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Job Description The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically based appeals between Providence Health and Services, California Region (PH&S)...

Join Our Caring Community As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program...

Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range:...

Medical Solutions is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Glendale, California. Job Description & RequirementsSpecialty: Cardiac Cath...

Nurse Manager The Nurse Manager holds 24-hour accountability for the quality of patient care, efficiency of operations, and human resources management for area(s) assigned. S/he will strive to achieve the optimal patient experience in...

Description The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically based appeals between Providence Health and Services, California Region (PH&S) outside...

Clinical Documentation Improvement Specialist - RN Job Category: Outpatient Nursing Requisition Number: CLINI017160 Full-Time Remote Hourly Range: $28.71 USD to $40.19 USD Description Job Overview: Day-to-day...

Details Client Name California Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

Job Title Remote Work from Home Job Details Location: Johns Hopkins Health Plans, Hanover, MD 21076 Category: Nursing Schedule: Day Shift Employment Type: Full Time Position Summary: Responsible for...

Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...

Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting applications in the Los Angeles, CA area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas...

Details Client Name CSMN - 8714015 - Inpatient Specialty Program Crisis Response Job Type Travel Offering Nursing Profession...

Description Position at Northwell Health PART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected! Northwell is the largest not-for-profit...

Job Description 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 placed among the very best in...

The Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to pace...

Location Address: 9521 San Mateo NEAlbuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $27.92Maximum Offer $42.63 Summary: Build your Career. Make a Difference. Presbyterian is hiring a...

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. Minimum...

Join Our Team at Mercy! Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety...

About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and...

City/State Newport News, VA Work Shift Multiple shifts available Overview: Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in the Hampton and Newport News area of...

Roze Room is a leading provider of Hospice and Palliative Care, celebrating 25 years of service to Southern California communities. Be the Nurse Who Makes Every Moment Matter. Full-Time Hospice RN Case Manager (RNCM) Field Based. San Gabriel Valley...

SIGN ON BONUS - $5,000 RELOCATION BONUS: (for those outside of San Diego County) - $5,000 - Bonus Available if Started prior to 06.31.2027 Job Announcement Position Title:...

Details Client Name Adventist Health White Memorial Job Type Travel Offering Nursing Profession RN Specialty...

Utilization Review Nurse Health Plans - Case Management US:NM:Alamogordo | Utilization Management | Full Time This position has a remote option for those living close and will be able to come into the hospital as needed.

Managing a daily caseload of Long Term Care (LTC) claims, the full-time remote Registered Nurse Claim Manager will evaluate claims for eligibility, educate policyholders on coverage, and communicate with service providers to facilitate claim...