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A leading educational institution in Columbus, Ohio is seeking a Lead Capacity Management Specialist RN. The candidate will support the Nurse Manager with operations in the Patient Flow Management Center and interact with various medical...

divh2Job Opportunity At Highmark Inc./h2pJob Summary: This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,...

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,...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Contracted Nurse Case Manager PrideStaff is looking to onboard a Nurse Case Manager, in a contingent role. We are looking for an IL licensed RN with 1-2 years of experience as a nurse case manager. This would be a short term...

The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. Assist with assessment, participate in planning and implementation of intervention and ensure follow-up and coordination of...

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...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for individuals facing the most complex and costly health challenges. By bridging gaps in the fragmented health care system, we...

Description Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity...

Overview:Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams.We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient...

Part-Time Lead LPN/RN Night Shift - (Urbana, OH) Part-Time Lead LPN/RN Night Shift in Champaign, OH BASIC FUNCTION: To provide quality nursing services to consumers based on each consumer's Medical needs...

Description Who we are ...

About US: Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private &public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light...

About the Role: The Home Health RN Clinical Manager plays a pivotal role in overseeing and enhancing the delivery of nursing care within a home health care setting. This position is responsible for managing clinical staff,...

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,...

Salary range: $95,139 - $130,811 annually, based on qualifications. This exempt remote-hybrid position is eligible for a comprehensive benefits package which includes medical, dental, vision, a 403(b) retirement account, and a generous...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted,...

JOB PURPOSE: The RN Care Manager - Complex Care & High Utilizer Management is responsible for the comprehensive management of participants who exhibit high utilization of outpatient services, are at high risk for readmission,...

Description Home Search Jobs Job Description RN Utilization Management (REMOTE butNV License) Remote: Las Vegas, Nevada, US Salary Range: 42.00 - 43.00 | Per Hour...

Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless patient flow. This role is challenged...

Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...

Description Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise...

The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential Duties and...

Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by...

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...