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Jobgether, in partnership with a healthcare team, seeks a Case Manager – Utilization Review Specialist based in the United States. This fully remote role focuses on admission and concurrent reviews, denials prevention, and coordinated appeals to...

Case Manager RN Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation...

Remote Registered Nurse Case Manager Ansible Government Solutions, LLC (Ansible) is currently recruiting multiple remote registered nurse case managers to support the VA Office of Veterans Community Care. If you accept employment with...

Case Manager Registered Nurse (RN) Setting: Healthcare Facilities Job Type: Travel Pay: $2828 / Week Hours: 40.00 Location: Lebanon, NH The RN Case Manager is responsible for coordinating continuum of...

Benefits: 401(k) 401(k) matching Bonus based on performance Competitive salary Dental insurance Health insurance Paid time off Vision insurance We're Hiring! RN Case Manager (Bilingual –...

Case Management/Care Coordination Program VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire experienced Registered Nurses to work in our Case Management/Care Coordination Program. The Case Manager provides patient...

Clinical Case Manager Utilizes clinical expertise, discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy. Responsible for assuring medical...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who...

Utilization Review Nurse II Primary Location Baldwin Park, California Facility Name Baldwin Park Hospital Employee Status: Regular Schedule Per Diem Scheduled Weekly Hours: 1 Shift Day Salary $84.61 - $97.83 / hour Job Number 1452728 Date...

Your Future Role At A Glance Location: Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l Full-Time Salary range: $78,561.60 - $110,905.60 per year (Texas) | Pay...

Details Client Name California Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

RN Status Review Specialist It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Use your nursing expertise in a strategic, non-bedside role. As an RN Status Review Specialist, you'll evaluate patient...

AltaMed Nurse (RN) Case Manager/Care Coordination Team Leader If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed –...

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,...

Utilization Review Nurse Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical...

CVS Health is seeking a remote RN Case Manager to support members across multiple states. If you are considering sending an application, make sure to hit the apply button below after reading through the entire description. You will...

Clinical Case Manager-RN Opportunity Come make a difference and consider this unique opportunity to step into a rewarding career. Our Story At Alight, we believe a company's success starts with its people. Alight embraces...

Case Management SupervisorThe Case Management Supervisor assists the Director with the overall development of the case management program and implements at the hospitals. This includes oversight of all case management staff, development and...

ForzaCare in California seeks a Field Medical Case Manager to coordinate care for injured workers, connect them with medical providers, employers, and insurers, and ensure timely, transparent case management. This role is ideal for licensed nurses...

Job Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not...

Summary The Remote Patient Monitoring Home Telehealth Case Manager delivers fundamental knowledge-based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates care based on age-specific components.

Utilization Review Registered Nurse Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns...

LTSS Service Coordinator – RN Clinician (RN Case Manager) Eastern Ohio Hiring in the following counties: Richland Franklin Muskegum Guernsey Noble Washington Morgan...