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Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

Registered Nurse (RN) for Utilization Management Team We are seeking a Registered Nurse (RN) to join our Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews,...

Overview Would you like to be part of a well-established healthcare organization that is genuinely making a positive impact in our communities? Become a member of our team now! This week, AltaPointe is organizing a hiring...

Voca Healthcare is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in West Hollywood, California. Job Description & Requirements Specialty: Acute Care Case Management...

CHA Hollywood Presbyterian Medical Center CHA 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...

Job Summary Certified Nursing Instructor-Temporary Contract Part-time -- Mon-Friday, 8:30 a.m-12:30 p.m. mornings and evenings 6:00 pm-9:00 pm to include Saturdays (flexible) - NTE 16 hrs. Please Note: This position...

Clinical Clearance Specialist (RN) Remote, United States Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often,...

Appeals Nurse The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare...

RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...

Summary The VA Northeast Ohio Healthcare System is recruiting for Registered Nurse. The Registered Nurse will function within Home Based Primary Care section of the Community Outpatient Services. Learn more about this...

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

Job Description Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive...

ABOUT THE ROLE (Full Time) Late Afternoon/Evening Shift 2:30pm to 11pm This position works off a 4 days on 2 days off rotation varying schedule. As a Charge...

Remote Position This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions, and must have their own secure...

Senior LTSS Service Care Manager (RN) Location: Remote (Texas) – Must cover Bell, Bosque, Burleson, Comanche, Erath, Gillespie, Grimes, Lampasas, Llano, McLennan, Mills, San Saba & Washington Counties Schedule: Monday–Friday |...

Hours: FT, Mon-Fri 8:30-5p Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of...

The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The Care Manager...

LPN Care Navigator HealthSnap empowers patients and their physicians to improve health outcomes using an innovative platform for modern, proactive patient care. We help healthcare organizations easily manage chronic conditions remotely,...

LVN Patient Care Coordinator (Hospice) Join Our Compassionate Hospice Team! Are you an organized, compassionate healthcare professional who thrives in a collaborative environment? We're looking for a Patient Care Coordinator to help...

Job Description Your Role The Care Management team is looking for a leader with who can lead and oversee our team to ensure the effective coordination of patient care across multiple settings. The...

Nurse Abstractor The Suicide Mortality Review (SMR) Program, within the Arizona Department of Health Services' Office of Fatality Review, conducts multidisciplinary reviews of suicide deaths to identify system gaps, risk factors, and...

About the Job RN Case Manager. Sealy, Texas. PRN. About the Job: About Us: A Hug Away Healthcare is a leading provider of home health and hospice services. We are...

Army Public Health Nurse Job Overview As an Army Public Health Nurse, you'll assess health risks and implement programs to monitor the spread of disease. You'll promote wellness for Soldiers and their families while also informing policy and...

LVN We are looking for dedicated LVNs who want to provide quality care to home-based patients. You will work one-on-one with the patient and truly impact their life as well as their family's. The job is consistent, long-term, and can work...

Company Overview Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing...