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Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Job Description Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible...

RN - Case Manager Shift: 08:00 AM - 04:00 PM; shift days: Monday thru Friday (8 hour shift x 5 days). No call requirements Location: UCLA Health West Valley Medical Center (7300 Medical Center Dr. West Hills, CA 91307)...

Telephonic Nurse Case Manager As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.

Interested in working for the Golden Isles' healthcare provider and employer of choice? Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything...

Job Summary and Responsibilities As our Nurse Shift Manager, you will help lead and coordinate our exceptional nursing team so they can deliver timely, compassionate, and life-saving care to patients in critical...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

At St. Luke's, our dedicated team of Remote Patient Management RNs are critical in providing exceptional, patient-centered care. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which...

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,...

Manager, Telephonic Nurse Case Management The Nurse Case Manager serves as the clinical resource within the Risk Management & Safety team, providing telephonic nurse case management to support injured employees through the workers'...

Summary The Nurse Manager (NM) is the designated first-line supervisory authority and is responsible and accountable for the operation of their assigned units and provides coverage for other NMs as needed. Responsible and accountable...

Telephone Triage Registered Nurse Do you have the career opportunities as a Telephone Triage Registered Nurse you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's...

*Job Summary and Responsibilities* As our Director Nursing Perioperative Services at St. Mary Medical Center, you will be responsible for Surgical service departments including OR, PACU, GI, Short Stay (Pre and Post Op Outpatient Surgery), and...

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...

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...

Join the Team at Moorings Park as a RN Case Manager in Home Health (Private Duty) Why Choose Moorings Park? When you join Moorings Park, you become part of an award-winning, purpose-driven organization...

ICM Case Manager RN Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have a...

Triage RN Position The Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This position applies...

💼Job Specifics: Location: 923 Eliza St., Green Bay, WI 54301 ❗THIS IS AN ONSITE POSITION Hours: Full-time, 0.9 FTE (36 hours per week) Work Schedule: Shifts will be a...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Sentara Healthcare Integrated Nurse Case Manager Location: Manassas, VA Work Shift: First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA. This is a...

Remote Registered Nurse (RN) - Principal Care Management (PCM) Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plansis hiring for a Manager, Integrated Care Management- Nursing Facility/ HCBS / LTSS Waiver - Remote! ...

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 colleagues who care deeply, innovate with purpose, hold...