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Nurse, Concurrent Review Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including admission reviews, continued stay reviews, transitional care...

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),...

Overview:RN / Registered Nurse, Home Health ...

Join Sailor Health Join a mission-driven team transforming senior mental health care with compassion, flexibility, and support. Work remotely from your home and on your own hours. Sailor will take care of finding patients to you so that...

Job Summary As a Clinical Services Manager - RN Telephonic Case Management, you will ensure optimum recovery on every claim while establishing trust, providing education, delivering information, and care. You will provide case direction to...

Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site...

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 individual's benefit plan...

Telephonic Care Manager Opportunity Are you an experienced nurse looking for the next challenge in your career? Do you have knowledge of case management or care coordination? Check out this fantastic new opportunity! UPMC Health...

Community Living Center Minimum Data Set Registered Nurse The Sioux Falls VA Health Care System is seeking a Community Living Center Minimum Data Set Registered Nurse. This role supports Veterans through resident-centered assessments,...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

Care Management Coordinator Location: 100% Remote Duration: 6+ Months (Possible FT conversion) Open to Subcontract/C2C - Corp to Corp Would work on Infusion Therapy Team PA RN license (only) required! Job Summary: The Care...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Join us at NextStep Care - a place where you'll be valued, recognized and rewarded for the vital work you do each day. We'll surround you with a strong team and leadership that supports every aspect of your life - both inside and...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Fixed Hybrid Work...

City/State Charlottesville, VA Work Shift First (Days) Overview: Sentara MJ is hiring an RN, Integrated Care Manager, to support Primary Care Practices in the...

Providing telephonic case management in a fully remote capacity, the full-time Registered Nurse Case Manager will coordinate resources and develop individualized treatment plans for injured workers in a workers' compensation environment.Key...

Nurse Advocate Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris...

Description Telephonic Nurse Case Manager (1099 Remote - NJ RN License Required) We are currently seeking an experienced Telephonic Nurse Case Manager (RN) to support workers'...

A Registered Nurse Care Manager (RNCTM) contributes to AHF by satisfying the AHF Core Measure of being Patient Centered, regulatory & contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on removing access...

Medical Review Nurse Analyst Our Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This analyst ensures that providers are being...

Health And Social Services Coordinator At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Utilization Management Nurse – Precertification RN Remote | Full-Time | Weekday Schedule Are you a clinically strong Registered Nurse who enjoys critical thinking and making evidence-based decisions? Join our Utilization...

US Army Reserve – Psychological Health Program Nurse Case Manager (RN) The US Army Reserve Psychological Health Program (PHP) provides comprehensive behavioral health support to Reserve Soldiers and their families nationwide. As a Nurse...

Join Our Caring Community As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program...