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Utilization Management / Medical Management Nurse - California HMO (JR179164) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum...

Description The Manager of Utilization Management provides a key role in leading, facilitating and managing the hospital utilization management program in the Southern California Region. The Manager assists the...

Responsibilities 12 - hours every Saturday and Sunday 8AM-8PM MST with Rotating Holidays The Phone Triage Registered Nurse provides skilled nursing telephone triage for participants...

Premise Health is Different on Purpose Premise Health serves large organizations and their people with exceptional healthcare. The result? Better experiences, better health, and better value, all while helping organizations...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Schedule:...

Location Address: 9521 San Mateo NEAlbuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $62,400.00Maximum Offer $95,305.60 Summary: Build your Career. Make a Difference. Presbyterian is...

Company: OhioHealth at Home in partnership with Compassus At OhioHealth at Home Together with Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for...

MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our top healthcare clients. Requirements...

Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...

At St. Luke's, our dedicated team of Remote Patient Management RNs are critical in providing exceptional, patient-centered care. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which...

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,...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. SCHEDULE:...

Become a part of our caring community Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS...

Clinical Team Manager. At Elara Caring, we care where you are and believe the best place for your care is where you live. We know theres no place like home, and thats why our teams continue to provide high-quality care to more than 60,000 patients...

Monday through Friday day shift position with on-call. Are you an RN or LPN looking for a leadership role? Do you have a passion for leading and teaching other skilled nursing staff? The Unit...

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...

Shifts Available: Full-Time Days (7am-7pm) PRN Want to make a difference in someones life every day? As an LPN with The Laurels of Gahanna, you will work as part of a team providing skilled nursing and short-term rehabilitation care to our valued...

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...

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource...

Public Health Nursing Supervisor (Vacancy) Print ( Apply  Public Health Nursing Supervisor (Vacancy) Salary $41.45 - $62.16 Hourly Location Varies by position Job...

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)...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...

Requisition number: 2339168 Job category: Nursing At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you...

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...

Reports To: Director of Clinical Services About Luminary Hospice: At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to...