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Employer Industry: Healthcare Why consider this job opportunity Opportunity for career advancement and growth within the organization Supportive and collaborative work environment Chance to make a...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a...

Join our award winning culture as we serve members in your area! Position Summary: The RN Care Manager (RN CM), as part of an interdisciplinary team (IDT) with a Care Manager, serves Lakeland Care's...

Enjoy what you do while contributing to a company that makes a difference in people's lives. Shady Grove Fertility, one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players...

Duration: 3+ Months (Possible contract to hire) Job Description: Onsite training - will last up to six weeks but could be extended. A typical day would like in this role: Process prior...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

A leading healthcare management firm seeks an experienced RN for pharmacy utilization management services in Denver, Colorado. This role involves assessing patient medication usage, ensuring safety, and collaborating with medical professionals in...

*Quality Assurance Registered Nurse - 100% Remote* Contract duration: 520 hour contract to hire Training Schedule: M-F, 4-6 weeks *Contract Details* * *Contract Duration:* 520-hour contract-to-hire, long term opportunity *...

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 health solutions company, we reach millions...

Scope of Position The Lead Capacity Management Specialist (LCMS) supports the Nurse Manager with departmental operations of the Patient Flow Management Center (PFMC). The (LCMS) interacts with the department staff, medical personnel,...

Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...

A major health care company is looking for a Utilization Management Nurse 2 to utilize clinical nursing skills in coordinating and communicating medical services. The ideal candidate holds a valid RN license and has over a year of experience in an...

HJ Staffing is partnering with Impresiv Health, a specialized healthcare consulting partner, to find a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN). This critical...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

A leading digital health company in Atlanta is seeking a Care Manager to provide high-quality telephonic case management for members. This role involves developing plans of care, collaborating with healthcare providers, and ensuring positive...

Job Description Under broad direction from the Centralized Utilization Management Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant, pediatric,...

Join a Team Where Your Work Truly Makes a Difference! Safe Children, Stable Families, Successful Lives. At CMCS (Cardinal McCloskey Community Services), our mission is to...

Join BoldAge PACE and Make a...

Overview Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You'll...

JOIN TEAM TRILOGY: At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

20 miles from Boston - surrounding areas (Only QUALIFIED Healthcare Professionals accepted) Case Manager - Are you ready to make a real difference in people's lives while enjoying a schedule that suits your lifestyle? We're on the lookout...

A leading health system in Columbus, Ohio, is seeking a Care Manager to work collaboratively with patients and healthcare providers. The Care Manager will oversee coordinated, patient-centered care and implement strategies for disease prevention...

Job Summary The RN Utilization Management Care Review Clinician plays a vital role in supporting clinical member services by assessing the necessity and appropriateness of care based on established guidelines and regulations. You...