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Scope: The Chronic Condition Case Manager will have direct responsibility for managing an individual caseload using Complex and Chronic Condition Management constructs. This individual is expected to accurately service and satisfy...

Hospice RN Case Manager We are seeking a compassionate and experienced Hospice RN Case Manager to join our dedicated team. In this role, you will provide comprehensive end-of-life care, coordinate patient-centered plans, and support...

Quality Improvement Advisor As a Quality Improvement Advisor, you will serve as the primary liaison and coach for healthcare facilities within your state, focusing on identifying areas for improving patient care and outcomes, implementing...

LPN/LVN Utilization Management Nurse Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key...

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 deeply, innovate with purpose, hold...

Join Our Team as a Clinical Quality Assurance Coordinator! Are you passionate about healthcare quality and compliance? Do you thrive in a detail-oriented environment where your work directly impacts patient care and regulatory excellence? If...

Job Opportunity Our client is a private health management company devoted to providing an exceptional clinical team in the comfort, and privacy of a patient's own home. We are seeking dynamic, experienced, and compassionate Registered...

A clinical research organization is seeking a Clinical Research Assistant for a flexible PRN role in Los Angeles. You will support participant care, manage clinical research events, and ensure compliance, all while having the freedom to choose...

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...

Briarcrest Nursing Center is a skilled nursing facility with 135-beds located in Bell Gardens, CA. Facility location: 5648 Gotham St. Bell Gardens, CA 90201 This is a temporary position.

About the Role: The Home Health Field LVN/LPN plays a critical role in delivering high-quality nursing care to patients within their homes, ensuring comfort, safety, and effective management of health conditions. This...

Care Management Nurse (NY License Required) - Remote Title: Care Management Nurse (NY License Required) - Remote Location: Remote About Us: Mobile Primary Care is a home-based primary care practice that specializes in...

Job Title: VITAS Telecare RN The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families...

Job Title Clinical Services Specialist RN Job Type Full-Time Category Medical Services Location Work from Home FSM Based - Fort Smith, AR 72903 US (Primary) Education...

CareHarmony's Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse to work 100% Remote - LPN...

Job Title Summary researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested...

Legal Nurse (Registered Nurse) At TLC Management, our mission is grounded in compassionate care, accountability, and doing what's right—every time. As a multi-state senior care organization, we are committed to supporting our...

A Better Homecare Lvn Opportunity A Better Homecare is a home health agency committed to providing excellent and quality care to our patients. Our Mission – A Better Homecare is dedicated to continuum of care for our patients in...

Telephonic RN Case Manager Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

Team Lead For Specialty Programs Acts as team lead for specialty programs, medical review, utilization management, and case management areas by providing assistance and support to unit supervisor/manager by giving...

Universal Health Services, Inc. is seeking a Nurse Program Manager for its residential treatment facilities in Pasadena and Arcadia. The Manager will oversee daily operations, ensuring compassionate patient care is provided by the clinical team...

Remote Position This position is responsible for performing discharge care coordination and review activities for determining efficiency, effectiveness, and quality of medical/surgical services and serving as a liaison between providers...

Denials Case Manager, RN 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,...

Salary: $106,546.66 - $144,604.83 Annually Location : Clinton, MD Job Type: Probationary FT Remote Employment: Flexible/Hybrid Job Number: 10627...

Join Our Team as a Licensed Vocational Nurse (LVN) Where Compassion Meets OpportunityAnchor Co‑Living is seeking a couple of dedicated Licensed Vocational Nurse (LVN) team members to join our Recuperative Care & Housing team serving individuals...