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At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally...

Job Description Location: US Remote Base Pay Range: $36.00 - $43.00 per hour plus bonus Estimated Travel: Up to 10% for training Must be a US...

Nurse - Residential ProgramNurse - Residential Services ProgramPosition SummaryThe Nurse for the Residential Services Program is responsible for ensuring that all healthcare-related policies, procedures, and practices within the group home align...

Join the Inspire Hospice Team - Remote Triage Nurse Opportunity Are you a compassionate RN looking to make a meaningful impact-without leaving home? Inspire Hospice and Palliative Care is seeking a dedicated,...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job...

The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes...

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

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:...

Telehealth Registered Nurse I Join a winning, innovative team. WJM Professional Services, LLC is a leading healthcare management firm with 20 years of experience providing healthcare personnel, and administrative...

Duration: 3+ Months (Possible contract to hire) Job Description: Onsite training - will last up to six weeks but could be extended. A typical day would like in this role: Process prior...

RN Healthcare Advocate Solace is a healthcare advocacy marketplace that connects patients and families to experts who help them understand and take charge of their personal health. About the Role As an RN Healthcare...

Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...

Aesthetics Injectables Registered Nurse Injector - Dublin, Ohio Job#16761113 Join a premier aesthetics practice in central Ohio, where advanced cosmetic innovation meets exceptional patient care in a state-of-the-art facility. As...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

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 further to help people uncover...

This is a benefited, part time position with 8-hour weekday shifts starting between 8 and 8:30am, and occasional weekend coverage as needed. The role is hybrid, with a combination of on-site work at the 4S Ranch clinic and remote work. ...

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...

HEDIS Nurse Abstractor Location: Remote About Us: Known for "Delighting the Client" through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT...

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...

Part-Time Lead LPN/RN Night Shift - (Urbana, OH) Part-Time Lead LPN/RN Night Shift in Champaign, OH BASIC FUNCTION: To provide quality nursing services to consumers based on each consumer's Medical needs...

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...

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of...

The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential Duties and...

Carries out communicable disease surveillance, prevention, and control measures for the City of Boston. Investigates reports of communicable diseases including pathogens of public health importance, reported outbreaks, or other...