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Complex Transitional Care Nurse Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Field Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an...

Clinical Appeal And Grievance Nurse BHPS provides Utilization Management (UM) services to its clients, ensuring high-quality, clinically sound decision-making. The Clinical Appeal and Grievance Nurse is responsible for conducting daily...

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Provides clinical administrative nursing care coordination in...

Position Summary: The Childhood League Center is currently looking for a school nurse (Monday - Thursday, 8am-4p). The school nurse assesses and provides nursing and health-related services to children within program; and...

Join Our Caring Community Humana Healthy Horizons in Virginia is seeking RN, Field Care Managers to perform telephonic and face-to-face assessments and evaluations of the needs and requirements of our long-term services and support (LTSS)...

A company is looking for a Utilization Management Nurse.Key ResponsibilitiesCoordinate and facilitate correct identification of patient statusConduct concurrent and retrospective reviews and support the medical necessity denial and appeal...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Medicare Advantage RN Review Analyst Location: Detroit, MI (Remote - Must be local to Michigan) Duration: 12+ Months Role Type: W2 Contract Role Max Pay Rate: $36/HR Schedule: Monday - Friday 9-5...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Full-Time Rn Opportunity Paramount Home Health is currently hiring a Full-Time RN. Monday thru Friday, daylight shift, reports to one location, no travel! The RN will be responsible for (but not limited to): Evaluation and...

Remote Registered Nurse Position Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all units/staff (commercial, behavioral health,...

Resource Registered Nurse (RN) Group Health Cooperative of South Central Wisconsin. Better Together 0.9 FTE / 36 Hours per Week This position may have the possibility to work remote periodically up to once a week.

RN Health Care Facility Surveyor - Mississippi Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting...

Utilization Review Nurse Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution...

Job Summary Geisinger is proud to offer a full time Inpatient RN up to $24,000 hiring incentive for eligible candidates! $41.50 minimum hiring rate with increased rates for experienced individuals and up to $7 shift differentials for evening,...

The RN MDS Coordinator coordinates and assists with completion and submission of accurate and timely interdisciplinary MDS Assessments, CA - As, and Care Plans according to CMS RAI Manual Regulations and in accordance with all applicable laws,...

Part Time Care Transitions Nurse - This is a part-time remote role that requires high-speed internet and requires some evening and weekend coverage. Care Transitions role for both 30 and 90-day programs Medicare/ACO patient population/Medicare FFS...

Remote Rn Position Remote candidates must be based in Texas: Austin area – Travis/Williamson Counties or Richardson area – Dallas/Collin Counties. Job Description: RN working in the insurance or managed care industry...

PRN Night Hospice Aide Columbus, Ohio Reports To: Director of Clinical Services About Luminary Hospice: At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture...

Current Employees and Students: If you are currently employed or enrolled as a student at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Position...

Job Description Position Summary: We have an exciting opportunity to join our team as a Telehealth Nurse - Access Center - Boynton Beach, Florida. In this role, the successful candidate carries...

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ( and Terms of Use ( . I...

The function of the Registered Nurse- Residential MHMR is to ensure the provision of a comprehensive program of preventative, intervention and emergency medical care for the individuals. Essential Duties and...