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A leading healthcare solutions company seeks a Care Manager-Registered Nurse in New York. This role involves coordinating care for members with chronic conditions and implementing individualized care plans. Candidates must hold a current New York...

Quality Assurance Position Contract-to-hire details and pay: $34/hr for a 520-hour contract-to-hire, long term opportunity. Compensation: listed below, fixed rates (no opportunity for negotiation). Training schedule: MondayFriday, 46...

Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

A healthcare organization is seeking a Registered Nurse Care Manager to provide member-centric case management services. This role includes conducting assessments and care coordination while ensuring that health needs are met through effective...

Description Location: UCHealth UCHlth Leprino Building AMC, US:CO:Aurora Department: CTRC Outpatient FTE: Full Time, 0.9, 72.00 hours per pay period (2 weeks) Shift: Days Pay: $33.61 - $52.10 / hour. Pay is dependent on applicant's relevant...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

A leading healthcare organization is seeking a Care Manager, Telephonic Nurse to utilize nursing skills for coordinating and documenting medical services. The role involves facilitating care for members and requires at least an Associates degree...

CVS Health Aetna Case Manager RN 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...

Clinical Appeals & Coding RN Opportunity 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...

A health services provider is seeking a full-time remote Registered Nurse (RN) for a contract position in Chicago. The role involves validating medical necessity and appropriateness of treatment plans, focusing on claims review for medical...

Registered Nurse | Case Manager | Remote | Michigan | Contract Walker Healthforce is seeking a RN Case Manager for a healthcare client located remotely. This is a contract opportunity. Start Date: ASAP...

Job Description: 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...

Care Manager Rn Job Responsibilities: The care manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and...

Description 1 years of recent ED, ICU, or IR experience strongly preferred. Fast paced minimally invasive procedural department. RNs are responsible for care of the patient during interventional radiology procedure, including assessment, sedation,...

A leading non-profit healthcare organization in Minneapolis is seeking an RN Care Coordinator for the Masonic Cancer Clinic. This role involves coordinating patient care within a specialized healthcare setting, facilitating communications, and...

Nurse Case Manager The nurse case manager works within the context of a primary care medical home, from a team approach, and in continuous partnership with families and physicians to promote timely access to needed care, comprehension and...

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,...

Job Description: Responsible for specialty care management for assigned clinics/geographical areas and other appropriate referrals within the Intermountain system. Assess, plan, educate, and advocate for patients' health...

Position Summary: Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria...

These roles involve patient care, including assessment, diagnosis, treatment, and follow-up. May work across various healthcare settings, such as hospitals, clinics, long-term care facilities, and community health organizations. Responsibilities...

Description The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare...

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America)...

A healthcare service provider is seeking a Registered Nurse to deliver nursing care to patients in their homes. This role emphasizes coordinating care with other health professionals, ensuring high-quality clinical services, and completing...