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Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...

Job Description Invo Healthcare is the nation's leading provider of behavior, mental health and therapy services in schools, centers and communities. We're seeking a talented, full-time Registered Nurse (RN) to join...

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...

The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute's (OSUCCC-James) mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The...

Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong...

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 with the care, pharmacy benefits, data...

A health care organization in Hartford, CT is looking for a Registered Nurse (RN) to join their team. The RN will collaborate with health care givers to provide excellent service and review medical care against established guidelines. This role...

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care...

CVS Health Aetna Case Manager RN Opportunity 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...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...

This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

CVS Health Aetna Case Manager RN 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...

Position Scope/Summary The James Clinical Call Center Triage RN is responsible to be the primary responder to manage telephone calls within the defined scope of practice as established by the Ohio Board of Registered Nursing for...

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CVS Health Aetna Case Manager RN 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...

$5000 Sign-on Bonus for External Candidates Explore opportunities with Cambridge Home Health Care a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the...

RN Case Manager - Remote Helping patients feel supported, heard, and guidedright from your home. At Guidehealth, we're transforming how patients experience healthcare by combining clinical expertise with compassionate,...

Clinical Registered Nurse - Utilization Management - Remote at Cognizant in Boise, Idaho, United States Job Description Schedule: Monday to Friday - Eastern Time Location: Remote About the role As a Registered Nurse you will make an impact by...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. ...

A healthcare organization in California is seeking an RN, Clinical Care Manager I to enhance member care through assessment and coordination. Applicants should have a Bachelor's Degree in a health-related field and an active RN license. The role...

Details Client Name Ohio State University Hospital Job Type Travel Offering Nursing Profession RN Specialty...

A prominent health care provider in Boston is seeking a part-time Population Health Nurse to manage patient engagement in the Remote Blood Pressure Monitoring initiative. Responsibilities include serving as the clinical contact, coordinating care,...

UW Health is seeking a Registered Nurse (RN) Nurse Navigator for a nursing job in MADISON, Wisconsin. Job Description & Requirements Specialty: Nurse Navigator Discipline: RN Duration: Ongoing Employment Type: Staff Description: Work Schedule:...

Overview Connect Care. Guide Families. Make Every Day Count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that intake and referral processes...

Specialty Biologics Clinical Reviewer 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...