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Job Summary and Responsibilities As our Nurse Shift Manager, you will help lead and coordinate our exceptional nursing team so they can deliver timely, compassionate, and life-saving care to patients in critical...

Seeking a California Licensed UM Nurse for a full-time remote position, who will review prior authorization requests for medical necessity, apply CMS and Milliman Care Guidelines, and collaborate with providers to ensure high-quality care, working...

Description Location: UCHealth UCHealth Colorado Center, US:CO:Denver Department: Oncology Services Admin Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $52.33 - $83.73 / hour. Pay is dependent on applicant's...

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...

Job Summary: In addition to the responsibilities below, this position is also responsible for leading the implementation of best practice models; leading the implementation of patient care delivery systems and practice...

Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization...

Providing care coordination for Medicaid and Medicare members, the full-time Remote Bilingual Nurse Coordinator will build trusted relationships, assess member needs, and facilitate access to care while working from a dedicated home office in the...

Job Opportunity At Optum Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with...

TRS Healthcare is seeking a travel nurse RN Manager for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...

Nursing Facility Care Manager 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...

Description Nurse Manager - Short Stay and Recovery at Providence St. Joseph Medical Center in Burbank, CA. This is a Full-time, Day shift position. Providence St. Joseph Medical Center is proud to be Magnet recognized, the nations highest...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Case...

Manager, Telephonic Nurse Case Management The Nurse Case Manager serves as the clinical resource within the Risk Management & Safety team, providing telephonic nurse case management to support injured employees through the workers'...

JOB DESCRIPTION Summary of highly qualified candidates: Must reside in TX and have an active TX RN license in good standing. Focus of these audits is on the functions of the Utilization Department. ...

Job Summary: In addition to the responsibilities below, this position is also responsible for leading the implementation of best practice models; leading the implementation of patient care delivery systems and practice...

Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members during critical moments in...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. **This position is remote. Candidates must be local to New England States for consideration** The Clinical...

Supervisor Of Clinical Operations Rn Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as...

Clinical Intake Coordinator NPH is growing the Clinical Intake Coordinator team to serve our patients and intake function across all markets for both day and night shifts. The Clinical Intake Coordinator will function under general...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

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,...

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

CVS Health Quality Management Project Manager We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...