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Telephonic Case Manager 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 health solutions...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: House Managers Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $52.33 - $83.73 / hour. Pay is dependent on applicant's relevant...

Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS at our CP-NORTH HILLS HEALTH CENTER facility. This job is ON - SITE. FTE: 0.400000 Standard...

A healthcare provider is seeking a Registered Nurse for care management coordination in Salt Lake City, UT. This role involves assessing member needs, developing care plans, and facilitating interdisciplinary collaboration. Candidates should have...

Ardor Health Solutions is seeking a travel nurse RN Home Health for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Home...

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position. ESSENTIAL...

A healthcare organization in California is seeking an RN, Clinical Care Manager I to enhance member care through assessment and coordination. Applicants should have a Bachelor's Degree in a health-related field and an active RN license. The role...

Utilization Review Case Manager The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts...

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 health solutions company, we reach millions...

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With...

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...

Description Join PeaceHealth in advancing compassionate, mission-driven care from wherever you are. PeaceHealth is looking for a skilled and motivated Registered Nurse Utilization...

Site: Mass General Brigham Health Plan Holding Company, 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.

Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or...

Job Description Our home health and hospice agencies are located throughout California, Hawaii, Oregon and Washington. They serve the entire community and offer personalized in-home care, and many have been recipients of Home...

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,...

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...

Job Description Helping patients feel supported, heard, and guidedright from your home. At Guidehealth, were transforming how patients experience healthcare by combining clinical expertise with compassionate, person-centered...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Medical Review Nurse.

Job Description Job Overview - RN Site Manager (Outpatient Clinic) Compensation: $55/hour Location: Newark, NJ Schedule: Monday to Friday, 9:00 AM - 5:00 PM (Required weekend on-call duties)...

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

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...

Resp & Qualifications PURPOSE: The role of the Nurse, Quality Review Utilization Management (UM) is to evaluate clinical quality and procedures within the Utilization Management (UM) program to maximize...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...

At AHN Healthcare@Home, we're expanding our exceptional care team. In partnership with Allegheny Health Network, we're a nationally recognized leader in home health and hospice care—and a consistent Top Workplace. As a nurse,...