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About IntusCare IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay...

Nurse - Clinical Review Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies agreed upon with the Client and any applicable governing body. Facilitates...

Hospice RN Case Manager Are you a compassionate Registered Nurse (RN) seeking to make a profound impact in the lives of patients during their final stages? Join Care Initiatives Hospice as an RN Case Manager, where you'll provide...

Trauma Quality Management Coordinator The Trauma Quality Management Coordinator will report directly to the Trauma Program Manager and Trauma Medical Director with a dotted line to the Sr. Director of Patient Safety and Quality. The...

Contract Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and...

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...

JOB DESCRIPTION This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health...

Join Silverado Hospice LA Silverado Hospice LA covering our Torrance and surrounding areas and be part of a nationally recognized team ranked in the top 10 nationwide by Fortune Magazine's Best Workplaces in Aging Services™. Since 1997,...

Utilization Management Admissions Liaison RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) L.A. Care Health Plan is an independent public agency created by the state of California to provide health...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Lead a team dedicated to delivering high-quality, cost-effective patient care.

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...

RN (Registered Nurse) Case Management Location: Glendale, CA Assignment type: Travel Pay: $2636.80 - $2926.56 /wk Your Schedule Shift Type: Day Shift...

Job Requirements Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need...

Details Client Name Cedars-Sinai Medical Center Job Type Travel Offering Nursing Profession RN Specialty...

## Licensed Vocational Nurse, In-Patient Case ManagerApply: In Person: Montebello, CA 90640: Full time: Posted Today: JR10818**Grow Healthy**If you are as passionate about helping those in need as you are about growing your career, consider...

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...

RN Case Manager | Registered Nurse Hardwick, MN $71,589 - $93,099 a year Full Time Job Summary: The RN Case Manager plays a vital role in promoting optimal social and emotional functioning while helping patients effectively...

This is a work from home position paying $26-$28/hr Job Description The Clinical Quality Assurance Coordinator is responsible for ensuring case reports are of the highest quality and integrity and in full compliance with client...

Senior Director of Nursing Connected & Remote Care (RN) About the Job Senior Director, Nursing - Connected & Remote Care Transform How Nursing Care Is Delivered MedStar Health is seeking a visionary nursing leader to...

Job Profile Summary Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's...

Clinical Appeals Specialist The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Specialist utilizes...

Utilization Management Nurse Specialist RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary...

Sedgwick is seeking an RN Field Case Manager to collaborate with injured workers and medical providers, coordinating care, advocating for timely treatment, and facilitating return-to-work. You will operate in a remote/home-based setup with...

Nurse Care Manager - Telephonic (Local Remote) Tandigm Health, a transformational leader in population health management, is looking for a Nurse Care Manager - Telephonic in the greater Philadelphia area. We offer a competitive...

Job Description A bit about this role: Under the guidance of the Manager, Clinical Services and Escalations the Clinical Nurse Specialist will function in a very cross functional, diverse capacity working with multiple...