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Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

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...

Bickford of Worthington - Join our DYNAMIC team at Bickford Senior Living as a Wellness Nurse! The Wellness Nurse supports resident care within the branch, ensuring that Resident's daily medications needs are met in a compassionate...

Job Type Full-time Description WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM! SIGN ON BONUS OFFERED! LOAN PAYOFF PROGRAMS...

Job Description Under broad direction from the Centralized Utilization Management Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant, pediatric,...

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...

Job Summary Job Description: Job Summary: Start Date: Monday October 27, 2025 Salary: $85,000 annually, plus comprehensive benefits package The Care Manager supports...

A national health insurance company is seeking a Prior Authorization RN to review clinical appropriateness of prior authorization requests. This role is pivotal in ensuring compliance with Medicare and Medicaid criteria, while improving the...

Benefits: 401(k) Bonus based on performance Employee discounts Flexible schedule Paid time off Wellness resources Benefits/Perks A...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local to New England States for...

# # # To learn more about our website privacy policy, click on this .* Documents the basis of the appeal or retrospective review in an accurate and timely manner and in accordance with applicable regulations or standards.* Performs thorough...

divh2RN Care Review Clinician/h2pThe RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

Company Description At Spectrum Retirement Communities we believe in living without limits, in aging fearlessly, and in sharing great stories. The Spectrum Story is full of compassion, hard work, and fun. If the chapters of...

A leading healthcare provider in Virginia is seeking a Registered Nurse Case Manager (RN) to join the team. The role is full-time, focusing on patient discharge planning, data analysis for care continuity, and collaboration with healthcare...

Summary Edward Hines Jr. VA Hospital seeks an RN for the Remote Patient Monitoring (RPM) Home Telehealth (HT) Care Coordinator role. Help us transform healthcare for veterans through health informatics, disease management, and telehealth...

Employment Type Full time Shift Description: RN Case Manager, Full-time About The Job Our RN Case Manager in collaboration...

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,...

Employment Type: Full time Shift: Day Shift Description: Position Purpose: The Pre-Admission Testing (PAT) Department at Mount Carmel St. Ann's...

Salary: $70,779.53 Annually Location : Walker, GA Job Type: Full-Time Salaried Remote Employment: Remote Only Job Number: 2020-02252...

Position Title Virtual Nurse/Nursing Care Partner (Per-Diem) Job Description Purpose & Scope: Across inpatient Medical-Surgical, Telemetry, and Intermediate Care Unit (IMCU),...

Amergis Healthcare Staffing, Inc. is seeking a travel nurse RN Rehabilitation for a travel nursing job in Dublin, Ohio. Job Description & RequirementsSpecialty:...

About the job Registered Nurse - Remote Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our...

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...

Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best,...

Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...