...

About Us Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire...

Overview The incumbent utilizes clinical judgement in providing utilization management services. The focus is to provide high quality, cost-effective care which will enable patients to achieve maximum medical improvement...

Join our dedicated team and prioritize health in our community! Reports To: Associate Director, Home Health Branch Administrator FLSA: Exempt Work Schedule: Full-time/40 Hours Position Type:...

Job Description Responsible for nursing care planning and management of patients in collaboration with the multidisciplinary team. This is a non-supervisory position following the Florida Nurse Practice Act and chain of...

Pay and Benefits: We believe that our Staff License Practical Nurse (LPN) and/or License Vocational Nurse (LVN) are the heart of our business. Without you, we couldn't build meaningful relationships with our clients, put a...

About the Job General Summary of Position The Senior Director of Nursing-Connected and Remote Care programs is an active member of MedStar Health System Nursing leadership and management team and is...

Posting Date 01/13/2026 245 Commons Pkwy, Daleville, Virginia, 24083-1701, United States of America RN Case Manager - Position Highlights Location: Hybrid - Remote This is a hybrid, field...

You don't just clock in at a job. You walk in the door to a work family who wants to make the day count. We truly believe our employees and residents are a family that comes together to enjoy the good things in life, including one another. When...

Description The Role: The Chief Nursing Officer (CNO) provides executive leadership for nursing, ancillary, and support departments while overseeing hospital operations. This dual leader partners with clinical and operational leaders, medical...

PRN Group Clinician Shifts Available: 8am-5pm, 7 days a week. *Ideal candidates will be able to pick up shifts between Fridays and Mondays Pay Ranges: $35.94 - $46.73, based on license and...

Licensed Practical Nurse (LPN) Location: Varies by assignment (Multiple healthcare facilities, clinics, nursing homes, etc.) Position Type: Contract/Per Diem Job Summary: A...

Change Lives With Recovery Innovations! Our Mission is to empower people on their journey to recovery, helping them achieve their goals, rediscover meaning and purpose in life, and reconnect with themselves and their communities. Our...

Job Purpose: Ensuring all projects follow Case Management Standards of Practice Promotes and restores individuals' health and wellbeing by completing "a collaborative process of assessment, planning, facilitation, care coordination,...

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: This role is open to applicants that reside in SSM Health's 4 state footprint -...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job...

Title - Clinical Review Nurse-Concurrent Review Duration - 6 months Shift - Tuesday-Saturday Schedule 8am-5pm CST. Location - Remote TX Job Responsibilities They will be...

Overview OhioHealth Rehabilitation Hospital Joint venture with Select Medical Position: RN Case Manager PRN (RN or MSW) Location:...

Licensed Practical Nurse (LPN) Arbors West is proud to have received the American Health Care Association 2025 Bronze National Quality Award! Facility: Arbors West Starting...

Job Type Full-time Description *This position requires 4-5 days/week onsite at either JHH or Saint Agnes* Summary/Position Objectives: This position is responsible for the planning,...

CareHarmony Intake Coordinator CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced...

Behavioral Health Nurse IDD A Great Opportunity Full Time No Weekends At ViaQuest Psychiatric & Behavioral Solutions we offer unique and individualized care to children, adolescents, adults,...

Join our award winning culture as we serve members in your area! Position Summary: The RN Care Manager (RN CM), as part of an interdisciplinary team (IDT) with a Care Manager, serves Lakeland Care's...