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Employment Type: Full Time Shift: Evening Shift Description Must be within a 50 mile radius of Livonia, MI Work shift Monday through Friday 12:30pm 9:00pm Will work a weekend rotation, one every 6 weeks...

A healthcare organization is seeking a Utilization Manager Registered Nurse to join their team in Massachusetts. The role involves conducting clinical reviews for service authorizations and ensuring compliance with regulatory standards. Candidates...

A regional health insurance provider is seeking an Inpatient Utilization Management Clinician to evaluate inpatient treatments for medical necessity and facilitate discharge planning. This is a fully remote position requiring strong clinical...

Take advantage of flexible schedules and get paid up to $68 an hour as a Registered Nurse (RN) in Westerville, Ohio, and surrounding areas. Nursing...

Join UnitedHealthcare At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Schedule: Part-time, either 3 (10 hour) shifts or 4 (8 hour) shifts. Day/pm hours available. Every third weekend and holiday rotation. - - Candidate MUST have 2 years' acute care experience (ED, Urgent Care, ICU and some Med/ Surg will be...

Clinical Claims Review At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

CVS Health Remote Telephonic Case Manager 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...

Nurse Appeals -Licensed Nurse Location : Ohio, candidates must be residents of Ohio to be considered. Hybrid 1 : This role requires associates to be in-office 1-2 days per week,...

A leading health solutions company in Detroit, MI is seeking a Care Manager to advocate for patients, focusing on dual eligible populations. Responsibilities include conducting assessments, planning care, and collaborating with healthcare teams.

Overview Job Type Contract Engage Consulting is seeking an experienced Clinical Nurse Consultant-RN for a 1099 contract to support an interim project in the post-acute care space. The ideal candidate will live near any of...

Vetted is seeking a RN - Correctional for a travel job in Orient, Ohio. The job was posted 2 days ago. The assignment starts on ASAP and is 13 weeks long with 8 hour shifts 5 days a week.You must live 60 miles away from the facility in order to get...

Job Type Contract Description Job Type Contract Description Clinical Nurse Consultant-RN Engage Consulting is seeking an experienced Clinical...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...

A healthcare provider is seeking a Case Management Coordinator for their Home Health division. This role involves functioning as a clinical liaison with managed care customers, collaborating with external case managers, monitoring service...

Employer Industry: Healthcare Why consider this job opportunity: Opportunity for career advancement and growth within the organization Work remotely from anywhere within New England Supportive and...

A leading healthcare provider in Michigan seeks a qualified Registered Nurse to manage and facilitate patient transfers efficiently. Candidates must have a Bachelor of Science in Nursing and at least two years of clinical experience. Strong...

Telephonic Case Manager 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...

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...

Consistently exhibits behavior and communication skills demonstrating Optum's commitment to superior customer service, including quality, care, and concern with every internal and external customer. Performs comprehensive telephonic patient...

Inizio Engage Specialist Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses. A frontline specialist responsible for delivering...

A leading healthcare organization is seeking a qualified RN for a role that involves auditing medical records and communicating clinical findings. The position requires an undergraduate degree or equivalent nursing experience, along with a current...

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...

*Contract Details* * *Contract Duration:* 520-hour contract-to-hire, long term opportunity * *Compensation:* listed below, Fixed rates (no opportunity for negotiation) * *Training Schedule:* Monday-Friday, 4-6 weeks; between 8 AM-5...