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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...

Quality Manager - RN Nursing leaders are encouraged to consider a full-time Quality Manager position with Liberty Healthcare. This is a key management role with new statewide initiative to improve the efficiency and effectiveness...

Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time position. The role involves applying medical necessity criteria to reviews, documenting findings, and interfacing with providers and members 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...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

Job Title Travel Nursing Instructor- Chicagoland Area Job Description Kaplan North America, the world leader in test preparation, is hiring Master's prepared nurses to join our Chicagoland travel teaching...

The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely...

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

Optum Waste and Error Claims Investigator 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...

Nurse Navigator 1 The University of Miami/UHealth Department of Medicine has an exciting opportunity for a Full-Time Nurse Navigator 1 to work in the UHealth Campus. Core Job Summary: The Nurse Navigator 1 (H) liaises...

Registered Nurse (RN) | Administration / Management Location: Los Angeles, CA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) ...

Senior Specialist, Quality Improvement (Registered Nurse) Reason for opening: FTE support needed for "Q4 Push" to close Medicare/MMP gaps in care with member & community events Will this role be fully remote? Yes Are there...

ABOUT THE ROLE (Full Time) Late Afternoon/Evening Shift 2:30pm to 11pm This position works off a 4 days on 2 days off rotation varying schedule. As a Charge...

Job ID: 32349 *Description*In this role, you will provide direct nursing care, infusion therapy and documentation to patients in the Community Oncology Practice. Major functions include: patient assessment, patient evaluation and preparation and...

Adjunct Lecturer in Online Nursing PMHNP Program Fully Remote • Remote-USA - x, MA 00000 Overview Position Type Adjunct Description The Richard and Sheila Young School of Nursing is seeking applicants for...

Desert Oasis Healthcare seeks an Intense Case Manager (LVN) to lead care management for high-risk patients with complex behavioral health and substance use needs. The role involves comprehensive physical and psychological assessments, care...

Sedgwick Government Solutions is seeking a Telephonic Triage Nurse Case Manager (Remote) to support federal workers from a home office. You will conduct timely assessments, coordinate care, and manage cases to drive optimal recovery...

Townsen Memorial is looking for a full time Registered Nurse, PAT to join our team remotely ! Must reside in Texas. SUMMARY The Registered Nurse, Pre‑Admission Testing (PAT) is responsible for...

Staff Today is seeking a local contract nurse Correctional for a local contract nursing job in Downey, California. Job Description & RequirementsSpecialty:...

RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization Management *SRMC Care Management *Full Time *Part Time Receive 17% Weekday Nights, 26% Weekend Nights and 15%...

Job Opportunity Responsible for triaging incoming patient referrals, assessing needs, giving appropriate clinical dispositions and facilitating referrals to WVU Medicine primary care and specialty care providers. This position will...

Type: Clinic Somerville , MA SkyBridge Healthcare is currently seeking Registered Nurse with Clinic experience for a 13-week contract in MA. SkyBridge Healthcare is a premier staffing firm dedicated to matching outstanding talent...

Clinical Professional Opportunity At Prenuvo, we are on a mission to flip the paradigm from reactive "sick-care" to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and...

Summary: Work Schedule: This is a remote role that requires every Saturday and Sunday commitment. JOB SUMMARY: The Inpatient Care Manager, in collaboration with the clinical team and medical provider, provides discharge planning coordination and...