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Quality Assurance Specialist (QA RN)Pay Range: $40 - $50 per hourJob Type: Part TimeLocation: RemoteJob Summary Buena Vista Home Health is seeking an experienced OASIS Review Nurse (Registered Nurse – RN) to support clinical quality, regulatory...

Leading MLTC in the NY area is seeking experienced REMOTE Care Managers CANDIDATES MUST RESIDE IN THE METROPOLITAN NEW YORK ARE Responsibilities Perform assessments of members' medical, psychosocial, physical and spiritual...

Elevance Health is seeking a Nurse Case Manager I to perform telephonic and on-site care management for members with complex needs. The role supports discharge planning and requires licensure and clinical experience. This position...

AccentCare, Inc. in Dallas, TX is seeking a Director of Clinical Operations for hospice services. This leadership role oversees clinical operations, staffing, and regulatory compliance across the D/FW metroplex. The position requires an RN license...

Nurse Care Manager 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...

Care Manager Registered Nurse (CMRN) At Hopscotch Primary Care, we believe great healthcare should be accessible to all people across all communities. Today, almost 20% of Americans live in a rural community, yet only 11% of physicians...

JOB SUMMARY: The care management staff that KPPC employs are all state-licensed Registered Nurses or Licensed Social Workers. These professionals all have thorough knowledge of North Carolina patient resources and...

Molina Healthcare is hiring a remote RN Care Manager for our Washington State Health Plan. This role is remote with a WA preference and Pacific Standard Time hours. Telephonic case management and transition-of-care support are provided,...

Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you'll oversee a department of frontline nurses caring for patients. Every day you will advocate for your fellow nurses as you support them in reaching their full potential,...

Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

nTech Workforce seeks a HEDIS Clinical Review Nurse to support an annual HEDIS retrospective project. You will drive medical record retrieval, abstraction, provider outreach, and quality measure management in a team focused on compliance and...

To support timely and compliant care decisions, the full-time Utilization Management Nurse RN will review medical necessity requests, apply evidence-based criteria, and document determinations while working Monday to Friday, 8:00 AM-5:00 PM...

CSI Pharmacy is seeking a Regulatory and Compliance Nurse to lead employee health programs across states, ensuring TB screening, immunization tracking, and regulatory adherence under OSHA/CDC guidelines. The role involves collaboration with...

CVS Health is seeking an experienced Registered Nurse for Utilization Management. This 24/7 role requires clinical expertise to assess and coordinate care, determine coverage and promote optimal health outcomes. You will engage with...

Optum is seeking an experienced Behavioral Health Integration Nurse Case Manager to serve as a clinical liaison between OptumCare/Care Delivery and the clinical network. This role coordinates assessments, plans, and services to meet members'...

Description Job Title Nurse Case Manager 2 Location Remote - OK Position Description The Case Manager utilizes a collaborative process of...

About the opportunity: Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe position requires flexibility to travel and float to other clinic...

Triage Registered Nurse Per-Diem Hours: Sundays 12am to 8am Summary & Objective The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive...

Job Overview: Pay Range: $46.76hr - $51.76hr Requirement/Must Have: 5+ years Clinical nursing experience. 2+ years Care Management. Bachelor's Degree in Nursing. In...

Per-Diem Hours: Sundays 12am to 8am Summary & Objective The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care...

Full-time Company Description WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Ambulatory Chronic Care Manager (RN) To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect,...