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UnitedHealth Group is seeking a Care Coordinator to manage a panel of members with chronic needs, focusing on medical, behavioral, and social drivers of health. Remote-friendly within Idaho, you will support care plans, coordinate with the care...

Johns Hopkins Medicine is seeking a Utilization Review Registered Nurse based in Hanover, MD. This full-time role allows you to leverage your clinical expertise to enhance member care through effective monitoring and communication. Your insights...

Nurse 3 Job Number: 367416 Category: Administrative Description: Job Title: Nurse 3 Location: Redondo Beach, CA Zip Code: 90278 Duration: 12 Months Pay Rate: $65.09/hr. Keyword's: #RedondoBeachjobs;...

Clinical Transition Specialist With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider...

Overview Los Angeles Skills Academy (LASA) is seeking a Part-Time LVN or RN to join our Los Angeles clinical team as a CNA Clinical Instructor. This position is hands-on and clinical—ideal for nurses who prefer bedside teaching and mentorship.

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.

A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include...

Registered Nurse (RN), Behavioral Health PRN PRN days Schedule: 3 12-hour shifts, rotating every 4th weekend Your experience matters Frye Regional Medical Center is part of Lifepoint Health, a diversified healthcare...

Hospice And Palliative Care Registered Nurse Roze Room is a leading provider of Hospice and Palliative Care, celebrating 25 years of service to Southern California communities. Position Summary We are looking for an...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Job Details: Are you a Primary Care Nurse Practitioner searching for your next perm position? This position with one of VISTA's healthcare partners in North Hollywood, California might just be the opportunity for you!

RN Staff - Home Base Primary Care The RN Staff - Home Base Primary Care position is in Geriatrics and Extended Care Service at the VA White River Junction Healthcare System, located at the White River Junction, VT location. This position...

About the Employer In Glendale Unified schools, we focus on maximizing student achievement, fostering students' social and emotional growth, and creating a vibrant, inclusive environment where all children can learn and...

Salary : $137,323.92 - $205,556.40 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5121S Department: HEALTH SERVICES...

Licensed Vocational Nurse The City of Los Angeles offers a comprehensive package of pay, benefits, paid time off and workplace opportunities to help you get the most out of your career and life. Your paycheck is just part of your total...

CVS Health is seeking a Clinical Quality & Compliance RN for a remote role focused on quality, compliance, and operational excellence. You will ensure utilization management processes meet regulatory, accreditation, and quality standards,...

Manager Of Rn Utilization Management It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Lead a team dedicated to delivering high-quality, cost-effective patient care. As the...

Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the identification of diagnoses, conditions, and procedures that are representative of the...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

School Nurse Fox Run Elementary School Position Purpose: To provide assessment, screening, planning, intervention, evaluation, counseling, management and/or referrals concerning the health and medical care needs of students for the...

myPlace Health is built around a simple but powerful belief: older adults deserve the support they need to live safely, independently, and with dignity in their own communities. As a PACE (Program of All Inclusive Care for the Elderly)...

UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure proper utilization of health services for members. You will assess needs, plan care, and collaborate with physicians to expedite appropriate levels of care. The role...

A healthcare organization in Connecticut is seeking an HCC Documentation Lead (RN) to coordinate and oversee documentation specialists. The ideal candidate must have a valid RN license, relevant coding credentials, and a minimum of three years'...

Float Nurse - Licensed Psychiatric Nurse Or Licensed Vocational Nurse Aegis / Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 35,000...

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...