Search Nursing Jobs

Job Opportunity At Highmark Inc. Job Summary: This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...

The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or...

As our Telephonic Nurse Care Manager, you will coordinate all aspects of patient care for high-risk individuals. You will evaluate each patient while directing treatment plans, discuss claims, benefits, and eligibility, and manage resources while...

What You Should Know About the RN Care Manager: This is a driving position serving Franklin county This is a full-time position, 40 hours/week: 8:00A-4:30P with weekend rotation every 6-7 weeks, and...

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,...

A healthcare organization is seeking an RN Coordinator Utilization Management to evaluate prior authorization requests, ensuring compliance with guidelines while collaborating with healthcare providers. This full-time position requires candidates...

Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic conditions. We believe every...

Who is Nest Health? As the first value-based care provider built for families, Nest is on a mission to make comprehensive medical, behavioral, and social care radically accessible to America's highest risk families. Founded...

Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

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 further to help people...

Summary: The Rare Disease Specialist is responsible for representing TerSera products in hospital accounts and targeted clinics. They will be responsible for effectively presenting clinical information and gaining interest...

Available on provided telephonic platform, both taking and placing calls to coordinate and manage care for members between care givers, facilities, hospitals, primary care providers and the Optum field colleagues. Available to use video platform...

Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...

Description Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare...

City/State Fairfax, VA Work Shift First (Days) Overview: Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however,...

Scope of Position The Clinical Research Finance amp; Compliance (CRFC) Department plays a vital role in supporting the financial infrastructure of oncology clinical trials. CRFC is responsible for the full spectrum of financial...

Department BSD OBG - Gyn Onc About the Department The Section of Gynecologic Oncology is a part of the Department of Obstetrics and Gynecology. The Section is comprised of 12 faculty physicians, 7 advanced practice...

Job Description Location: US Remote Base Pay Range: $36.00 - $43.00 per hour plus bonus Estimated Travel: Up to 10% for training Must be a US...

To apply you must live in the following States: MA, NH, RI, IA, CO, FL, SC, NC, RI, CT, VA, MD, UT Our Intake Manager is responsible for the day-to-day operations of the Intake department. This includes directly supervising...

Remote from home- with local presence for occasional visits. Providing quality service and accurate results supports Ascential Care Partner's primary mission as a trusted adviser to our clients. As Nurse Case Manager (full, or hybrid), you will be...

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...

Rn Charge Nurses 4301 Clime Road North Columbus, OH 43228 Columbus Healthcare Center, a member of the CommuniCare Family of Companies, is currently recruiting for RN Charge Nurses to join our team. Full Time & Part Time Positions...

The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes...

Salary range: $95,139 - $130,811 annually, based on qualifications. This exempt remote-hybrid position is eligible for a comprehensive benefits package which includes medical, dental, vision, a 403(b) retirement account, and a generous...