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Connecticut Children's Center for Care Coordination (The Center) integrates care coordination through innovative programs, providing technical assistance and building partnerships to strengthen families and communities. The Utilization...

Conduct telephonic nursing assessments and triage using protocols.Provide health education and referrals to diverse patient populations.Work Schedule:Full-time evenings with weekend shifts every two weeks.Virtual training for 2-4 weeks, 100%...

Nursing Assistant PositionUnder the direction of a Registered or Licensed Vocational Nurse, provides basic nursing care and implements selected aspects of the patients nursing plan of care.This position requires providing care/service to an...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

The University of Texas MD Anderson Cancer Center is seeking a Denials Management Coordinator to support revenue cycle operations by coordinating review, analysis, and resolution of insurance denials and to help secure accurate reimbursement. This...

Mobile health, remote monitoring, and ambulance services.Over 5,000 health professionals with tech-driven care.Position Overview: Remote nurse coordinating employee health compliance programs.Manages OSHA respiratory protection, Hep B, TB...

CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse...

Job Description Summary of Essential Functions Responsible for routine and emergency care on all patients while they are in the Cardiology Department. Assist in maintaining professional standards of...

Call 4 Health is seeking experienced Registered Nurses to join our 24-hour remote triage team, delivering high-quality patient care from a home office. You will support providers nationwide, triaging via telephone, documenting in EHR systems, and...

Plymouth, MN-based position for a Triage RN—Remote, Part Time & On Call. Must reside in MN, WI or CO and hold an RN license in those states or be willing to obtain it. Schedule includes weekends and on-call shifts, with a $40/hour pay rate.

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to start a rewarding career path in the healthcare...

BlueCross and BlueShield of South Carolina seeks an RN Medical Reviewer II to join the Palmetto GBA Medical Review team. You will perform medical reviews using clinical information, apply guidelines, and help ensure accurate coverage and payment...

Intermountain Health is seeking an RN Utilization Review Care Management I for remote work. The role focuses on screenings, assessments, and evaluations to ensure cost-effective, high-quality care while coordinating with patients, families,...

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard...

The University of Texas Southwestern Medical Center in Dallas seeks a Nurse Manager for Care at Home Clinical Services, overseeing Remote Patient Monitoring and Home Infusion Services. The role requires strategic leadership, regulatory expertise,...

OSUP Community Medical Group is seeking a Registered Nurse (RN) Triage for remote care with on-site onboarding and occasional on-site support as needed. You will monitor patient data, support chronic disease management, and engage patients through...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12...

Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

UnitedHealthcare is seeking an HSS Clinical Coordinator RN to serve as the primary care manager for a panel of members with complex health needs, including behavioral health, with a focus on coordinating medical, behavioral, and social...

Concurrent Utilization Review (UR) Nurse The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12...

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure...

A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare...

Apply clinical expertise to the intersection of healthcare and legal services as a Legal Nurse Consultant.Support attorneys by analyzing medical records, evaluating injury-related cases, and providing objective medical insights.Work independently...

Humana Inc. is seeking a Registered Nurse to join the Wisconsin Care Coaching team, coordinating member care, providing education, and helping members navigate their care with confidence. The role is remote with travel up to 40%; requires...