Search Nursing Jobs

Summary We are currently hiring for a Quality Nurse Navigator to join BlueCross BlueShield of South Carolina. In this role as a Quality nurse Navigator, you will monitor/implement quality improvement/management activities,...

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...

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...

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,...

Job Details Sr. Performance Improvement Program Manager (RN) Monday-Friday - (Day Shift) Newark DE ChristianaCare is seeking a Senior Performance Improvement Program Manager (RN) to join our...

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...

Job Description Title: Utilization Management Nurse - Post Acute Location: Remote | Candidates must reside within Minnesota or Wisconsin Job Type: Contract (3 months)...

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...

Nurse Case Manager Position Type: Full-Time Contract Role Location: Work from home Work Type: Remote Est. Pay Range: $35.00/hour $38.46/Hour on W2 (USD) (all inclusive) Schedule: Mon-Fri 8am-5pm EST...

Scope of Position The Supervisor is primarily responsible for administering nursing operations within The James Cancer Hospital and Research Institute during off-shift hours including weekends and holidays. The Administrative Nursing Supervisor is...

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...

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 for the better. Come build the health care system...

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing...

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...

About Outpatient Clinics Corewell Health operates over 300 outpatient clinics across Michigan, bringing a multitude of care options to the communities that we serve. There are over 40 different types of primary care and specialty...

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...

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...

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,...

Description Director of Nursing Location: Oakleaf Village and The Grove Columbus Job Type: Full time Pay Rate: up to $100k plus bonus Make a Difference—And Own Your Future At Wallick Senior...

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...

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...

Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of the largest private-duty nursing companies in the...

About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

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...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...