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The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes...

Position Purpose **This position is in-person and is not remote** The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource...

Responsibilities Part time: 24 Hours Per week (Sat & Sun) 8am-8pm MST. The Phone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during...

Hiring Now for RN Case Manager/Utilization Review Department: Case Management Shift: Full-time Hybrid Job Summary: The RN Case...

A healthcare organization in Montana seeks a fully remote Utilization Management Specialist responsible for reviewing admissions, ensuring compliance, and collaborating with healthcare providers. The ideal candidate is an RN or Social Worker with...

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Remote Case Manager Nurse, RN. In this role, you will play a vital part in improving health outcomes by providing telephonic case management. Your...

Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

Build What Matters Most-Families, Futures, and Your CareerEnjoy meaningful work while contributing to an organization that changes lives every day. US Fertility, the nation's leading partnership of physician-led...

A healthcare organization is seeking an RN Coordinator Utilization Management to evaluate prior authorization requests, ensuring compliance with guidelines while collaborating with healthcare providers. This full-time position requires candidates...

Introduction Are you a dedicated licensed Registered Nurse (RN) seeking a fulfilling role where you can truly impact the lives of individuals with disabilities? The State of Connecticut, Department of...

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 of...

Salary: $95,000-$100,000 plus performance based-incentives and full benefits package Job Summary: Our client is seeking an experienced Registered Nurse (RN) to oversee care delivery for Principal Care...

Telehealth Registered Nurse I Join a winning, innovative team. WJM Professional Services, LLC is a leading healthcare management firm with 20 years of experience providing healthcare personnel, and administrative...

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care...

Role SnapshotOur Case Management RN (Registered Nurse) coordinates care and services of select member populations with complex health care needs across continuum of care. The primary focus of the...

20200-50064-002095 (RN Virtual Clinical Nurse) Virtual Nurse - Luminis Health Position Objective: Contributes to the provision of high-quality, cost-effective healthcare as a provider of...

Shift and Status RN Case Manager Hospice Care Full time, 8:00 a.m. to 4:30 p.m., variable days and with 4 shifts backup on-call per quarter (weekday or weekend). Hybrid: visiting patients in Saint Joseph,...

IDD Behavioral Health Nurse Full Time No Weekends A Great Opportunity At ViaQuest Psychiatric & Behavioral Solutions we offer unique and individualized care to children, adolescents,...

Hiring Now for RN Case Manager/Utilization Review Department: Case Management Shift: Full-time Hybrid Job Summary: The RN Case...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...

This position is available fully remote in Washington state. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

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Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's...

Registered Nurse (RN) Boston Medical Center - Boston Allied Partners (BAP) This is a hybrid role, requiring on-site presence in our office but flexible. As an LTSS Registered Nurse (RN), you'll...