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Enlyte is seeking a full-time RN case manager positioned remotely with regular travel to Denver, CO for in-person appointments. The role combines clinical expertise with case management to support injured workers' recovery and safe return to work.

A healthcare services provider is seeking a Nurse Liaison who will act as a pivotal communication link among injured workers, insurers, and care providers. This role requires a skilled nurse to coordinate care and ensure efficient treatment.

RN Clinical Documentation Integrity Specialist Remote Key Responsibilities: Ensuring Clinical Documentation Meets Quality And Regulatory Standards. Working With Medical...

Job OpportunitySeeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the opportunity...

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Humana Inc in Illinois seeks a Manager, Care Management to lead a multidisciplinary team responsible for Medicaid care management. You will supervise staff, analyze data, ensure compliance, and collaborate with partners to improve outcomes and...

A healthcare company is seeking a Clinical Triage Nurse to assist with inbound patient calls, assess symptoms, and provide medical advice. The ideal candidate will have a valid RN license, strong communication skills, and the ability to work...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - RN Care Manager - Remote in Mecklenburg Co, NC (2380238) RN Care Manager - Remote in Mecklenburg Co, NC - 2380238 At UnitedHealthcare,...

Enlyte is seeking a Telephonic Case Manager (RN) to support injured workers and auto accident patients from a remote U.S. location. You will work with treating physicians, employers, and patients to develop and monitor effective treatment plans...

Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees.

Turing is looking for candidates who have solid experience in nursing care, patient assessment, and clinical documentation, particularly at the level expected for licensed registered nurses working in hospital or outpatient care...

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

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

Managing the Utilization Management process, the full-time remote Utilization Management Nurse, RN will ensure appropriate and cost-effective healthcare delivery by conducting reviews, collaborating with healthcare professionals, and promoting...

Community Health Solutions of America is seeking an On-site Care Coordinator who is a Registered Nurse. This remote, travel-required role serves Medicaid members in the Medically Complex Children's Waiver program, conducting on-site assessments...

Mountain Pacific is seeking a part-time Clinical Field Reviewer (Remote) to perform in-home nursing assessments for MedicaidCFCS/PCS programs across Eastern Montana. The role emphasizes member-centered care and collaboration with providers to...

EMD Serono is seeking an experienced RN to join the Patient Support Hub as a remote RN, West Coast-focused. You will provide individualized clinical education, product training, and ongoing support to patients and caregivers, leveraging AI-enabled...

A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare teams, and ensuring compliance. Candidates need an active RN license and...

PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and...

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Case...

Mist Registered Nurse (Rn) – Position SummaryThe Multidisciplinary Inbasket Support Team (MIST) Registered Nurse is a highly skilled ambulatory care nurse who provides comprehensive, remote clinical support to primary care patients and providers...

Overview: Mountain Ridge is HIRING MDS Coordinator Flexible Schedule - Full time OR Part time This is not a remote role, onsite is required Offering $10,000 Bonus We are dedicated to improving the lives we touch through the delivery of...

Job Title: Registered Nurse (RN) Disease Manager Job Overview: The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or...

Description RN - Quality Assurance located at Providence Willamette Falls Medical Center (primary location) and Providence Milwaukie Hospital (secondary location), with rare travel to Providence Newberg Medical Center. The position does not...