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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...

A leading healthcare company seeks a Remote Tele-Health Nurse to provide telephonic support to patients and caregivers. This role involves coordinating clinical data, ensuring compliance, and applying behavior modification techniques to enhance...

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...

A leading health solutions company based in Trenton, NJ is looking for a Clinical Care Manager who will conduct assessments and coordinate care for dual eligible members. This position requires a minimum of 3 years of clinical practice experience...

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 leading health insurance provider is seeking a Utilization Management Nurse 2 to support coordinated care for members healing at home. The ideal candidate will have an Associate Degree in nursing, a valid RN license, and at least three years of...

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...

Join to apply for the RN - Case Manager role at Integrated Resources, Inc (IRI). Job Title: RN - Case Manager Location: Columbus, OH 43215 Duration:...

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...

Remote Registered Nurse (RN) Case Manager Join to apply for the Remote Registered Nurse (RN) Case Manager role at PharmaCord. Important Notice Due to an increase in hiring scams, please be aware that if you...

Program Overview. Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on...

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...

RN Case Manager – Home Health Toledo, OH | Competitive Pay $52-55/HR | Full-Time Join our team in Toledo, OH, a vibrant city known for its rich history and welcoming community. We're seeking a compassionate RN Case Manager to...

At CVS Health, were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nations leading health solutions company, we reach millions...

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...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record...

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...

A global professional services firm is seeking experienced healthcare consultants to lead transformative projects in clinical operations. The role requires significant expertise in healthcare leadership, clinical outcomes, and regulatory compliance.

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. Come build the health care...

A leading healthcare provider in New Jersey seeks a tech-savvy Registered Nurse (RN) for a Virtual Nurse role in their Hospital at Home program. This remote position emphasizes virtual care delivery, requiring collaboration with in-home clinical...

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...

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...

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...

We are hiring a Patient Care Manager and RN Dual role with Home Health experience. At Caretenders Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and...

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...