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Working remotely, the full-time RN Utilization Management will review and document member case histories and prior authorization requests, utilizing clinical judgment to determine coverage eligibility while ensuring compliance with policies and...

A healthcare management organization based in Santa Fe, New Mexico, is seeking a Care Manager to support the Value Based Care Management program. This role involves telephonic case management, coordinating care plans, and ensuring positive member...

Description Location: UCHealth Anschutz Outpatient Pavilion: Aurora, CO Department: Radiology Mammography Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's...

A healthcare organization is seeking experienced Registered Nurse Care Managers to support patients with complex cardiac conditions remotely. This full-time, hourly contract role involves comprehensive clinical assessments, care plan development,...

Bamboo Health is looking for a Behavioral Health Licensed Care Manager to join our team. This role is essential for integrating behavioral health into physical health, engaging and navigating individuals facing mental health and substance use...

Lunera Health is seeking a Triage Nurse Supervisor who will be responsible for overseeing the triage nursing team to ensure timely and compassionate patient care in a remote setting. This role requires managing daily operations and providing...

Description Location: UCHealth Anschutz Inpt Pavilion, Aurora,CO Department: UCHA Care Management Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant...

A health services provider is seeking a Care Manager RN for a remote, contract role in Detroit. This position involves leading a multidisciplinary team to deliver holistic care and requires a Nursing Diploma or Associates degree, with a preference...

Description: About Us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates,...

Healthmap Solutions, Inc. is seeking a Care Navigator to manage cases specific to kidney health. The role entails coordinating care for patients, including managing call interactions and educating on kidney health. Qualified candidates must...

A healthcare company is looking for a Medical Management Nurse to review complex cases and utilize nursing judgment to determine medical necessity. This role offers maximum flexibility with virtual work options and involves collaborating with...

A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...

A healthcare technology company is seeking a Remote Registered Nurse - Telehealth RN Case Manager responsible for coordinating and managing patient care using telehealth platforms. Candidates must have an unrestricted RN license in Michigan, at...

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

Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and...

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...

Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Quailbrook (Oklahoma City) Monday-Friday, 40 hours per week *This is a hybrid...

Join TEKsystems in Indianapolis as a Clinical Quality Assurance Coordinator responsible for ensuring high-quality peer review reports and compliance with regulations. You will conduct thorough quality assurance reviews, collaborate with peer...

Overview Experience the advantages of real career change Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and...

Kindred Hospital Paramount and Acute Rehabilitation Unit (ARU) is 177-bed hospital. With 159 long-term acute care hospital (LTACH) beds, we offer the same in-depth care you would receive in a traditional hospital, but for an extended recovery period.

A-Line Staffing is hiring Flu Vaccination Registered Nurses! Apply now for immediate consideration! Flu Vaccination Registered Nurse (Seasonal) In Store Registered Nurse - ALL Vaccines (Flu, MMR, Covid, etc) Operational Hours: Sunday through...

Job Summary: In addition to the responsibilities below, this position is also responsible for leading the implementation of best practice models; leading the implementation of patient care delivery systems and practice...

About This Role The RN Case Manager position is responsible for providing professional nursing care by assessing, planning, implementing, and evaluating the care of patients. This role is ideal for nurses who thrive in a remote environment...

RESP & QUALIFICATIONS Purpose The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to...

Who We AreWe are VITAS Healthcare, the nation's leading end-of-life care provider since 1978. Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally recognized best-in-class employee experience.