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Description This position will have well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual is responsible for performing a variety of...

Registered Nurse I The position is full-time and 40 hours a week. The shift will be five 8-hour shifts between the hours of 9AM-5PM EST Monday through Friday. While the organization will do its best to keep you in your scheduled shifts,...

Overview Open Doors to Care. Guide First Steps. Transform the Hospice Experience. Are you a compassionate, experienced RN who loves making personal connections and helping patients understand their...

Field Nurse Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has...

Remote LPN/LVN–Chronic Care Management (Full‑Time, Work From Home)CARDIOVASCULAR INSTITUTE OF EXCELLENCE PLLC is a dedicated medical practice company headquartered in Wagoner, Oklahoma. With a focus on delivering high‑quality cardiovascular...

Hispanic Alliance for Career Enhancement is seeking a Nurse Consultant to join their Utilization Management team. In this 100% remote role, you will apply your clinical judgement to review inpatient and outpatient services. Candidates should have...

Registered Nurses w/ we & call Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you...

Job Description Saint Luke's Home Care & Hospice is seeking a Transitional Care Nurse to join our team!! FT; M-F Flexible scheduling one weekend every 1-2...

Staff Nurse-Chronic Disease Primary Location Honolulu, Hawaii Facility Name Mapunapuna Medical Offices Schedule Full-time Shift Day Salary $47.64 - $68.06 / hour Job Number 1406293 Date Posted 05/12/2026 Job...

Overview Empassion is hiring a Care Coordinator/LPN to work within our contact center, including directly interfacing with patients, providers, and families in our palliative care program managing day to day functions such as educating patients by...

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ( and Terms of Use ( . I...

Full-Time Rn Opportunity Paramount Home Health is currently hiring a Full-Time RN. Monday thru Friday, daylight shift, reports to one location, no travel! The RN will be responsible for (but not limited to): Evaluation and...

Job Title: Advanced Practice Nurse Psychiatric/Mental HealthLocation: Orient, OHSchedule: 20 hours/week, weekdays only (no nights, weekends, or holidays). Core hours typically 7:00 AM 5:00 PM. Some flexibility may be offered.Duration: Approximately 3...

Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit...

Location Address: 8100 Constitution Pl NEAlbuquerque, NM 87110-7643 Compensation Pay Range: Minimum Offer $27.92Maximum Offer $42.63 Summary: The Home Health Quality Management team is seeking a...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

Job Description Work Schedule: 100% FTE, Monday - Friday 8:00am - 5:00pm with rotating weekends and holidays. This position is Hybrid in person location is 2550 Charles St. You may be eligible for up...

Itemization Review Nurse II 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.

Job Description Travel Nurse - ICU Epic Travel Staffing is hiring a Travel Nurse - ICU. We`ll be your ticket to the travel RN - Intensive Care Unit job you`ll love with unparalleled recruiter support and industry-best...

Public Health Nurse Make a Difference in Your Community The Department of Public Health for St. Louis County Government is actively looking to hire a Public Health Nurse (PHN) to join their team. This nursing position will provide...

Job Summary Geisinger is proud to offer a full time Inpatient RN up to $24,000 hiring incentive for eligible candidates! $41.00 minimum hiring rate with increased rates for experienced individuals and up to $7 shift differentials for evening,...

Utilization Management Nurse Location: Remote Position Overview The Utilization Management Nurse is responsible for reviewing inpatient admissions and applying nationally recognized medical necessity criteria to determine...

Overview The Registered Nurse Case Manager - Transitions of Care is a clinically experienced registered nurse responsible for leading care coordination for patients with complex and chronic medical conditions during critical...

Clinical Liaison Registered Nurse / RN, Hospice Location: West Allis, WI Position: Clinical Liaison - Hospice RN Remote/Virtual Position: Coverage Area: SE Wisconsin Find Your Passion and Purpose as a Full-Time...

Visiting After Hours Registered Nurse (RN) Our Visiting After Hours Registered Nurse (RN) work a rotational on-call after-hours schedule as part of the comfort care and after-hours team. They respond timely to afterhours calls from staff...