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Clinical Administration Position at St Jude Medical Center Leads the alignment, standardization and ongoing improvement of ministry length of stay for designated patient populations. Serves as designated ministry liaison with providers...

A national health insurance company is seeking a Prior Authorization RN to review clinical appropriateness of prior authorization requests. This role is pivotal in ensuring compliance with Medicare and Medicaid criteria, while improving the...

A leading health solutions company is seeking a Remote Telephonic Case Manager in Denver, CO. This role requires a Registered Nurse with 5+ years of experience and expertise in areas such as Oncology and Specialty Pharmacy. Candidates must...

Overview Mount Carmel Behavioral Health Hospital is hiring a Full Time Night RN House Supervisor! Shift: 7p-7a Schedule: Full Time with rotating weekends...

Immediate Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

Job Title: RN UR Case Manager/ Care Coordinator Location: Albuquerque, NM (Remote) 13 Weeks Assignment Shift: 8 hour varied Guaranteed...

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...

Job Description We are looking for a dedicated Registered Nurse (RN) with a valid license to join our team as a Care Manager. In this role, you will work with a Medicaid/Medicare population in South Carolina, conducting assessments,...

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...

A leading healthcare company is seeking a Telephonic Case Manager RN in Atlanta to support a diverse member population. You will assess health statuses, identify treatment gaps, and coordinate care. The role requires an active RN license in...

Job Type Full-time Description WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM! SIGN ON BONUS OFFERED! LOAN PAYOFF PROGRAMS...

Care Coordinators (LPN) (LVN) CareHarmony's Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed...

Responsibilities Part time: 24 Hours Per week (Sat & Sun) 8am-8pm MST. The Phone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during...

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...

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...

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...

A healthcare organization in Damariscotta is seeking a Telehealth Registered Nurse. This remote role requires the RN to be the primary point of contact for patients with clinical inquiries. Qualifications include a nursing degree, state licensure,...

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...

Join a Meaningful Mission Maximus is a leading global organization dedicated to enhancing health and employment services for millions each year. In the UK, we employ around 5,000 passionate individuals who make a significant impact...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

A growing healthcare provider in Texas is seeking a compassionate Registered Nurse (RN) to provide after-hours triage support for hospice patients. This remote role requires an active multistate RN license, with preference for 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...

Research Nurse (Per Diem) - Lexington, MA Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research...

Description RN Utilization Review at Irvine, CA. This position is Part- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our...

A healthcare organization is hiring a skilled Nurse Advice Line Clinical Triage Nurse for a part-time position. The role involves performing clinical triage and coordinating care based on inbound calls. The ideal candidate must hold an RN License...