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CompanyHighmark Inc.Job SummaryThis job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of...

We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic...

Location Address: 2925 Chicago AveLoading DockMinneapolis, MN 55407-1321 Date Posted: April 17, 2026 Department: 16008746 Information Systems Optimization Solutions Shift: Day (United States of...

RN, Clinical Auditor - DRG Auditor 📍 Remote | Full-Time | 🏥 Healthcare | Clinical Documentation & Coding About the Role We are...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

Become a part of our caring communityThe Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers...

Licensed Practice Manager (LPM) The Licensed Practice Manager "LPM" has accountability of all aspects of the location business operations. As a "people first" organization the PM is a champion of their team through development programs of...

Introduction Are you a Registered Nurse, currently employed with DDS who is looking to grow within your career in state service? If so, we invite you to explore this internal opportunity! The State of Connecticut,...

Employment Type: Full time Shift: Day Shift Description: Position Purpose: In accordance with the Mission, Core Values and Vision; the Nurse Liaison Home Infusion will be a Registered...

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,...

FIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and...

Scheduled Hours 40 Position Summary Position is responsible for coordinating the care of patients for a designated service throughout the continuum of care; serves as a clinical resource...

Posting Date 04/06/2026 1447 Highway 6Suite 140, Sugar Land, Texas, 774785093, United States of America RN Case Manager - Position Highlights Location: South Houston (Hybrid - Remote) This is...

Responsive recruiter Replies within 24 hours Benefits: Flexible schedule Position Summary Boost Home Healthcare is seeking a motivated Clinical Manager (RN) to...

Cabell Huntington Hospital is seeking a full-time Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and driving...

ABOUT SIMMONS Located in Boston's historic Fenway area, Simmons University has a strong tradition of empowering women and challenging traditional gender roles. Simmons was founded for equality 125 years ago as one of the first higher...

Job Title Entry-Level Junior Registered Nurse - Aesthetic Medical Spa Employment Type Full-Time Pay...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

Job Summary Under the administrative direction of an assigned supervisor and under the clinical supervision of the Credentialed School Nurse, provide specialized health care and assist the nurse in managing the mental and...

Overview $5,000 sign-on bonus and $5,000 relocation (for greater than 100 miles) or $2,500 relocation (for greater than 50 miles) for nurses with 1 or more years experience - External...

Randstad Healthcare is hiring a Utilization Management Clinical Consultant - Registered Nurse ***Must be licensed as a RN in ARIZONA with a compact license to be considered*** The Utilization Management Clinical...

Site: Martha's Vineyard Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

remote within IL, TX, TN, NM, OK, MT Registered Nurse responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources.

Overview Looking to join a dynamic team at Ohio State University Physicians where excellence meets compassion? Who we are With over 100 cutting-edge outpatient center locations,...

University Overview The University of Pennsylvania, the largest private employer in Philadelphia, is a world-renowned leader in education, research, and innovation. This historic, Ivy League school consistently ranks among the top 10...