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Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

Supports the values of service excellence, teamwork, and integrity while managing patient care. Acts as a liaison among patients, caregivers, multidisciplinary teams, and payers. Qualifications: Requires a...

Compassus is seeking a Hospice RN Clinical Coordinator to oversee administrative and management functions in the absence of the Director of Clinical Services. May carry caseload and ensure compliance with state and federal regulations. Remote role...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Lead a team dedicated to delivering high-quality, cost-effective patient care.

Care Manager At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build...

Sedgwick is recruiting for a US Telecommuter RN Telephonic Case Manager. The role focuses on coordinating medical services, advocating for injured employees, and facilitating recovery and return to work through telephonic case management.

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

About This Role The Case Manager Utilization RN-Per Diem works collaboratively with physicians to coordinate admissions and continued stays, ensuring appropriate care levels for patients. This role is ideal for experienced nurses who excel in a...

Medical Solutions is seeking a local contract nurse RN Case Management for a local contract nursing job in Glendale, California. Job Description & RequirementsSpecialty:...

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,...

Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other...

CVS Health is seeking a licensed RN to join American Health Holding, Inc (AHH) as a remote Case Manager. This telephonic role serves across multiple states for fully and self-insured clients, with virtual training and ongoing support. The...

Registered Nurse Clinical Annotator Location: Remote Job Type: Full-time Experience Level: Mid-Senior Level Department: Clinical Operations Pay Rate: $37-$39/hr ...

Description: Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient...

Description Nurse Case Manager (RN) - Workers' Compensation Location: Los Angeles, CA & Surrounding Areas Salary: $100,000-$130,000 annually +...

Sedgwick is seeking an RN Telephonic Case Manager to join our US telecommuter team. You will partner with injured workers, employers, and providers to design a case management strategy that promotes medical recovery and a successful return to work...

The RN Clinical Educator, Ancillary Services is an advanced clinical expert in Cath Lab and procedural-based services who supports...

Job Summary and Responsibilities As our RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient...

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a...

A healthcare solutions company is seeking a remote Case Management Nurse to lead a multidisciplinary team providing holistic care. The role requires a compact RN license and offers a pay range of $37.00/hr - $39.00/hr. Candidates should have 3...

Description The purpose of this position is to provide medical evaluation, clinical management, and coordination of medical services for Publix associates that have sustained on-the-job injuries. The Nurse Case Manager is...

JOB REQUIREMENTS: -Experience: 3 years acute care case manager experience -CA RN License -Certs: BLS -**FLU VACCINE (no exemptions)** Flu season starts September -Special Requirements: EPIC highly preferred. Due to nature of...

Hospice Registered Nurse Case Manager Location: Central LA (need to be willing to commute) Lead with Compassion & Excellence in Hospice Care Are you an experienced Hospice RN who thrives in leadership and is passionate about...

Description RN - Quality Assurance located at Providence Willamette Falls Medical Center (primary location) and Providence Milwaukie Hospital (secondary location), with rare travel to Providence Newberg Medical Center. The position does not...

Providing timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions, treatment planning, and recovery for injured employees while advocating for effective...