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UnitedHealthcare is seeking a field-based Care Coordinator (RN) to coordinate care for medically complex members primarily within Medicare/Medicaid. You will apply clinical knowledge to identify needs, educate members, and ensure access to...

Become a part of our caring community The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources...

Job OverviewPay Range: $46.76hr - $51.76hrRequirement/Must Have5+ years Clinical nursing experience.2+ years Care Management.Bachelor's Degree in Nursing.In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required...

Discover Vanderbilt University Medical Center Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure appropriate utilization of health services and to assess member needs. The role involves collaboration with medical directors and case managers to coordinate discharge...

A leading health service provider in Kentucky is seeking experienced Registered Nurses for the Field Care Manager role. Nurses will conduct non-clinical, in-home assessments and manage their own schedules. The position offers a competitive salary,...

University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including...

Wellmark is seeking a Case Management Nurse I to support members with chronic and complex health care needs. You will develop individualized care plans and collaborate with members, families, providers, and community resources to coordinate care.

UnitedHealth Group is seeking a Telephonic RN Case Manager to oversee clinical operations and medical management across the continuum of care. You will assess, plan, implement, coordinate, monitor, and evaluate care in a high-volume,...

Central Health seeks a Nurse Case Manager to identify, screen, track and coordinate care for members with multiple co-morbidities and psychosocial needs. This role may work remotely with occasional travel to Austin, TX, under the Manager of Case...

A healthcare solutions company is seeking a remote Case Management Nurse to lead a multidisciplinary team providing holistic care. The role requires a compact RN license and offers a pay range of $37.00/hr - $39.00/hr. Candidates should have 3...

The Leading Provider of Integrated Occupational Medicine Services CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. Our...

Company : Highmark Health Job Description : Job Summary This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses...

Overview: Mountain Ridge is HIRING MDS Coordinator Flexible Schedule - Full time OR Part time This is not a remote role, onsite is required Offering $10,000 Bonus We are dedicated to improving the lives we touch through the delivery of...

Certified Nursing Assistant (CNA) Valley Presbyterian Hospital Make a Difference in Patient Care Every Day At Valley Presbyterian Hospital, our CNAs are at the heart of patient care. We're looking for a compassionate and...

Cadence in Dallas, TX is seeking an RN Supervisor to lead a remote team of Registered Nurses in a high-volume triage environment. This role demands strong clinical judgment, operational management, and performance coaching to maintain quality...

GI Registered Nurse (RN) Reports To: Associate Director of Clinical Operations Locations Hiring From: Alabama, Arizona, Arkansas, Florida, Georgia, Louisiana, Maine, Maryland, Missouri, New Hampshire,...

UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based...

Legal Nurse Consultant, Medical Chronologies Remote. We are seeking exceptional medical professionals dedicated to upholding the highest level of written medical analyses for injury victims throughout the U.S. to join our Medical...

Job Title: Registered Nurse (RN) Disease Manager Job Overview: The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or...

Telenett is seeking a Remote Utilization Review Nurse to review medical records and treatment plans from home. You will determine medical necessity, collaborate with providers, and help develop care plans that meet client needs. The role...

Life at aptihealth aptihealthis a fast-growing health tech company transforming behavioral healthcare. Our digital platform and affiliated medicalgroupmake it easier for people to access high-quality care when and where they need it.You'lljoin a...

1 day ago Be among the first 25 applicants 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...