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Evaluating and managing catastrophic episodes of illness, the full-time South Carolina Licensed Stop Loss Nurse will provide case management oversight, facilitate cost estimates for underwriting, and consult on claims, all while working...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

Registered Nurse House Supervisor Job Type: Full Time Shift: Days 36 hour weeks (12...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

Registered Nurse (RN) - Remote Welcome to Pine Park Health! Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get healthy, stay healthy,...

RN Appeals Analyst We are currently hiring for a RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role, you will research the substance of complex appeal or retrospective review requests including pre-pay and...

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 interventions. As a telephonic...

Salary: $37,447.50 - $46,809.00 Annually Location : Corning, NY | Health Education Center Job Type: Full-Time Job Number: 290 Department: Health Ed -...

Remote LPN/LVN–Chronic Care Management (Full‑Time, Work From Home)CARDIOVASCULAR INSTITUTE OF EXCELLENCE PLLC is a dedicated medical practice company headquartered in Wagoner, Oklahoma. With a focus on delivering high‑quality cardiovascular...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to...

A company is looking for a Utilization Review Nurse (RN).Key ResponsibilitiesIdentifies and analyzes treatment plan requests and medical recordsUtilizes evidence-based criteria for utilization review determinations and negotiates treatment plans...

Thank you for your interest in working at William Paterson University. We invite you to join William Paterson University: a wonderful community to learn, work, grow, and thrive. William Paterson University has been named to Forbes'...

Description Who we ...

Santa Barbara Cottage Hospital is seeking a Licensed Practical Nurse (LPN) for a fully remote role. The ideal candidate will possess an active Massachusetts License and have excellent communication skills, along with experience in managing patient...

Current Employees and Students: If you are currently employed or enrolled as a student at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Position...

Utilization Management Nurse Location: Remote Position Overview The Utilization Management Nurse is responsible for reviewing inpatient admissions and applying nationally recognized medical necessity criteria to determine...

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Position Summary: The Childhood League Center is currently looking for a school nurse (Monday - Thursday, 8am-4p). The school nurse assesses and provides nursing and health-related services to children within program; and...

Scheduled Hours 40 Position Summary Coordinates the care of patients for a designated service throughout the continuum of care; serves as a clinical resource in area of specialty or...

Summary Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders, established hospital and departmental policies and procedures, American Nurses...

Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job...

CVS Health is hiring a Nurse Consultant for their Utilization Management team based in Columbus, Ohio. This fully remote position involves applying critical clinical judgement to assess and authorize inpatient and outpatient services. Qualified...