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A healthcare provider is looking for an RN Coordinator Utilization Management to evaluate authorization requests and ensure proper care procedures. The position requires a current nursing license in Wisconsin and a minimum of four years of...

JOB DESCRIPTION Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically...

A healthcare company is seeking a RN Field Clinical Care Coordinator in Boston to manage a panel of members with complex healthcare needs. This role involves engaging with members directly and creating tailored care plans, with the flexibility to...

At CVS Health, weu2019re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nationu2019s leading health solutions company, we reach...

A leading healthcare provider is seeking an RN Concierge Care Manager to deliver case management for high-risk patients remotely. The role involves high-touch management, coordinating care across specialized programs and requires an active RN...

A national healthcare organization seeks a Registered Nurse for a fully remote role in care management, specifically supporting Long-Term Services and Supports. This position involves evaluating members' needs, creating care plans, and ensuring...

Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...

A leading health organization is seeking a RN Coordinator for Utilization Management in Wisconsin. This full-time position involves reviewing authorization requests for medical necessity and collaborating with various departments. Applicants...

City/State Virginia Beach, VA Work Shift First (Days) Overview: SMG Vascular Specialists is now hiring a full-time Registered Nurse Practice Coordinator in Virginia Beach, VA! ALL QUALIFIED CANDIDATES CAN RECEIVE A $10,000 SIGN-ON BONUS Hours:...

Employment Type: Full time Shift: 12 Hour Night Shift Description: Qualified applicants may submit a resume to Senior Talent Acquisition Partner, Tonya Globlek at for expedited consideration. Position Purpose: The Academic Accountable...

The Ohio Hospital for Psychiatry is hiring a Nurse Manager!Shift: DaySchedule: Full TimePay Range:$45 to $49 per hour (dependent on years of experience)Sign On Bonus:$7,500Ohio Hospital for Psychiatry is an acute inpatient & outpatient treatment...

Description Location: UCHealth Anschutz Inpt Pavilion - Aurora Department: Virtual Health Center - The centralized sitter RN role is a new, innovative role, to support system oversight of in person and virtual sitters The role will involve...

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Job Description: Director of Nursing First Community Village Senior Living Campus Columbus, OH Full time First Community Village located in...

TPAPT is seeking dedicated and knowledgeable Nursing School Admissions Coaches to help aspiring nursing students navigate the admissions process for competitive nursing programs. You will work one-on-one with students to provide...

JOIN TEAM TRILOGY: At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive...

Nurse Case Manager - Internal (Medical Review Nurse) About Us: Our mission at the Ohio Department of Health (ODH) is advancing the health and well-being of all Ohioans. Our agency is committed to building a modern, vibrant public...

Community: Carriage Court Senior Living Starting Rate: 32.00-35.00 Share: Apply Now Save Job Saved Description "After spending 14 years in healthcare, I finally found my home with Arrow...

CVS Health Aetna Case Manager RN At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health...

Care Manager Sharecare is the leading digital health company that helps people unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers,...

Overview The position is work from home with field visits. Job Purpose This position is responsible for conducting medical management and health education programs for customers on government health care programs.

Shift: Option of 5 8-hour shifts OR 4 10-hour shifts per week Location: Candidates in Texas, Tennessee, and Kansas preferred; PST, MST, CST time zones preferred Virtual: This role...

This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

A home healthcare agency is seeking a compassionate RN to support quality patient care in a remote capacity. Responsibilities include managing patient inquiries, collaborating with healthcare providers, and maintaining a supportive work...