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TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services.

Providing guidance and education to members, the full-time Remote Clinical Admin Nurse RN will act as a clinical resource in a customer service setting, addressing health questions and supporting members in managing their well-being while working...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

Maximus is seeking a compassionate Clinical Assessor, Registered Nurse to make a meaningful impact by helping individuals access the care and services they need to live safely and independently in their communities. In this field-based role,...

Employment Type: Part time Shift: Description: Hours/Schedule: Saturday & Sunday 2:00 p.m. 12:30 a.m. EST Home Care & Hospice Virtual Care Center Coordinator Registered Nurse...

A leading healthcare provider in Columbia, Illinois is seeking an RN Supervisor for the Patient Access Center, focusing on evening shifts. The role demands strong clinical judgment and communication skills to optimize patient admissions and...

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and...

Overview:Location: Culver City ...

Description Location: UCHealth UCHlth Memorial Hosp Central, US:CO:Colorado Springs Department: SRSS Clinical Education Work Schedule: Part Time, 48.00 hours per pay period (2 weeks) Shift: Nights Pay: $38.91 - $60.31 / hour. Pay is dependent on...

Job Summary Geisinger is proud to offer a full time Inpatient RN up to $24,000 hiring incentive for eligible candidates! $41.50 minimum hiring rate with increased rates for experienced individuals and up to $7 shift differentials for evening,...

Point32Health is seeking a Care Manager - Nursing Field (RN CM) to ensure timely care management across the care continuum, including transitions of care, care coordination, and disease management. The RN CM will collaborate with members,...

Hartford, CT – Seeking RN – Patient Care Coordinator Be The Patient Care Coordinator You Are Meant To Be As a Patient Care Coordinator, you play a vital role in our mission to improve lives.

All In Solutions in Los Angeles, CA seeks a compassionate LVN to join our frontline detox team. Under the Nurse Manager, you will monitor safety and deliver high-quality nursing care during the early withdrawal phase.You will perform clinical...

Santa Barbara Cottage Hospital is seeking an experienced RN/LPN to perform remote clinical reviews for appeal cases. You will review medical records, apply InterQual criteria, and prepare clinical determinations for physician review. The...

PIH Health Whittier Hospital is seeking a Licensed Vocational Nurse to provide direct patient care under the supervision of a registered nurse. The role emphasizes adherence to LVN scope of practice and compassionate bedside care within a...

Become a part of our caring community The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with...

copehealthcareconsulting in Los Angeles is seeking an ECM Care Manager – Licensed Vocational Nurse (LVN) to facilitate continuity of care. This role emphasizes patient engagement and tailored care strategies.The successful candidate will...

Job Title: Clinical Operations Manager - Virtual Care Management (RN) Location: Remote - United States Employment Type: FT Exempt Direct Reports:...

Self Fund Health Nurse Navigator Remote · Full time The Nurse Navigator is a remote WI-based RN who acts as the member's single point of contact through the healthcare system — coordinating care, advocating for patients, and steering...

A healthcare organization is looking for passionate and tech-savvy Registered Nurses to work remotely as RN Care Coaches. This part-time role (20-25 hours/week) involves following up with Medicare patients, providing education, coordinating care,...

Select how often (in days) to receive an alert:Care Management Specialist II (RN or LCSW)Job Category: ClinicalDepartment: Care ManagementLocation: Los Angeles, CA, US, 90017Position Type: Full TimeRequisition ID: 13296Salary Range:...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

To support effective utilization management, the part-time Senior Utilization Review Specialist will conduct concurrent and retrospective reviews of hospital services, ensuring compliance with medical necessity and payer authorization while...

Kindred Hospital Baldwin Park is seeking a Licensed Vocational Nurse to deliver nursing care under direct supervision of a Registered Nurse. You will administer medications, support rehabilitation, and assist physicians with exams and procedures...

Quality Assurance Licensed Vocational NursePOSITION SUMMARY The Quality Assurance Licensed Vocational Nurse is a professional and responsible for all the quality activities of the organization. The Quality Assurance Licensed Vocational Nurse has...