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Mercor is seeking a Utilisation Management / Case Management leader (RN/Physician-advisor) to join their team remotely. This position involves leading operations and evaluating AI-generated clinical review outputs to ensure accuracy and...

Join kozmetickesluzby.vecnakraska.sk as a Hospice Registered Nurse (RN) Case Manager in Greensboro, NC. This full-time position allows for remote working and offers a competitive salary of $43.00 per hour. You will be part of a dedicated hospice...

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...

Valley View Hospital in Glenwood Springs, CO seeks a TEMPORARY Remote Outpatient RN Case Manager to assist outpatients and their families in the overall Management of their plan of care across the continuum, to include prior authorizations.

Case Management Utilization RNPrimary Location: Harbor City, CaliforniaFacility Name: South Bay Medical CenterEmployee Status: RegularSchedule: Part-timeScheduled Weekly Hours: 20Shift: DaySalary: $64.74 - $79.23 / hourJob Number: 1434303Worker...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone...

Walker Healthforce, LLC seeks a Medical Claim Review Nurse for a fully remote contract based in Washington. The role focuses on retrospective medical necessity reviews, appeals, and payment integrity within Molina Healthcare of Washington.

Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

Acute Care Case Manager Experience: 3 years acute care case manager experience CA RN License Certs: BLS FLU VACCINE (no exemptions) Flu season starts September Special Requirements: EPIC highly preferred...

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden Grove Hospital Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand...

Job Title: Clinical Review Nurse (Remote) Position Summary: We are seeking a detail-oriented and clinically skilled Clinical Review Nurse to join our team in a fully remote role. The Clinical Review Nurse is...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work...

Job TitleWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity...

A healthcare organization is seeking a remote RN to manage patient care related to chronic kidney disease. Responsibilities include ensuring continuity of care, coordinating treatment plans, and documenting patient information. Candidates must...

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 experience! Under the direction of the...

The RN Case Manager will work collaboratively with surgeons and patient/family in developing, implementing and documenting individualized plans of care to ensure continuity, quality and appropriate resource use. • Plan, develop, assess...

Job Title: CWP Immunizing Nurse Float - Vaccination Initiative Address: La Mirada, CA Job Description Administer vaccines including flu, covid, and MMR. Display empathy and compassion while interacting with patients, customers, and colleagues.

Details Client Name Cedars-Sinai Medical Center Job Type Travel Offering Nursing Profession RN Specialty...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

Details Client Name Ronald Reagan UCLA Medical Center Job Type Travel Offering Nursing Profession RN...

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...

Nurse Case Manager II Location: Georgia Shift: M-F 9am-5:30pm with one 11:30am-8pm shift each week. Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions,...

RN - Utilization Management ID 2026-25367 Category Registered Nurse specialties - Case Manager Facility Nationwide - California Job Description Spectrum Healthcare Resources has...