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Air Evac Lifeteam seeks a licensed RN to write clinical insurance appeals and support medical necessity justifications for air transport evaluations. The role involves processing and submitting appeals, ensuring timely updates, and protecting...

Centene is seeking a Care Manager (RN) to develop, assess, and facilitate complex care management for members with primarily physical health needs. This role is ideal for nurses who are passionate about providing high-quality, cost-effective...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Nurse Manager The VA Greater Los Angeles Healthcare System (VAGLAHS), Surgery Service, is recruiting for a Nurse Manager to lead the Referral Coordination Program. The incumbent provides first-line supervisory oversight of clinical...

" Licensed Psychiatric Nurse Practitioner Wage: Up to $196.58/hour Did you know that you can build a flexible...

Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time position. The role involves applying medical necessity criteria to reviews, documenting findings, and interfacing with providers and members to...

Enterprise Solutions, Inc. is seeking a travel nurse RN Care Manager for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Care Manager Discipline: RN...

Summary The VA Greater Los Angeles Healthcare System (VAGLAHS), Surgery Service, is recruiting for a Nurse Manager to lead the Referral Coordination Program. The incumbent provides first-line supervisory oversight of clinical referral...

Job Summary and Responsibilities As our Nurse Shift Manager, you will help lead and coordinate our exceptional nursing team so they can deliver timely, compassionate, and life-saving care to patients in critical...

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

Sentara Healthcare Integrated Nurse Case Manager Location: Manassas, VA Work Shift: First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA. This is a...

Details Client Name Kaiser Permanente Los Angeles Medical Center Job Type Permanent Offering Nursing Profession Nurse...

Sedgwick Government Solutions is seeking a Telephonic Triage Nurse Case Manager (Remote) to support federal workers from a home office. You will conduct timely assessments, coordinate care, and manage cases to drive optimal recovery...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plansis hiring for a Manager, Integrated Care Management- Nursing Facility/ HCBS / LTSS Waiver - Remote! ...

Nurse Disease Management II (US) Telephonic Nurse Disease Management II Sign-on Bonus: $2000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions,...

Job Title Job Description Duties and Responsibilities include but are not limited to: Provides administrative and clinical leadership for the Referral Coordination Program (RCP), ensuring effective coordination of...

Summary The VA Greater Los Angeles Healthcare System (VAGLAHS), Surgery Service, is recruiting for a Nurse Manager to lead the Referral Coordination Program. The incumbent provides first-line supervisory oversight of clinical referral coordination...

Utilization Management Admissions Liaison RN II (Nights) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13180 Salary...

The Ambulatory Case Manager, RN is responsible for providing comprehensive care coordination and case management services to members, ensuring seamless...

A healthcare organization is looking for a Case Manager Nurse Advocate in the Greater Charlotte Area, NC. The role involves aiding clients in navigating their healthcare needs while working remotely. Candidates should possess a nursing license,...

The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely...

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...

Senior Specialist, Quality Improvement (Registered Nurse) Reason for opening: FTE support needed for "Q4 Push" to close Medicare/MMP gaps in care with member & community events Will this role be fully remote? Yes Are there...

Description The Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides clinical andadministrative leadership for a statewide prostate cancer treatment initiative. This role oversees clinical...

The Per Diem Clinical Research Registered Nurse is a professional registered nurse responsible and accountable for the care of patients participating in clinical trials. In this per diem role, you will serve as a research infusion nurse for the...