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LPN/LVN Utilization Management Nurse Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Position Summary The RN Case Manager is responsible for performing clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge...

Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS at our CP-NORTH HILLS HEALTH CENTER facility. This job is ON - SITE. FTE: 0.600000 Standard...

Nurse Advocate Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris...

Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans,...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring for a Manager, Integrated Care Management- Nursing Facility/ HCBS / LTSS Waiver -...

Optum Care At Home Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an...

Job Description Now Hiring: RN Case Manager - Torrance, CA Job ID: JOB-418927 Weekly Pay Range: Contact us for Pay Information Weekly Pay Range:...

Home Care Coordinator (LVN/RN) Alhambra, CA About Seen Health At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top...

Registered Nurse Case Manager (RNCM) Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like...

Home Health Nurse Plans, organizes, and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct...

Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Employment Type: Full timeShift: 12 Hour Night Shift Description: The licensed Registered Nurse (RN) plans & provides professional nursing services &...

Day, Night, Full-Time, Part-Time, and PRN Opportunities If you're looking for a role where your clinical judgment is trusted, your assessment skills are valued, and every shift offers a new challenge, correctional...

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...

UM Nurse (California License) – Must Be Licensed In California- Remote Opportunity The role of the UM Nurse is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings,...

RN Case Manager - Home Health Schedule: Full Time, Days Assignment Details: Guaranteed Hours: 32 Contract Length: 13 weeks Requirements: Must be a licensed Registered Nurse in the...

RN - Psych VIBRA TRAVELS is seeking a Psych Registered Nurse RN to join our expanding network of healthcare professionals. We're looking for dependable, detail-focused travelers with experience in hospital settings. If you're ready to...

Case Manager Scope: The Case Manager manages an individual caseload using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of...

Part-Time PMHNP - Virginia-Autonomous Practice Psychiatric Mental Health Nurse Practitioner (PMHNP) — Part-Time, Autonomous Practice Remote · Active Virginia PMHNP License Required · Independent Practice Only We're looking for...

Join The Dynamic Journey At Vynca Vynca is passionate about transforming care for individuals with complex needs. We're more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve...

Staff Registered Nurse Staff Registered Nurses are responsible for providing excellence in patient care, collaborative and comprehensive care based on patient and/or family needs, providing assessments, treatment and care on assigned...