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City/State Newport News, VA Work Shift Multiple shifts available Overview: Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in the Hampton and Newport News area of...

Overview:Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Appeals and Grievance RN .*** Candidate must be authorized to work in USA without requiring sponsorship...

Details Client Name Adventist Health White Memorial Job Type Travel Offering Nursing Profession RN Specialty...

Location Address: 9521 San Mateo NEAlbuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $27.92Maximum Offer $42.63 Summary: Build your Career. Make a Difference. Presbyterian is hiring a...

Duration: 12+ Months Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in her / his role and is responsible for managing...

About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and...

SIGN ON BONUS - $5,000 RELOCATION BONUS: (for those outside of San Diego County) - $5,000 - Bonus Available if Started prior to 06.31.2027 Job Announcement Position Title:...

L.A. Care Health Plan is seeking a Delegation Oversight Clinical Auditor RN II in Los Angeles, California. The role involves ensuring compliance with Utilization Management regulations and performing various audits. Applicants must possess an...

Benefits: Simple IRA Part-Time transition to Full-Time Opportunity Bonus based on performance Company parties Competitive salary Dental insurance Health insurance Paid time off Training &...

We are recruiting for a mission-driven RN Educator, Clinical Documentation Integrity - Must Reside in Colorado to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something...

Job ID: 25-266570 Job Title: 'Nurse Case Manager' Position Type: Full-Time Contract Role Location: Work from home Work Type: Remote Est. Pay Range: $35.00/hour - $38.46/Hour...

To support clinical auditing efforts, the full-time RN Clinical Auditor will perform retrospective chart reviews on Readmission and Place of Service Claims, utilizing clinical guidelines and proprietary systems while maintaining productivity and...

Registered Nurse - Case Management Duration:13 Weeks Start:03/10/2025 Job Type: Travel Minimum Guaranteed Hours: 40 Jobs Notes: Day Shift, inpatient RN CM Acute hospital experience,...

Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower...

yourcommission is looking for a Utilization Management Nurse responsible for overseeing patient care determinations across various programs. The role includes conducting utilization reviews, communicating with payors, and monitoring bed...

Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We...

Nurse Navigator Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

RN Case Manager Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes...

Patient Family Liaison Clinical - RN Overview: Clinical Patient Family Liaison, Registered Nurse Location: Glendale, CA Find Your Passion and Purpose as a Full-Time Clinical...

Working Nurse in Los Angeles is seeking a Clinical Policy Nurse RN II. This full-time position involves analytical research and assessment based on legislation affecting healthcare policies. The ideal candidate will translate regulatory impacts...

Martin Luther King, Jr. Community Hospital is seeking a skilled RN Utilization Management professional to function as a support liaison for various UM functions. The role involves coordinating care from admission to discharge, managing clinical...

Utilization Management Nurse Consultant 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...

Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...

Start the day excited to make a difference...end the day knowing you did. Come join our team. Job Summary: The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with collaboration from the...

Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plansCompetitive pay ratesReferral opportunities ? Refer a friend & Cash in!Travel reimbursement and per diem...