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Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is...

Description Care Manager LPN LVN Remote Candidates residing in Oregon are encouraged to apply. The purpose of this position is to provide care coordination services to Providence Health Plans (PHP) members. Care coordination services include:...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions...

A healthcare organization in Damariscotta is seeking a Telehealth Registered Nurse. This remote role requires the RN to be the primary point of contact for patients with clinical inquiries. Qualifications include a nursing degree, state licensure,...

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 leading health solutions company is seeking a Nurse Case Manager in Virginia. This role entails assessing and coordinating case management activities to enhance member wellness. Candidates should possess a current RN license in Virginia and...

About Outpatient Clinics Corewell Health operates over 300 outpatient clinics across Michigan, bringing a multitude of care options to the communities that we serve. There are over 40 different types of primary care and specialty...

Inpatient Case Manager RN (Remote/Weekends/CA license) Department: HS - ICM Employment Type: Part Time Location: 600 City Parkway West 10th Floor, Orange, CA...

SUMMARY: Promotes the development of high quality patient care in the most effective setting, balancing patient/hospital advocacy. Knowledgeable of third party payor issues. Brown University Health employees are expected to...

Clinical Administration Position at St Jude Medical Center Leads the alignment, standardization and ongoing improvement of ministry length of stay for designated patient populations. Serves as designated ministry liaison with providers...

Description RN Utilization Review at Irvine, CA. This position is Part- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our...

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Registered Nurse, Quality Assurance Reviewer The Registered Nurse, Quality Assurance Reviewer will work in conjunction with the Quality Manager and will be responsible for completing quality reviews for the Clinical Services and Provider...

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...

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,...

A leading healthcare organization is seeking a Senior LTSS Assessor (RN) to conduct assessments and coordinate care for complex populations. This remote role requires strong care management and communication skills, along with a Bachelors degree...

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...

Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

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...

Bridge Nurse Requirements Normal 0 false false false EN-US X-NONE X-NONE Graduate of an accredited school of nursing required. Licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the State of Ohio required. A minimum of one-year...

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...

Immediate Hiring for Remote Clinical Review Nurses Immediate hiring for remote clinical review nurses. Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital admissions.

A growing healthcare provider in Texas is seeking a compassionate Registered Nurse (RN) to provide after-hours triage support for hospice patients. This remote role requires an active multistate RN license, with preference for candidates...

Job Title: Traveling Nurse Location: Multiple Locations / Nationwide Employment Type: Contract / Full-Time / Temporary Department: Healthcare /...