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Position Summary: The ANM assists with the planning, organization, direction and evaluation of patient care operations for a designated area(s) on a 24-hour basis. The ANM is key in operationalizing the Medical Centers mission, vision,...

JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. SCHEDULE:...

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living...

Are you motivated to be a leader in a skilled nursing community? As a Licensed Nursing Home Administrator (LNHA) with The Laurels of Gahanna, you will manage, lead and insure profitability of the facility while promoting The Laurel...

Type: Full-time, salaried, FLSA exempt Pay: $80,000 - $85,000 annually, plus bonus potential Location: US, remote; some evening hours, weekend hours, and travel are required...

Overview The incumbent utilizes clinical judgement in providing utilization management services. The focus is to provide high quality, cost-effective care which will enable patients to achieve maximum medical improvement...

Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower...

Join BoldAge PACE and Make a...

A healthcare provider in Rancho Cucamonga is seeking a Care Manager to provide high-quality care management for members. The ideal candidate will have a minimum of two years clinical experience and an active RN license. Responsibilities include...

Become a part of our caring community and help us put health first The LTSS UM Nurse Manager will report to the Associate Director of Care Management. You will use clinical nursing skills to support the coordination,...

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...

Description As an RN Care Manager, you will function as a clinician, advocate, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization. The RN Care Manager...

Company Description At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We're fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed...

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...

Patient Care Manager And RN Dual Role Summary: We are hiring a Patient Care Manager and RN Dual role with Home Health experience. At Caretenders Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Overview Select Specialty Hospital Critical Illness Recovery Hospital (LTACH) Case Manager (PRN) Requires a current licensure in a clinical discipline...

Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small start-up...

Overview Select Specialty Hospital Critical Illness Recovery Hospital (LTACH) Case Manager (PRN) Requires a current licensure in a clinical discipline either as a...

Are you motivated to be a leader in a skilled nursing community? As a Licensed Nursing Home Administrator (LNHA) with The Laurels of Gahanna, you will manage, lead and insure profitability of the facility while promoting The Laurel...

Adecco Healthcare & Life Sciences is hiring Travel Nurse Educators! In this role you will work in per diem status. We're currently searching for RNs with a minimum of 4 years of recent critical care experience. This role begins in April 2026. Our...

JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

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...

A healthcare services provider is looking for a Team Lead in Minnesota. This position supervises a team responsible for Utilization Review and Medical Review functions to ensure compliance and quality of healthcare services. The ideal candidate...