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Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* Job Summary: Reviews all medical (and other) documentation in claim files to answer the specific...

Sentara Health in Richmond, VA is hiring an Integrated Case Manager, RN to coordinate patient care across the continuum. This remote-friendly, full-time role requires in-person assessments and travel to Winchester, Leesburg, Alexandria, and other...

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...

We're looking for a detail-oriented and motivated Remote Utilization Management Support Clerk to join New Paradigm Staffing, a growing healthcare staffing agency focused on remote administrative roles that support clinical...

IV Home Infusion Nurse UniversaCare is seeking to hire PRN Home Infusion Registered Nurse. Position: Per-diem Hours: Flexible Hours, Evenings & Weekends Start Date: Immediately As a Home Care PRN Infusion...

Case ManagerAre you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic...

RN Case Manager | Remote | Contract Walker Healthforce is seeking an RN Case Manager with 3+ years of clinical nursing experience to provide comprehensive care coordination...

UCI Health Case Manager UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health...

School Nurse Position Lincolshire-Prarie View School District 103 is currently seeking to fill a vacancy for a School Nurse position. The role involves providing direct nursing services to students and staff in the school community,...

TB Specialist Nursing Service Opportunity An exciting opportunity has arisen to join the UHT TB services working with experienced TB practitioners across the acute and community sectors. In partnership with the multidisciplinary team the...

Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical...

Clinical Guide A bit about this role: As a Clinical Guide on our Outpatient Utilization Management team, you'll have the opportunity to make a difference in the lives of our members. You'll be responsible for clinical review of...

Location This is a hybrid role. Applicants must be able to commute to or travel to Mitchell and Dougherty counties, GA, when required. About Us The Columbus Organization is a nationally...

Registered Nurse - Case Management - Travel | Torrance, California Estimated Weekly Pay: $1935.10 Start Date: 11/09/2026 | Duration: 13 Weeks Shift: 5 x...

Grace Community Care & Homes seeks a part-time Psychiatric Mental Health Nurse Practitioner (PMHNP) for planned New Jersey mental-health and substance-use services. The role includes psychiatric evaluations, prescribing, medication follow-ups and...

Parenteral Services Clinical RN Specialist The Parenteral Services Clinical RN Specialist provides clinical support to the Parenteral Services team through advanced nursing expertise, education, care coordination, and operational...

Shearwater Health Registered Nurse, Utilization Review At Shearwater Health, we know that better patient outcomes are never achieved alone – especially when there aren't enough hands to deliver care. That's why we've built something...

description: Provides excellent patient care by assisting in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse, physicians,...

Job Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, or Operating Room to perform utilization review duties. The Registered...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...

Grace Community Care & Homes seeks a part-time Psychiatric Mental Health Nurse Practitioner (PMHNP) for planned New Jersey mental-health and substance-use services. The role includes psychiatric evaluations, prescribing, medication follow-ups and...

Humana Inc. is seeking a remote Telephonic Care Manager reporting to a Manager of Care Management to deliver comprehensive case management across the continuum of care. You will coordinate with DoD contract requirements and leverage...

Nurse Case Manager Lead 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...

Why Brighton At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to...

Job Title This is a remote, PRN position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values...