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Job Type Full-time Description *This position requires 4-5 days/week onsite at either JHH or Saint Agnes* Summary/Position Objectives: This position is responsible for the planning,...

Overview $15,000 Sign-on Bonus or Student Loan Assistance! MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

divh2Job Opportunity At Highmark Inc./h2pJob Summary: This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,...

Patient Care Manager Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams. We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the Executive Director or...

Pyramid Consulting (Travel) is seeking a local contract nurse RN Care Manager for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements Specialty: Care Manager Discipline: RN Start Date: 02/23/2026 Duration: 26...

Job Title: Utilization Management NurseJob Description As a Utilization Management Nurse - Post Acute, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests, as...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic...

Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of the largest private-duty nursing companies in the...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Remote from home- with local presence for occasional visits. Providing quality service and accurate results supports Ascential Care Partner's primary mission as a trusted adviser to our clients. As Nurse Case Manager (full, or hybrid), you will be...

Job Description Job Summary Join our team as a Clinical Review Nurse, where you will play a crucial role in supporting the review of medical claims and appeals. You will ensure compliance with state and federal...

About Outpatient Clinics Corewell Health operates over 300 outpatient clinics across Michigan, bringing a multitude of care options to the communities that we serve. There are over 40 different types of primary care and specialty...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

20 miles from Boston - surrounding areas (Only QUALIFIED Healthcare Professionals accepted) Case Manager - Are you ready to make a real difference in people's lives while enjoying a schedule that suits your lifestyle? We're on the lookout...

Introduction Are you a dedicated licensed Registered Nurse (RN) seeking a fulfilling role where you can truly impact the lives of individuals with disabilities? The State of Connecticut, Department of...

SUMMARY: Reports to the Director of Care Management or designee. Conducts surveillance over medical necessity of patient care records. In collaboration with the physician of record and the Utilization Review Committee physician ensures the...

Description Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity...

Job Details Sr. Performance Improvement Program Manager (RN) Monday-Friday - (Day Shift) Newark DE ChristianaCare is seeking a Senior Performance Improvement Program Manager (RN) to join our...

Do good. Be great as a nurse. Are you a Registered Nurse, Nurse Practitioner or Registered Mental Health Nurse seeking professional growth, flexible working and a better work-life balance? About the role As a Nurse...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Capital City Hospice is proud to be Ohio-made. Every decision we make about hospice care is made with patients and families in mind. Our team is rooted in the communities we serve and are dedicated to delivering the highest quality of care for our...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for individuals facing the most complex and costly health challenges. By bridging gaps in the fragmented health care system, we...

ClearSky Health Nursing Opportunities Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients,...

Contracted Nurse Case Manager PrideStaff is looking to onboard a Nurse Case Manager, in a contingent role. We are looking for an IL licensed RN with 1-2 years of experience as a nurse case manager. This would be a short term...