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Join Our Compassionate Team and Make a Difference in Health! This position is remote, and candidates must reside in Puerto Rico. As a Bilingual RN Care Manager, you will thrive in a telephonic environment where you assess and...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential Duties and...

Job Title: Traveling Nurse Location: Multiple Locations / Nationwide Employment Type: Contract / Full-Time / Temporary Department: Healthcare /...

Job Description Job Summary Join our team as a Clinical Review Nurse, where you will play a crucial role in supporting the review of medical claims and appeals. You will ensure compliance with state and federal...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic...

Job Title: Nurse Liaison I - UM & QR Locations: Remote Role, IL 60563 Job Duration: 6 Months+ contract (possibility of extension) Schedule: Monday - Friday,...

A quality improvement consulting company is seeking an RN Health Care Facility Surveyor to conduct compliance surveys nationwide. This 100% remote role requires a nursing degree and willingness to travel up to 75% of the time. The surveyor will...

City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara is hiring an RN Patient Care Supervisor to work at Sentara Princess Anne Hospital located in Virginia Beach. Preferred candidates will have ICU or ED experience. Hours/Shift:...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...

FLSA STATUS Exempt QUALIFICATIONS EDUCATION Medical School graduate where Western Medicine is practiced EXPERIENCE One year of clinical experience preferred ...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

A healthcare organization is seeking a remote Case Manager I to coordinate case management services for members with complex healthcare needs. The successful candidate will be responsible for advocating on behalf of members, working with...

Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the...

Leaderstat - Post Acute is seeking a local contract nurse RN Home Health Hospice for a local contract nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Hospice Discipline: RN Duration: 6 weeks 40 hours per week Shift: 8 hours,...

RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.

A Field Nurse is a registered nurse (RN) who provides healthcare services to patients in non-traditional settings, such as in their homes, schools, or other community locations. The RN will assess, plan, implement, and evaluate individualized care...

Immediate Hiring for Remote Clinical Review Nurses Immediate hiring for remote clinical review nurses. Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital admissions.

The range for this role is $25.00 to $34.13/hr Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested...

Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...

Clinical Administration Position at St Jude Medical Center Leads the alignment, standardization and ongoing improvement of ministry length of stay for designated patient populations. Serves as designated ministry liaison with providers...

Requires home visits throughout the City of Los Angeles, including San Fernando valley, Santa Clarita valley, Palmdale and Lancaster. Education: Associates or Bachelors of Science degree in nursing required. Experience:...

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and...

Payrate: $45.00 - $47.00/hr. Summary: The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The...

Overview Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus:...