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Telephonic Nurse Case Manager II Telephonic Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and...

Description Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most appropriate...

A Warm Welcome to Our Facility Application Process Thank you for considering our facility for your career. This is a general walk-in application for non-nurse positions. When you submit your application, you will receive two links via...

Cedars-Sinai in Minnesota is seeking an Utilization Management Specialist to support UR Nurses in timely, compliant authorization workflows. You will prepare review packets, monitor payer timelines, and coordinate with Case Management, Revenue...

WORK REMOTELY after training! CANDIDATE MUST RESIDE IN THE METROPOLITAN NEW YORK AREA! !! Process all requests for services in accordance with Medicare and NYS Medicaid guidelines as well as departmental criteria and...

Manage CMS and State Administering Agency audits for PACE compliance.Ensure audit readiness and serve as point with audit teams.Champion compliance culture across the organization.Key Responsibilities:Monitor audit universe data and review...

Detroit Medical Center is seeking a Registered Nurse (RN) Med Surg for a nursing job in Detroit, Michigan. Job Description & Requirements Specialty: Med Surg Discipline: RN Duration: Ongoing Employment Type: Staff Join our dedicated healthcare...

As a Clinical Documentation Review Specialist (RN), you will help medical staff clarify patient records to ensure appropriate reimbursement and reflect care complexity.You will perform concurrent reviews and engage with physicians to resolve...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

52272794 Overview Remote Registered Nurse (RN) DH Direct Triage Part-Time, 20 hours per week Position Summary The RN - DH Direct Triage provides high-quality,...

Case Manager LVN DaysJoin our team in Los Angeles, CA, as a Case Manager LVN, focusing on patient care coordination and discharge planning.Position Details:Contract: 13 weeks, 40 hours/week, 9am-5:30pm, includes alternating weekendsFloating/On...

Job DescriptionJob DescriptionLVN Inpatient Case Manager – Utilization Management Position DetailsPay Rate:$33–$46 per hourLocation:Montebello, CA 90640 (Onsite)Schedule:Monday–Friday, 8:00 AM–5:00 PMAssignment Type: TemporaryAssignment...

RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...

Behavioral Health Utilization Management Clinician We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate...

Jackson Nurse Professionals is seeking a travel nurse RN Interventional Radiology for a travel nursing job in Mesa, Arizona. Interventional Radiology Discipline: RN Start Date: 11/09/2026 Duration: 13 weeks 40 hours per week Shift: 10 hours, days...

Job DescriptionJob DescriptionThe Supportive Housing Case Manager (Ages 18–25) supports young adults in securing and keeping stable housing while building life skills and independence. Using a positive, youth-centered approach, you'll carry a...

Medlivo is seeking a Nurse Practitioner Clinic Family Practice for a local contract job in Lynwood, California. Job Description & RequirementsSpecialty: Family...

SCAN Health Plan Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists...

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility: Bismarck Med Ctr...

Provides direct nursing care including assessments, care plan, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of...

Job Description: To show our commitment to you and to assist with your transition into our organization, we will also offer up to a $15,000 sign-on bonus when applicable. This position is full time, with openings on both day shift and night shift.

Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate and fully covered by the patient's insurance. The team focuses...

Care Team Solutions is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Morristown, New Jersey. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN Start Date: ASAP Duration: 13 weeks 36 hours per week...

SHIFT: Any (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will...

Build relationships with patients based on trust and motivational communication techniques.Triage vital signs and collaborate with care teams to set patient-centric health goals.Responsibilities:Manage physiological markers and patient messaging...