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Company : Allegheny Health NetworkJob Description : St. Vincent Hospital St. Vincent Hospital is a Magnet®-designated hospital for excellence in nursing, serving the people...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals...

Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

About Us Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire...

Title: OSU Case Manager - This is a REMOTE JOB OPPORTUNITY (Hourly Pay only) Shift: 08:00-16:30 Accepts 1st Time Traveler Require Certifications: Active RN licensure to practice in Ohio (can be compact) BLS 2 year of experience required Epic...

Prior Authorization 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...

The salary range for this job posting is $55,132.00 - $110,642.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title,...

Do good. Be great as a nurse. Are you a Registered Nurse, Nurse Practitioner or Registered Mental Health Nurse seeking professional growth, flexible working and a better work-life balance? About the role As a Nurse...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

Immediate Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

Job Description Utilization Review RN RN at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part-time and will work 8-hour, Day shifts. Provide prospective, retrospective, and...

Contracted Nurse Case Manager PrideStaff is looking to onboard a Nurse Case Manager, in a contingent role. We are looking for an IL licensed RN with 1-2 years of experience as a nurse case manager. This would be a short term...

Site: Martha's Vineyard Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Utilization Review Nurse.

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...

The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. Assist with assessment, participate in planning and implementation of intervention and ensure follow-up and coordination of services.

The range for this role is $73,000 to $99,500 Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested applicants must be willing and...

Requirements: Requires home visits throughout the City of Los Angeles, including San Fernando valley, Santa Clarita valley, Palmdale and Lancaster. Education: Associates or Bachelors of Science degree in...

At 21st Century Home Health Services (21HHS), we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and...

Position: Hospice Admissions Nurse (RN) Location: Columbus, OH Schedule: Full-time, M-F 8:30-4:30pm with every other weekend On-Call Rotation Travel: Required...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

Overview OhioHealth Rehabilitation Hospital Joint venture with Select Medical Position: RN Case Manager PRN (RN or MSW) Location:...

City/State Lynchburg, VA Work Shift First (Days) Overview: Overview We are seeking a compassionate and experienced Registered Nurse - Integrated Care Manager...