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JOB DESCRIPTION Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory...

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.

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Case ManagementDiscipline: RNStart...

A leading health care provider is seeking a Care Manager III based in Chicago, Illinois. This full-time position involves providing care coordination to members through telephonic and field-based management. Candidates must possess a valid nursing...

Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

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...

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...

A leading healthcare organization in California is seeking a Registered Nurse, Out-Patient Case Manager. This role involves coordinating care for patients with chronic diseases and leading a team of case managers. Candidates should have a valid RN...

Remote Registered Nurse (RN) Case Manager Join to apply for the Remote Registered Nurse (RN) Case Manager role at PharmaCord We are looking for dedicated nurses to provide patient support services from the comfort of...

A healthcare solutions firm is looking for a Clinical Supervisor - RN for a remote role. This position primarily involves overseeing utilization management processes and ensuring compliance with clinical standards. The ideal candidate will hold an...

City/State Hampton, VA Work Shift First (Days) Overview: Sentara Health is hiring a Registered Nurse Ambulatory Integrated Care Manager to support Sentara Family Medicine Physicans Manhattan Square in Hampton, VA. This is a Full-time, 40 hours per...

A leading healthcare company is seeking an Operations Support Leadership Specialist (RN) to provide on-site and remote support. This role involves educating staff on operational processes and collaborating with teams to ensure effective training.

SUMMARY: Promotes the development of high quality patient care in the most effective setting, balancing patient/hospital advocacy. Knowledgeable of third party payor issues. Brown University Health employees are expected to...

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...

About Altais: At Altais, we're on a mission to improve the healthcare experience for everyone-starting with the people who deliver it. We help physicians focus more on patient care and less on paperwork through smarter technology,...

Care Manager Rn Job Responsibilities: The care manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and...

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,...

Description Company Overview: For over 30 years, The IMA Group has been dedicated to enhancing the livelihood and productivity of individuals and organizations navigating challenging periods of health, work and...

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 healthcare organization is seeking a Care Manager, RN to provide comprehensive care management for members. This role involves engaging members, promoting health behaviors, and coordinating care within a supportive team. Candidates must have at...

Description Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise...

A leading health organization is seeking a RN Coordinator for Utilization Management in Wisconsin. This full-time position involves reviewing authorization requests for medical necessity and collaborating with various departments. Applicants...

HJ Staffing is partnering with Impresiv Health, a specialized healthcare consulting partner, to find a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN). This critical...

A leading healthcare provider is seeking an RN Concierge Care Manager to deliver case management for high-risk patients remotely. The role involves high-touch management, coordinating care across specialized programs and requires an active RN...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...