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Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Elevance Health, Inc. invites applications for a Medical Management Clinician Associate working primarily in a virtual capacity. The role requires an active RN/LPN license and at least 2 years of clinical or utilization review experience, with...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...

Senior Care Specialist (Registered Nurse) – Work From Home About Sagility Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw...

To ensure high-quality patient care and appropriate admit status, the full-time Maryland Licensed Utilization Review Nurse will conduct admission concurrent and retrospective case reviews, collaborate with medical staff, and manage documentation...

Nurse Care Manager 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...

Care Manager Registered Nurse (CMRN) At Hopscotch Primary Care, we believe great healthcare should be accessible to all people across all communities. Today, almost 20% of Americans live in a rural community, yet only 11% of physicians...

Ways2Well in the United States is seeking a Nurse Manager to lead a remote clinical support team, ensuring exceptional patient service, operational excellence, and adherence to clinical standards. You will coach and mentor staff, support provider...

CorVel is seeking a Utilization Review Case Manager for a remote position in California. The role involves gathering demographic and clinical data, certifying medical necessity, and assigning appropriate lengths of stay for in-patient and...

Quality Assurance Specialist (QA RN)Pay Range: $40 - $50 per hourJob Type: Part TimeLocation: RemoteJob Summary Buena Vista Home Health is seeking an experienced OASIS Review Nurse (Registered Nurse – RN) to support clinical quality, regulatory...

Medicare and Medicaid managed care plans helping members stay independent.Supports Elderplan's SNP line of business.Responsibilities:Advocate for patients during care transitions.Collaborate with discharge planners and case managers via...

Crawford & Company is seeking an RN with a passion for case management to join our team in a remote, part-time capacity with local field travel. Candidates must be based in the United States and meet California area location requirements; travel...

Sagility is seeking experienced Registered Nurses to join as Senior Care Specialists in a work-from-home capacity. This seasonal role offers starting pay at $37.00 per hour with potential bonuses and incentives based on performance and business...

JOB SUMMARY: The care management staff that KPPC employs are all state-licensed Registered Nurses or Licensed Social Workers. These professionals all have thorough knowledge of North Carolina patient resources and...

Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...

MDS Solutions, a division of Key Rehabilitation, seeks a remote MDS Coordinator to plan, organize, and coordinate MDS completion under current Federal and State Regulations. The role requires an RN license (LPN not eligible) and involves...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you'll oversee a department of frontline nurses caring for patients. Every day you will advocate for your fellow nurses as you support them in reaching their full potential,...

Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

Offres d'emploi Crawford - Mondiales is seeking an RN Case Manager for the South Los Angeles County region. The role is remote with local field travel and offers a competitive salary, with quarterly bonus opportunities and resources such as free...

Michigan Department of Health and Human Services is seeking a Nurse Consultant in the Care Coordination Section, Nursing Case Management Unit, to provide expert consultation to health care providers and local health departments on cases of...

CVS Health is seeking a Case Manager RN for a fully remote role. The position supports members with assessment, planning, and advocacy to meet health needs and benefits, with no travel and a standard Mon-Fri schedule, aligned to the resident time...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe position requires flexibility to travel and float to other clinic...

The Ohio State University is seeking a Clinical Financial Case Manager - RN to join our Revenue Cycle Clinical Support team in a remote capacity. The role focuses on securing pre-authorizations, preventing denials, and appealing denials with...

OUR MISSION We exist to create a more connected, compassionate, and confident experience for people with cancer and those who care for them. We make it easier to get answers, access high-quality care quickly, and feel...