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Summary We are currently hiring for a Managed Care Coordinator I to join BlueCross BlueShield of South Carolina. In this role as a Managed Care Coordinator I, you will review and evaluate medical or behavioral eligibility...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

Mobile Director Of Nursing - Long Term Care CommuniCare Health Services owns and operates over 130 facilities in 7 states. CommuniCare is currently recruiting an experienced DON to assume the role of Mobile Director of Nursing for...

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...

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

Employment Type: 5-month contract with possibility of extension Location: Remote (must hold an unrestricted Massachusetts RN license) *Note: Candidate must hold an unrestricted Massachusetts RN license.

Are you looking to make a difference in patients' lives with a company that values your expertise? Join us in our mission to deliver compassionate, high-quality healthcare where it matters most-at home. Pinnacle Home...

Leaderstat - Post Acute is seeking a local contract nurse RN Director of Nursing for a local contract nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Director of...

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Utilization Review Nurse.

ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation. Triage calls to the Nurse Practitioner Conduct...

Shift and Status Full time, 8:00 a.m. to 4:30 p.m., with one backup on-call shift per month (weekday or weekend). Hybrid: Home and Facility Visits, travel to patients' homes, nursing facilities, and hospitals to...

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

Full-Time Rn Case Manager DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager to join us in Kissimmee/Celebration, FL region. Must live locally. As a DaVita Integrated Kidney Care Registered Nurse (RN)...

Job Summary This is a work on site position located in Danville, Pennsylvania. The Clinical Documentation Improvement Program (CDI) is designed to improve the physician's documentation in the patient's medical record, supporting the appropriate...

Prior Authorization Clinical Reviewer Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work...

HonorVet Technologies is seeking a travel nurse RN Manager for a travel nursing job in Costa Mesa, California. Job Description & Requirements Specialty: Manager Discipline: RN Start Date: 03/23/2026 Duration: 12 weeks 40 hours per week Shift: 9...

Employment Type: Full timeShift: Day Shift Description: Position Summary and Highlights: Saint Alphonsus is hiring a Utilization Review...

Pay Range: Pay Range:$38.93 - $54.76*********************************************************** Up to $25K Sign On and $10K Relocation for qualified hire! Seeking candidates with 2+ years of recent case management experience in a...

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

Job Opportunity at Highmark Inc. This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,...

Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...

Gentiva is seeking a Registered Nurse (RN) Manager, Hospice for a nursing job in Columbus, Ohio. Job Description & Requirements Specialty: HospiceDiscipline: RNDuration:...