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Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

RN Case Manager The RN Case Manager provides comprehensive nursing care coordination and case management services for patients in an inpatient healthcare setting. The role involves assessing patient needs, coordinating care with the...

Job Description Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and...

BlueCross BlueShield of South Carolina is hiring a Managed Care Coordinator II - Utilization Management. The role reviews clinical criteria to determine medical necessity and coordinates care management for members. The position is full...

Position details * *Status:* Full-Time * *Pay Range:* $82.38 - $104.83 / Hourly * *Shift:* Days * *Shifts Per Pay Period:* * *Shift Length:* Exempt 8 Hour * *Location:* Hybrid Remote (CA) *...

Job Description Utilization Review RN - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

A health care organization in Monterey Park is seeking a Case Manager (LVN or RN) to manage patient care effectively. This role involves working collaboratively with medical teams to establish discharge plans and ensure compliance with health...

Telephonic Comprehensive Nursing Assessments Position in this function is responsible for completing telephonic comprehensive nursing assessments, creating care plans, participating in interdisciplinary team meetings, evaluating patient...

Case Manager Utilization RNWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the...

Details Client Name UCLA Medical Center Santa Monica Job Type Travel Offering Nursing Profession RN Specialty...

1 day ago Be among the first 25 applicants At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading...

About This Role The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and continued stays, ensuring appropriate levels of care. This role is ideal for experienced nurses who excel in a fast-paced...

Remote Care Nurse II The Remote Care Nurse II plays a critical role in delivering high-quality nursing care to patients from a remote setting, ensuring their health and wellness are effectively managed through virtual interactions. This...

Overview The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This roles monitors...

Virtual Pre-Admit RN Partnering for a stronger, healthier world. At CommonSpirit Health, we believe in the healing power of humanity. We invite you to explore our specialty areas and pursue a career in humankindness.

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility: Southridge Clinic...

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Registered Nurse Position Duties Description POSITION DESCRIPTION: Provide professional nursing services to individuals with developmental disabilities. Services may include, but are not limited to, nursing interventions and...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

JOB DESCRIPTION Must reside in Florida Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established...

Public Health Nurse Employer: County of Los Angeles Salary: $105,247.44 - $157,542.24 Annually Location: Los Angeles County, CA Job Type: Full time Job Number: PH5230H Department: PUBLIC HEALTH...

Community IV Nurse We are looking for an enthusiastic and patient focused Registered Nurse to join our growing Clinical Homecare Nursing Team as a Community IV Nurse. Working in partnership with NHS teams and healthcare professionals, you...

Job Description Salary Range: $48 - $51 / Hourly Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty-one that blends clinical expertise with deep human connection?

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

Registered Nurse Primary Care Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health...