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A healthcare provider is seeking a Utilization Management Clinical Manager for analyzing medical service requests. The ideal candidate will possess an RN license and extensive experience in prior authorization in managed care. Responsibilities...

A California-based medical service provider is seeking a Workers' Compensation Nurse Case Manager. This role involves assessing and implementing treatment plans for injured employees. Candidates must have a California RN License and preferred...

Job Type Full-time Description Job Summary The Utilization Review (UR) Nurse is responsible for analyzing medical records for medical-legal reviews and producing high-quality, professional executive...

Care Manager Sharecare is the leading digital health company that helps people unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers,...

A leading healthcare provider is seeking a Care Manager to work remotely, providing care coordination for Medicare members. This role emphasizes telephonic communication, requiring a Registered Nurse with experience in case management. Successful...

Join a Team Where Your Work Truly Makes a Difference! Safe Children, Stable Families, Successful Lives. At CMCS (Cardinal McCloskey Community Services), our mission is to...

Employment Type:Full timeShift:12 Hour Day ShiftDescription:Qualified applicants may submit a resume to Senior Talent Acquisition Partner, Tonya Globlek at ...@mchs.com for expedited consideration.Position Purpose:The Accountable Care Unit at...

Care Manager 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 virtual health platform is...

A healthcare organization is seeking an RN Coordinator Utilization Management to evaluate prior authorization requests, ensuring compliance with guidelines while collaborating with healthcare providers. This full-time position requires candidates...

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 company, we reach millions...

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 of...

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...

We're growing - Join our award winning culture as we serve members in your area! The position will work with members in the WI Rapids, Stevens Point and Marshfield areas.

divh2Care Manager, Telephonic Nurse 2/h2pBecome a part of our caring community and help us put health first. The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a members physical,...

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...

A national diversified health organization is seeking a Registered Nurse to develop and manage care plans for members in Connecticut. The role involves evaluating member needs, collaborating with providers, and providing education to members and...

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...

A leading health solutions company is seeking a Care Manager-Registered Nurse in Connecticut. This role requires developing and coordinating care plans for members with multiple chronic conditions while ensuring effective telephonic engagement.

Sharecare Care Manager Sharecare is the leading digital health company that helps people unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers,...

A leading health solutions company seeks an Associate Manager for Clinical Health Service in Hartford, CT. The role involves overseeing healthcare management services, implementing clinical policies, and ensuring compliance with standards.

Registered Nurse - Case Review Specialist STGi is currently seeking a Registered Nurse-Case Review Specialist. The position is remote and open to candidates nationwide. Job Summary: Provides direct support...

Director of Behavioral Health Transfer Center (Remote) Location: Remote, USA Employment Type: Full-Time, Direct Hire Salary Range: $105,000 $135,000 Position Summary The Director of the...

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...

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...

What You'll Do...* Administers medication (e.g., oral intramuscular and intravenous) and monitors patient medication compliance* Performs treatments and performs or assists with nurse's sick call* Assists with doctor's sick call* Performs or...