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Providing advanced clinical appeal services, the full-time Remote Clinical Financial Case Manager RN will manage complex patient account denials, conduct clinical reviews, and assist in developing denial prevention strategies while supporting the...

Job Description Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an...

Job Description: I. Position Summary: HSL provides enhanced housing with services to seniors living in its four affordable housing locations and at partner housing sites, intending to improve quality of life and support independent living. At its...

Job Type Full-time Description About Us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you-comprehensive services with the program...

OverviewPosition Type: Full timeJob Title: Care Review Clinician ILocation: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle),...

Our client, is a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Orange-Osceola-Brevard-Seminole Counties, FL location. Responsibilities: Clinical Case Management is responsible for...

A company is looking for a Nurse Auditor.Key ResponsibilitiesPerform charge audits and assessments to resolve incorrect or missing chargesMonitor revenue loss reports and identify documentation needs to support charge captureEducate stakeholders...

Site: Mass General Brigham Incorporated 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,...

Nurse Case Manager Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment...

Case Management Coordinator We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role, care management interventions focus on improving care coordination and reducing the...

Case Manager I (MSW/RN) Medicare/DSNP This position is remote. We are targeting an individual who lives in the Seattle area and is knowledgeable of the area and its available resources. This is essential in being able to assist our...

A-Line Staffing is now hiring a Remote Care Manager (RN) in Northeast Ohio. Please contact Staffing Manager, Tiona Scroggins @ tscroggins@alinestaffing.com Assignment Dates: 06/08/2026 – 01/06/2027 Pay Rate: $45.00/hour – Weekly Pay Schedule:...

RN, Case Manager 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,...

Field Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

To support clinical auditing efforts, the full-time RN Clinical Auditor will perform retrospective chart reviews on Readmission and Place of Service Claims, utilizing clinical guidelines and proprietary systems while maintaining productivity and...

Nurse Case Management Senior Analyst Pay rate max is ***/hour or following your Client rate card. This is a remote position in any state except NY, CA, HI, or AK. This role is 8am-5pm M-F. Manager prefers compact RN license. Nurse Case...

Position Summary Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements and supports Health Strategies, tactics,...

Somatus Care Coordinator As a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, Somatus is helping patients across the country enjoy More Healthy Days at Home™. Care at...

Nurse Case Manager I Location: Cincinnati, Columbus, Mason and Seven Hills OH offices and surrounding areas; This is a field-based role with some virtual work. Field: This field-based...

Field Nurse Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has...

Job ID: 25-266570 Job Title: 'Nurse Case Manager' Position Type: Full-Time Contract Role Location: Work from home Work Type: Remote Est. Pay Range: $35.00/hour - $38.46/Hour...

Case Management RN Location: Roseville, CA Onsite Flexibility: Remote Contract Details: Position Type: Contract Pay Rate: $20.00 / Hour (USD) Shift / Schedule: Day Shift, Monday–Friday, 8:00...

Clinical Nurse, Case Management Saratoga Medical is hiring for a Clinical Nurse, Case Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a great full-time opportunity...

Job Description Now Hiring: RN Case Manager - Columbus, OH Job ID: JOB-389332 Weekly Pay Range: Contact us for Pay Information Weekly Pay Range:...