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The Clinical Case Manager functions within the multidisciplinary team to facilitate an assigned group of patients through the health care system with the primary focus of efficient, effective, compassionate inpatient care and a safe transition to the...

A leading health solutions company is seeking a Case Manager Registered Nurse for Bergen County, NJ. This full-time role involves developing plans of care for dual-eligible populations and requires a minimum of 3 years of clinical experience,...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because...

Nurse Navigator 1 - Site Disease - Full Time/Remote page is loaded## Nurse Navigator 1 - Site Disease - Full Time/Remotelocations: Miami, FLtime type: Full timeposted on: Posted Todayjob requisition id: R100091779## **Current Employees:**If you...

A healthcare organization in Damariscotta is seeking a Telehealth Registered Nurse. This remote role requires the RN to be the primary point of contact for patients with clinical inquiries. Qualifications include a nursing degree, state licensure,...

Remote Utilization Management Nurse Job Description As a Utilization Management Nurse for Post Acute care, you will be responsible for reviewing and documenting prior authorization and concurrent...

A healthcare services provider is seeking a remote provider relations specialist in Columbia, SC. This role requires effective communication with providers about Medicare coverage and documentation. The ideal candidate must have relevant nursing...

A leading risk management company is seeking a caring and self-motivated RN Field Case Manager in Franklin, Tennessee. In this role, you will make a meaningful difference in the lives of injured workers, providing both telephonic and in-person...

A leading healthcare organization is seeking a Licensed Registered Nurse to coordinate interdisciplinary patient care from admission to discharge. This remote role, based in Austin, will involve monitoring patient care, advocating for resources,...

Similar experience is needed. RN license, required. Position Overview The Home Health RN Document Integrity Specialist is responsible for all quality assurance related external audits in adherence with regulatory standards. Work from home, remote...

A national health organization is seeking a Clinical Review Nurse to perform concurrent reviews and enhance care quality for members. In this crucial role, you will assess patient health, document findings, and collaborate with healthcare...

Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40...

Clinical Claims Review At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

JOB DESCRIPTION Job Summary The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

A major health solutions company is seeking a case manager to facilitate patient care and manage benefits for dual-eligible populations. Candidates must have an active RN license in Illinois and at least 3 years of clinical experience. This remote...

A healthcare provider in Atlanta is seeking a dedicated RN Plan Case Manager to oversee clinical management for a long-term care population. Responsibilities include conducting assessments, developing care plans, and coordinating patient care. The...

A leader in medical examination services is seeking a Remote Clinical Quality Assurance Nurse Auditor. This role requires a Registered Nurse with critical care and ER experience. Responsibilities include evaluating clinical information, performing...

A healthcare organization in Elgin, Illinois is looking for an RN Case Manager. This full-time position allows you to advocate for patients while utilizing your clinical nursing expertise. The role offers a hybrid work model post-training, with...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Optum CA is seeking a RN Call Center Nurse to join our team in Torrance, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, youll be an...

Director of Nursing Inniswood Village located in Westerville, OH is an independent living, assisted living and memory care community with a team of health care professionals that is unmatched in the area! We are owned and...

Clinical Appeals Rn At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come...

A large health service provider is seeking a Clinical Care Coordinator to ensure optimal continuity of care for patients in home health services. The role demands an Associate's degree, RN license, and at least 3 years of post-acute experience.