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Title: OSU Case Manager - This is a REMOTE JOB OPPORTUNITY (Hourly Pay only) Shift: 08:00-16:30 Accepts 1st Time Traveler Require Certifications: Active RN licensure to practice in Ohio (can be compact) BLS 2 year of experience required Epic...

**Job Description** **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate...

What You'll Do: Join the Ohio Department of Health (ODH) in a leadership role that advances school nursing and public health services across the state. If you have a strong public health experience and a passion for...

Site: Martha's Vineyard Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

Overview: Registered Nurse / RN Team Director , Hospice Location: Middlebury, CT Position: Registered Nurse / RN Team Director Remote/Virtual Position : No Find Your Passion and Purpose as a Full-Time Hospice Registered Nurse / RN Team Director...

Job Title: Remote RN Case Manager Job Description We are seeking a dedicated RN Case Manager to play a pivotal role in managing chronic and complex medical needs for members across the continuum of care. This position supports the...

Employment Type: 5-month contract with possibility of extension Location: Remote (must hold an unrestricted Massachusetts RN license) *Note: Candidate must hold an unrestricted Massachusetts RN license.

Job Description: Position Summary: The Community Clinical Liaison performs a key role in the generation of referrals to HSL Home and Community Based Services with primary focus on Home Health and Hospice referral...

" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a...

At 21st Century Home Health Services (21HHS), we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and...

We are looking to add compassionate RNs to our nurse team! Ohio Hospital for Psychiatry is a 130 bed treatment center providing services to adults and seniors on both an inpatient and outpatient basis. We are willing to consider recent RN grads,...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Company: Ohio...

Vivo HealthStaff is actively recruiting for a fully remote Case Manager position. This temporary 3-month contract role, with an option to extend, and focuses on health care management and coordination for members with complex and chronic care...

Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

Description Location: UCHealth Anschutz Outpt Pavilion - Aurora, CO Department: Um AMC Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $33.61 - $52.10 / hour. Pay is dependent on applicant's relevant experience This...

The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. Assist with assessment, participate in planning and implementation of intervention and ensure follow-up and coordination of services.

Employment Type: Full time Shift: Description: Why Join Us?? Start Here... Grow Here... Stay Here!? At our core, we...

Salary range: $95,139 - $130,811 annually, based on qualifications. This exempt remote-hybrid position is eligible for a comprehensive benefits package which includes medical, dental, vision, a 403(b) retirement account, and a generous...

Baptist Health Clinical Financial Resource Utilization Coordinator Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers,...

Scheduled Hours 40 Position Summary Coordinates the care of patients for a designated service throughout the continuum of care; serves as a clinical resource in area of specialty or...

Overview Sanctuary Hospice is thrilled to announce our expansion into the Columbus, OH market with the opening of a new location! With nine successful locations across Ohio and Illinois, we are excited to bring our...

RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...

Job Description Summary **REMOTE POSITION, ROTATING NIGHTS/WEEKENDS/HOLIDAYS, REQUIRES HIGHLY MOTIVATED INDIVIDUAL** Training required for this position is a minimum of 3 months and takes place on site, downtown Charleston campus...

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...