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Reports To: Director of Clinical Services About Luminary Hospice: At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Case Management Nurse The Case Management Nurse delivers comprehensive, client-centered case management services across the continuum of care, ensuring that each individual receives the most appropriate level and type of health, medical,...

Join Our Leadership Team: Director of Nursing Recovery Works Columbus | Pinnacle Treatment Centers Are you a dedicated nursing leader passionate...

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,...

Job Category: Executive Leadership, Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

Director Of Care Management 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...

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. The Ohio...

RN-Peer Review Specialist Schedule: Day Shift. Monday - Friday. About the Position The RN-Peer Review Specialist screens and assesses medical records for the quality and appropriateness of care. Case review is determined by...

Overview: TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that...

Position Summary Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for assessing, planning, coordinating,...

RN Clinical Documentation Case Manager - CDI Specialist (Clinical Documentation Integrity) Job Category: Nursing Requisition Number: RNCLI026090 Monday - Friday 7 am - 3:30 pm, fully remote Job Summary: The Clinical...

Case Manager RN This Case Manager RN role is with the Costco Team and is fully remote; however, candidates must reside within 45 minutes (reasonable driving distance) from the local office located at 7034 Alamo Downs Pkwy, San Antonio, TX...

Medical Analyst We are seeking Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical treatment...

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...

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...

Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they have an NV RN License. SHIFT: Training schedule is 3...

OCM RN Case Manager Position: OCM RN Case Manager Pay Range: $95,000 -$105,000 PER YR Reporting To: Lead OCM RN Case Manager Work Type: Remote Position Summary: The OCM RN Case Manager...

Clinical Quality Specialist We are seeking a dedicated Clinical Quality Specialist to ensure regulatory and accreditation compliance. The ideal candidate will maintain alignment with DHCS, NCQA, and CMS requirements through ongoing...

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...

RN Case Manager Optum NY, is seeking an RN Case Manager to join our team anywhere within the U.S. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery...

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...

Nursing Board Compliance Agent Organization: Nursing Board Agency Contact Name and Information: Joseph J. Fanell Unposting Date: Jun 8, 2026, 3:59:00 AM Work Location: AB Graham Building 8995 E Main St Reynoldsburg...

Care Management Recovery Advocate The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S)...

Executive Assistant | Ross Nursing Administration The Executive Assistant coordinates and manages the administrative activities of The Ohio State Ross Heart Hospital under the direction of the Administrator and Administrative Directors of...