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RN Utilization Management Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care...

Job Summary and ResponsibilitiesAs our Professional Development Program Coordinator collaborates with the Nursing Directors, facility, market and Division leaders, and CommonSpirit Health National Nurse Residency Program Leadership to provide...

The University of Southern California seeks an RN Case Manager to provide care coordination services, ensuring quality outcomes through effective patient management in Los Angeles. The role involves working closely with an interdisciplinary team...

RN | Quality Assurance Nurse Consultant Location: Puget Sound, Washington (Lynnwood & Seattle area) Schedule: Part-Time | Up to 60 hours per month | Hybrid/Partially Remote Travel: Bi-monthly travel to Visalia, California Help Shape Clinical...

Clinical expertise meets analytical precision in a role that directly shapes how patient care is captured, understood, and valued across the health system. As a Clinical Documentation Specialist, you bring a seasoned nursing perspective into a...

RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time...

WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We serve the most vulnerable seniors with better quality and compassion in a value-based model.The Case...

Registered Nurse - Case Management Duration:13 Weeks Start:03/10/2025 Job Type: Travel Minimum Guaranteed Hours: 40 Jobs Notes: Day Shift, inpatient RN CM Acute hospital experience,...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

Lakeview Hospice is presently seeking a full time Registered Nurse Case Manager to join our growing Hospice care team.Our Registered Nurse Case Managers enjoy a dynamic environment that focuses on quality end-of-life care delivery. Benefits...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

Leading a nationwide Post-Acute Care Utilization Management team, the full-time RN Director of Utilization Management will oversee daily operations, ensure compliance with policies and standards, and drive performance improvements to achieve...

Overview: RN / Registered Nurse, Home Health ...

At Caregenix, we are committed to delivering exceptional, value-based care. Our team lives by the iCARE values-Integrity, Compassion, Accountability, Respect, and Excellence-in everything we do. If you are passionate about improving patient...

" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

Details Client Name Kaiser Permanente Los Angeles Medical Center Job Type Permanent Offering Nursing Profession Nurse...

Job Title Nursing Orientation Program Coordinator Duties Duties include, but are not limited to: Assess, plan, coordinate, implement, and evaluate the Nursing Orientation Program Coordinate,...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13180 Salary Range:...

Summary The Assistant Chief Nurse for Home Based Primary Care provides high-level leadership over nursing care, staff, resources, and regulatory compliance. They guide quality improvement, interdisciplinary teamwork,...

Remote in California onlyAre you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.Who Are We?

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff...

Do you enjoy being at the beginning of the journey? The Admissions Nurse is responsible for establishing and maintaining positive relationships with customers and referral sources within the community The Admissions RN is also responsible...

Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...