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Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients,...

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark's comprehensive, personalized cancer care platform empowers patients with dedicated care navigation,...

Company: Providence at Home with Compassus Position Summary The Clinical Liaison serves as the primary connection between Providence hospital facilities, Compassus Providence Joint Venture (JV) Agencies, and...

Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...

Licensed Vocational Nurse - Home Health Excell Home Care is actively recruiting for LVN Case Manager. Our innovative company is focused on the best possible outcomes for our patients, outstanding and highly personalized patient care, and...

Psychiatric Mental Health Nurse Practitioner (PMHNP) - RemoteWho We AreMOOD is an ambitious, mission-driven mental health startup reinventing the care experience to help patients live their best lives. Our goal is to democratize access to...

Make a Difference on Your Own Schedule and Terms! Hiring Registered Nurse Travels in Iowa Additional Job DescriptionStart Your New Adventure Today - Come Travel With PCM!New Pay Rates and Now Offering...

Psychiatric Nurse Practitioner, Clinical Manager (PMHNP-BC) Remote (U.S.) | Full-Time W-2Role Overview Avail Health is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) to serve as both a...

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 care quality, affordability,...

Description Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise...

**Job Description****Job Summary**Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding...

Top Healthcare company is looking for a Licensed Practical Nurse to work remotely as a Grievance and Appeals nurse. ***MUST hold an Arizona LPN license*** This position serves as a clinical and administrative subject matter...

Orb Health in California is seeking a licensed LVN, LPN, or RN to join their remote team as a Care Management Nurse. This role involves providing telephonic care management services to chronic patients and requires at least 1-2 years of clinical...

Job Description The Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Medicare Appeals and Grievances...

Department: 01223 AMG WI Department of Digital Medicine - Virtual Practice Support Status: Full time Benefits Eligible: Yes Hours Per Week: 40...

This is a remote role. CircleLink Health is looking for passionate, tech savvy nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role (about 20-25...

Oncology Contact Center Supervisor At Siteman Cancer Center, no one navigates cancer alone. Our team of oncology-trained registered nurses answer every call helping you navigate appointment scheduling, finding the right doctor and making...

Nurse Reviewer 1 Nurse Reviewer 1 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes...

Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...

Care Navigator Position Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations.

For further inquiries about this opportunity, please contact one of our Talent Specialist, Remy at (224) 394 4902 or Justeen at (224) 394 4903 Title: Occupational Health Nurse (Part-Time) - REMOTE Duration: 12...

CHA Hollywood Presbyterian Medical CenterCHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving local...

Registered Nurse Duty Days: 187 Pay Grade: T07-T08 Salary Schedule: Click for Salary Schedule Primary Purpose: Ensure that learning is not hindered by a correctable health problem and educate students toward worthwhile decisions...

Care Manager—Registered Nurse We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...

Clinical Nurse Coordinator (LPN) Compensation: $58,000 - $68,000 annual salary, plus annual potential for bonus and merit increases Employment Type: Full-Time, Salaried, Exempt Reports to: Director of Oncology and Infusion...