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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. Accountabilities include...

IDD Behavioral Health Nurse Full Time No Weekends A Great Opportunity At ViaQuest Psychiatric & Behavioral Solutions we offer unique and individualized care to children, adolescents,...

Requires home visits throughout the City of Los Angeles, including San Fernando valley, Santa Clarita valley, Palmdale and Lancaster. Education: Associates or Bachelors of Science degree in nursing required. Experience:...

At St. Luke's, our dedicated team of Remote Patient Management RNs are critical in providing exceptional, patient-centered care. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which...

Medical Claims Review Support Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically...

Position Summary: Receives inquiry calls and assists the caller with scheduling a face-to-face assessment or provide triage to the appropriate community referral based on patient need. Assesses or ensures necessary...

Employment Type: Full time Shift: Day Shift Description: Why MediGold? MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries...

Description Care Manager LPN LVN Remote Candidates residing in Oregon are encouraged to apply. The purpose of this position is to provide care coordination...

Job Description Summary 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...

What You'll Do: Are you a compassionate and detail-oriented nurse looking to make meaningful impact in the lives of children with special care needs? This role offers a dynamic blend of clinical decision-making, case...

Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

Overview Connect Care. Guide Families. Make Every Day Count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that intake and referral processes are completed...

Responsibilities The Director, RN Case Management provides strategic and operational leadership for InnovAge's RN Case Management division, overseeing all inpatient care coordination, post-acute transitions, utilization...

Join the Team at Concierge Home Care - Where Care Changes Lives! At Concierge Home Care, we believe in the power of home health care to change lives-for patients and team members alike. Our mission, "Caring for people who...

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...

Job Type Full-time Description WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM! SIGN ON BONUS OFFERED! LOAN PAYOFF PROGRAMS...

The Manager of Utilization Management (UM) is responsible for the operational leadership, compliance oversight, and performance management of Utilization Management programs across assigned contracts and lines of business. This role ensures UM...

Published Description: Location: Columbus, OH Pay Rate: Up to: 1977.42/Week Start Date: 03/02/2026 to 06/01/2026 Duration: 13 weeks Number of Positions:...

The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. Assist with assessment, participate in planning and implementation of intervention and ensure follow-up and coordination of...

Overview Connect Care. Guide Families. Make Every Day Count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that intake and...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. SCHEDULE:...

Utilization Review Case Manager The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts...

Supplemental Health Care is seeking a travel nurse RN Case Manager, Rehabilitation for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Rehabilitation Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per...

Registered Nurse The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing...