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A leading healthcare organization in Indiana is seeking a full-time RN-Case Manager to coordinate patient care transitions from hospital to home. The successful candidate will work closely with a multidisciplinary team, ensuring effective...

Dept: Quality and Provider Ed ****Looking for a registered nurse in the Grand Rapids or northern Michigan (lower peninsula) area. Most work will be remote from home and/or traveling, however, there are occasions contractor will need to...

Nursing Facility Service Coordinator - Kutztown area - Remote Join to apply for the Nursing Facility Service Coordinator - Kutztown area - Remote role at Amcord Care Inc. Job Overview The...

Why Beebe?: Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Benefits...

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...

Remote Registered Nurse (RN) Case Manager Join to apply for the Remote Registered Nurse (RN) Case Manager role at PharmaCord We are looking for dedicated nurses to provide patient support services from the comfort of...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

A California-based medical service provider is seeking a Workers' Compensation Nurse Case Manager. This role involves assessing and implementing treatment plans for injured employees. Candidates must have a California RN License and preferred...

A leading health organization is seeking a RN Coordinator for Utilization Management in Wisconsin. This full-time position involves reviewing authorization requests for medical necessity and collaborating with various departments. Applicants...

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...

Registered Nurse - House Supervisor Job Type: Full Time Shift: Days 36 hour weeks (7 am - 7:30...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...

Job Type Full-time Description Job Summary The Utilization Review (UR) Nurse is responsible for analyzing medical records for medical-legal reviews and producing high-quality, professional executive...

A leading healthcare provider seeks an UM Nurse Reviewer responsible for conducting medical reviews, identifying at-risk patients, and ensuring continuity of care. The ideal candidate will have an active RN license, strong analytical and...

A leading healthcare provider is seeking a Care Manager to work remotely, providing care coordination for Medicare members. This role emphasizes telephonic communication, requiring a Registered Nurse with experience in case management. Successful...

Christie Clinic's department of Value-Based Care is seeking a full-time RN at the University clinic in Champaign from Monday-Friday 8:00am-5:00pm. with no night or weekend requirements. This position will allow for remote work following the...

Duration: 3+ Months (Possible contract to hire) Job Description: Onsite training for the first 1-2 weeks remote position after training. Monday through Friday, 8:30am-5:00pm ...

Overview Ensuring Compliance. Streamlining Authorizations. Supporting Patient Care. The Clinical Authorization Nurse plays a key role in supporting our authorizations department by reviewing clinical...

divh2Telephonic Case Manager/h2pAt CVS Health, were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nations leading health solutions...

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...

RN Care Manager - $5,000 Sign-on bonus Direct Hire Competitive Salary based on experience. Excellent Benefit Package...

Shift and Status Full time, 8:00 a.m. to 4:30 p.m., no weekends Hybrid: visiting patients in the St Joseph and Benton Harbor surrounding areas About Hospice Corewell Health Hospice...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture,...

Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...