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A leading health company is seeking a Transitions of Care RN to participate in patient education and disease management interventions. The role is focused on health coaching for members with chronic diseases. Candidates must have an AS in nursing...

20 miles from Boston - surrounding areas (Only QUALIFIED Healthcare Professionals accepted) Case Manager - Are you ready to make a real difference in people's lives while enjoying a schedule that suits your lifestyle? We're on the lookout...

Job Description Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by...

Available on provided telephonic platform, both taking and placing calls to coordinate and manage care for members between care givers, facilities, hospitals, primary care providers and the Optum field colleagues. Available to use video platform...

ClearSky Health Nursing Opportunities Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients,...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Salary range: $95,139 - $130,811 annually, based on qualifications. This exempt remote-hybrid position is eligible for a comprehensive benefits package which includes medical, dental, vision, a 403(b) retirement account, and a generous...

City/State Fairfax, VA Work Shift First (Days) Overview: Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however,...

Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...

At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally...

Summary Delivers knowledge-based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates the effectiveness of the Veteran's care. Serves to support delivery of high quality, timely care to...

Utilization Review Specialist Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Atlanta, GA...

Greetings from My3tech ! Hope you are doing great !! If interested please share profile to ...@my3tech.com Title: Case Manager Work Location: Detroit, MI - Remote ...

Give Life in a Truly Rewarding Career with DaVita DaVita Kidney Care is bringing our industry-leading clinical quality to patients on-site at skilled nursing facilities (SNF) through a new team called DaVita Skilled Nursing Dialysis...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

Scope of Position The Clinical Research Finance amp; Compliance (CRFC) Department plays a vital role in supporting the financial infrastructure of oncology clinical trials. CRFC is responsible for the full spectrum of financial...

Unit Manager Registered Nurse (RN) Facility: Arbors at Delaware Sign-On Bonus: $5,000 for Full-Time Employees (one-year payout, limited time availability) We invite you to apply...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job...

Mobile Director Of Nursing - Long Term Care CommuniCare Health Services owns and operates over 130 facilities in 7 states. CommuniCare is currently recruiting an experienced DON to assume the role of Mobile Director of Nursing for...

Job Details Sr. Performance Improvement Program Manager (RN) Monday-Friday - (Day Shift) Newark DE ChristianaCare is seeking a Senior Performance Improvement Program Manager (RN) to join our...

Job Description Assessment Coordinator, Behavioral Health PRN Your experience matters Columbus Springs East is part of Lifepoint Health, a diversified...

Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic conditions. We believe every...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Position Title Virtual Nurse/Nursing Care Partner (Per-Diem) Job Description Purpose & Scope: Across inpatient Medical-Surgical, Telemetry, and Intermediate Care Unit (IMCU),...

Overview The incumbent utilizes clinical judgement in providing utilization management services. The focus is to provide high quality, cost-effective care which will enable patients to achieve maximum medical improvement...