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JOB DESCRIPTION Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory...

Sign-on Bonus: $2,000 Our nursing staff provide care to adults with severe and persistent mental illness in and out of the office. The nurse provides health assessments, monitors vitals, administers medications, and works in coordination with the...

A leading health solutions company is seeking a Remote Telephonic Case Manager in Denver, CO. This role requires a Registered Nurse with 5+ years of experience and expertise in areas such as Oncology and Specialty Pharmacy. Candidates must...

Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and...

Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member...

At 21st Century Home Health Services (21HHS), we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

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...

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...

A leading healthcare provider is urgently seeking experienced Clinical Documentation Specialists for remote positions. Ideal candidates must be RN graduates from an approved nursing program and possess prior CDI experience, preferably in acute...

A leading risk management company is seeking a caring and self-motivated RN Field Case Manager in Franklin, Tennessee. In this role, you will make a meaningful difference in the lives of injured workers, providing both telephonic and in-person...

A major healthcare provider is seeking a Clinical Advisor, RN for a remote position. This role involves analyzing population health data, delivering impactful presentations to clients, and making strategic recommendations to improve healthcare...

Job Description Job Title: RN Case Manager - Hiring FAST! Industry: Healthcare Location: Statewide in MI (Remote however must be local to Michigan)...

Job Type Full-time Description Position Summary We are seeking a dedicated and experienced Occupational Medicine Nurse Case Manager to join our team. This role focuses on coordinating and managing...

JOB PURPOSE: Responsible for the oversight of clinical care management of community based long-term care population for PruittHealth Premier Dual Eligible Special Needs Plan (DSNP). Works to advise and coordinate clinical...

Our Client, a Health Insurance company, is looking for a Case Manager-RN for their Remote location. Responsibilities: The Case Manager RN leads the coordination of a multidisciplinary team to deliver a...

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

Job Details Position Description POSITION SUMMARY RN Case Manager REMOTE POSITION DUTIES DCP in an acute care setting MINIMUM REQUIRED QUALIFICATIONS CA RN license in hand PREFERRED QUALIFICATIONS...

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...

Role SnapshotOur Case Management RN (Registered Nurse) coordinates care and services of select member populations with complex health care needs across continuum of care. The primary focus of the...

Contracted Nurse Case Manager PrideStaff is looking to onboard a Nurse Case Manager, in a contingent role. We are looking for an IL licensed RN with 1-2 years of experience as a nurse case manager. This would be a short term...

A leading health solutions company seeks a Case Manager RN in Detroit. This full-time, work-from-home position offers flexible hours and requires up to 50% travel in Wayne and Macomb Counties. The ideal candidate must have 3+ years of clinical RN...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...