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Clinical Guide Part A The Clinical Guide Part A will be part of the Utilization Management team, responsible for inpatient, behavioral health, and/or post-acute authorization review in alignment with CMS and Medicare Advantage...

Appeals Nurse Are you seeking an exciting opportunity to join a passionate, growing, and dynamic team of professionals who support patients? The Appeals Nurse works with attorneys and claims representatives by reviewing and...

WHO WE ARE: GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and...

Utilization Management Nurse (RN) (Temporary) Remote in California We believe every candidate deserves thoughtful consideration. That's why we do not use AI or automated systems to review applications. Every application is reviewed...

Care Specialist LPN Position Type Full Time Job Shift Day Overview GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a...

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology...

LVN Case Manager Under supportive supervision, the LVN Case Manager supports the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and...

IV Infusion Specialist Assessment Nurse The IV Infusion Specialist Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires...

Clinical Support Registered Nurse Ways2Well is redefining the future of healthcare. As a leader in regenerative and preventive medicine, we empower patients to take control of their health through data-driven, personalized care. We're...

RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time position that will work 8-hour...

Relocation to Southern New Mexico is required. The Nurse Consultant/ Regional Director of Clinical Operations position is comprised of two essential objectives; to partner with facilities as the primary clinical resource in...

Job Description Harborview Medical Center has an outstanding opportunity for an experienced Registered Nurse to join our Care Management Team. WORK SCHEDULE: 80% FTE (4 days a week)...

Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia! Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of...

Connect America is seeking a Remote Care Nurse II to deliver high-quality nursing care to patients in a remote setting via telehealth. You will perform remote assessments, develop care plans, and coordinate with a multidisciplinary team to improve...

Overview The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials, maximize...

Joining a dedicated team, the remote full-time Oklahoma RN Case Manager will manage utilization review processes, coordinate patient care transitions, and develop discharge plans while working days and every other weekend.Key...

We're looking for a Part-Time Psychiatric Nurse Practitioner who is passionate about reaching individuals who need mental healthcare. We emphasize medication management remotely, especially for Schizophrenia, Schizoaffective disorder and...

Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance...

Thriveworks is currently seeking Psychiatric Mental Health Nurse Practitioners in Louisiana. Clinicians need to be licensed and living in the state in which they will be practicing. Compensation: This is a Fee for Service (W2) position, the range...

Clinical Director - Psychiatric Nurse Practitioner Pay Rate: $72.00 - $85.00 an hour Job Type: Part Time 20 hours/week - 5 Hours per day Location: Chino Hills, CA The Clinical Director – Psychiatric Services serves...

Job Summary: Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial...

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation...

Health Center Psychiatric Nurse Practitioner Wilmington, CA 90744; Los Angeles, CA 90022 Overview Salary Range $90.00 - $117.00 Hourly Level Experienced Position Type Full Time Category Health Care Description...

We are seeking a Compassionate and Adult ADHD Experienced Provider to Join our Team at Mindful. Mindful is a digital health company that is making high-quality psychiatric chronic care management more accessible and affordable for patients. ...

Pay: $30 - $35 an hour Weekly Pay | Flexible Scheduling Provide Care One Patient at a Time Join Maxim Healthcare and deliver personalized 1:1 nursing care in patients' homes. Enjoy consistent assignments, a manageable pace, and...