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Managing patients' specialized needs remotely, the full-time Nurse Care Manager will take ownership of patients with complex chronic conditions, collaborating with healthcare providers to develop comprehensive nursing care plans aimed at...

Psychiatric Mental Health Nurse Practitioner (PMHNP) Capstone Behavioral Health, part of the Optum family of businesses, is seeking a remote Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our team in Omaha, NE. As a member...

Case Management Utilization Management Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our...

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

Blackbird Health in the United States is seeking a Psychiatric Mental Health Nurse Practitioner to deliver comprehensive psychiatric evaluations, treatment planning, and medication management for children through young adults ages 2–26. You will...

Telephonic Nurse Case Manager (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States...

Virtual Care Registered Nurse We are seeking a licensed Registered Nurse to deliver virtual care to patients on behalf of one of our partner organizations. This role involves delivering remote patient care, symptom triage, health...

NirvanaHealth Utilization Management Nurse Join us in our mission to transform healthcare! NirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees...

Collaborate with physicians, psychologists, and therapists in a virtual pediatric clinic.Ensure seamless care delivery for children with chronic conditions.Responsibilities:Coordinate appointments, referrals, and care transitions.Provide patient...

Salary : $107,352.48 - $160,692.96 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: PH5230H Department: PUBLIC HEALTH...

School Nurse St. Paul the Apostle School is deeply committed to serving children and plays a critical role in supporting the health, wellness, and academic success of our students. Our mission goes beyond academics—we provide holistic...

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current employees and candidates who reside in Idaho and Utah...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

Description The UM Denial Nurse Reviewer supports high-quality, cost-effective care by applying clinical knowledge, policies, and regulatory guidelines to the review and processing of adverse organization determinations. This role reviews...

Job Profile Summary Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...

Cardinal Health manages the pharmacy at Monterey Park Hospital. We are recruiting for a PRN Pharmacy Technician to work as needed on weekdays and/or weekends. The Technician II provides assistance in daily operations, including filling...

Medica Talent Group is seeking an experienced Licensed Vocational Nurse (LVN) Case Manager to support the Utilization Management department of a healthcare organization in Montebello, CA. The LVN Case Manager will provide care coordination,...

Travel Clinic Registered Nurse (RN) - $2,106 - $2,340/wk per week in taxable pay and non-taxable stipend amount. Pay rates are subject to confirmation with tax free stipend determined for qualified candidates. KPG Healthcare is currently...

Utilization Management Nurse The primary role of the Utilization Management Nurse is to review and monitor members' utilization of health care services with the goal of maintaining high quality cost-effective care. The role includes...

Job Title: Clinical Quality Assurance Nurse Pay: see below Registered Nurse - $28.50/hr (Non-negotiable) LPN/LVN- $26.50/hr (non-negotiable) Regular Schedule after...

Job Title Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and...