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Experienced Nurse For Home Health Or Case Management SSM is looking for an experienced nurse with Home Health or Case Management experience that has a dynamic personality with a ton of energy and passion for Home base care. Someone with...

Unit Description: The Primary Nurse in Ambulatory Oncology serves as a pivotal member of the patients' multidisciplinary team, coordinating care across the continuum. Key aspects of this role include telephone triage of acute illness, ongoing...

A leading insurance firm is seeking a Medical Bill Review Senior Nurse in Schaumburg, IL. The role involves reviewing complex medical bills for compliance, managing litigation issues, and ensuring customer satisfaction. Candidates must have at...

A healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...

Full-Time Rn Case Manager (Rn) Opportunity DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in Fresno, CA. As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will...

A healthcare organization is seeking a Utilization Manager Registered Nurse to join their team in Massachusetts. The role involves conducting clinical reviews for service authorizations and ensuring compliance with regulatory standards. Candidates...

Business (Non-Clinical) General Summary: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Combines clinical, business,...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

iDEAL Hire is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Med Surg /...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

A prestigious university health system in California is seeking a skilled nurse to provide patient care in a dynamic environment. Candidates should possess a BSN or MSN, a California RN License, and BLS certification. The role requires a minimum...

Job Description: JOB DESCRIPTION Hebrew SeniorLife Day shift , 12 hour shifts , 36 hours per week , Every other weekend Position Title: RN / Licensed Practical Nurse I. Position Summary: The RN / Licensed Practical Nurse (LPN), in collaboration...

Join Our Caring Community Conviva Care Solutions is seeking a RN who will collaborate with other healthcare givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria...

A leading healthcare provider is seeking a Clinical Documentation Specialist to ensure compliance with CMS regulations by reviewing OASIS documents. The ideal candidate will have a California RN license, 2 years of clinical experience, and...

Job Description Registered Nurse (RN) Clinician - Surgical Services BJC/Saint Luke's Health is hiring a full-time RN Clinician for our Plaza and North Surgical Services clinics. You will coordinate patient care, provide expert education, and...

Provide support to all units within Claims to ensure all clinical components are met for CMS, NCQA, URAC, DOL, DOI, and all other State and Federal entities. Identify business priorities and necessary processes to triage and deliver work. Use...

Cvs Health Care Manager At CVS Health, we are building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

About the Role As a Registered Nurse (RN), you'll play a vital role in providing compassionate and high-quality care to patients. You'll work in a variety of healthcare settings, such as hospitals, clinics, and nursing homes, assessing patient...

Registered Nurse (RN) - Riverview Care Center 12 Hour shifts 7am-7pm or 7pm-7am DAILY PAY!! Work Close to home! Come be a part of some exciting changes! Optalis Health &...

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

Shift: Part-Time Nights: 24-hour week (7pm-7am) Unit/Location: Precision Abdominal Surgery - 8ab - Good Samaritan Hospital Up to a $2,500.00 sign on bonus The Abdominal Unit at Good Samaritan Hospital is a 25-bed unit specializing in the...

At CVS Health, we are building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of...

Remote Registered Nurse Position Looking for a registered nurse position that is challenging, will keep your clinical skills sharp, but being done from the comfort of home. Compassion-driven, self-motivated, high-performing...