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Company : Highmark Health Job Description : Job Summary This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses...

Community Health Network is seeking an Ambulatory Triage Registered Nurse to join the Family Medicine Care team. The RN will perform phone triage, patient education, scheduling, prior authorizations, prescription refills, referrals and care...

A healthcare quality organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The ideal candidate will have a BSN and an active RN license, along with experience in medical record review.

Core Measures Abstractor Join the American Data Network family and become part of an established, purpose-driven healthcare quality organization with more than 30 years of experience. At ADN, our work supports hospitals and healthcare...

10% Bonus Incentive plan Position Overview: The Clinical Manager Home Health works under the direction and guidance of the Branch Administrator to provide supervision of all...

The Leading Provider of Integrated Occupational Medicine Services CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. Our...

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...

WelbeHealth is seeking an Advocate Nurse, RN to provide continuous care for participants remotely, including after-hours support. This role emphasizes building relationships with participants over time rather than short-term interventions.

A prominent healthcare provider is seeking a Telehealth Registered Nurse to provide outstanding patient care across various settings. This remote role emphasizes compassionate care and operational excellence. Candidates should have a Bachelor's...

Case Manager (LVN or RN)Department: HS - ICMEmployment Type: Full TimeLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Reporting To: Jessamine BowersCompensation: $31.00 - $45.00 / hourDescriptionAstrana Health is looking for a LVN Case...

Details Client Name Providence Saint Jude Medical Center Job Type Travel Offering Nursing Profession Registered Nurse (RN)...

Astrana Health, Inc. is seeking a Care Manager I - RN to remotely support members in the Maryland area. The role requires collaboration with care teams, discharge planning, and advocacy for patients regarding insurance and financial assistance.

Note: We are seeking a highly motivated, skilled and experienced nurse educator for an ‘sweat equity' ownership position in a new allied health ursing program in Redondo Beach. This is a once-in-a-lifetime opportunity for the right person.We...

Working as a Nurse Case Manager at Cunningham Childrens Home means youll be part of team that is dedicated to supporting youth in critical need of emotional, psychological, and physical care. Located in Urbana, IL, Cunningham Children's Home is a...

WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

A healthcare solutions company is seeking a remote Case Management Nurse to lead a multidisciplinary team providing holistic care. The role requires a compact RN license and offers a pay range of $37.00/hr - $39.00/hr. Candidates should have 3...

RN - Home Health MedWave Healthcare Staffing is currently seeking a Home Health RN for a travel assignment in Torrance, California. The candidate that will best match this position will have at least 1 year of experience as a RN and...

Private duty nursing (PDN) allows medically fragile patients to receive quality, skilled nursing care in the comfort of their home: a setting preferred by most patients and their...

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.

A healthcare technology company in the United States seeks a Triage Registered Nurse to provide effective telephone triage for patients. The ideal candidate will have a BSN, strong clinical assessment skills, and at least 2 years experience in...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Elevance Health in Denver, CO seeks a Wellness Nurse Consultant to develop and manage health programs for federal employees under the Federal Employee Program. The role is field-based with travel to client sites and occasional home-office work,...

Job Description Summary: The rapidly growing and award-winning team at Executive Mental Health (EMH), with over 25 years of experience as a leading behavioral healthcare group in the State of California, is seeking...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services, assess member needs, and identify plans of care. This role supports collaboration with care teams and compliance while offering...

Job Type Part-time Description *PART-TIME POSITION OF TUESDAYS, THURSDAYS, AND ALTERNATING SATURDAYS* NURSE PRACTITIONER (PART-TIME) JOB SUMMARY Provides continuous and...