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Job Summary Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical...

JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living...

Job Description This role must be held by an RN. Our home health and hospice agencies are located throughout California, Hawaii, Oregon and Washington. They serve the entire community and offer...

Shift and Status RN Case Manager Hospice Care Full time, 8:00 a.m. to 4:30 p.m., variable days and with 4 shifts backup on-call per quarter (weekday or weekend). Hybrid: visiting patients in Saint Joseph,...

Mobile Director Of Nursing - Long Term Care CommuniCare Health Services owns and operates over 130 facilities in 6 states. CommuniCare is currently recruiting an experienced DON to assume the role of Mobile Director of Nursing for...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a...

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This...

RN Case Manager, Casual / PRN The RN Case Manager directs and coordinates the care of patients from admission to transfer or discharge. This is done with the intentions of cost effective utilization of hospital resources, minimizing out...

Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...

Description Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity...

Regional Registered Nurse (RN) Clinical Manager Home Health Services - Remote **MUST RESIDE IN NORTH CAROLINA** Home is where the heart is! That's why PruittHealth @ Home is committed...

Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of the largest private-duty nursing companies in the...

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Join us in making a meaningful impact on lives, including your own! At Brookdale, we prioritize an environment where you can grow...

Details Client Name 15924 Ohio Health Rehabilitation Hospital Job Type Travel Offering Nursing Profession Nursing...

Overview Select Specialty Hospital Critical Illness Recovery Hospital (LTACH) Case Manager (PRN) Requires a current licensure in a clinical discipline either as a...

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care...

A leading infusion services provider is seeking a Nursing Quality Assurance Auditor responsible for overseeing quality assessments and compliance with clinical standards across locations. Ideal candidates will have a Licensed Practical Nurse...

Role Overview As a Registered Nurse specializing in Case Management, you will play a pivotal role in coordinating care for member populations with complex health care needs across various settings. Your primary objective will be...

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...

About the Role: The Home Health RN Clinical Manager plays a pivotal role in overseeing and enhancing the delivery of nursing care within a home health care setting. This position is responsible for managing clinical staff,...

Job Description The Nurse Manager for the Nemours Virtual Care Operations Center provides leadership and operational oversight for systemwide virtual care resources, including nurses, technicians, and support staff. Nemours...

Optum NY, is seeking a RN Case Manager to join our remote team. If you live within NY, CT or NJ and have an active NY RN License, you are eligible to apply. Optum is a clinician-led care organization that is changing the way...

A bit about us: If you're a looking to step up into nursing leadership without doing it on your own, you'll love what we're building here. We are hiring a new Assistant Dean of Nursing. It's a chance to...

Job Description Nurse Manager- Home Infusion Pharmacy- Portland, Oregon Schedule- Full Time/ Days Implements and administers the policies and procedures of the Home Infusion Department. Supervises employees...

Published Description: Location: Columbus, OH Pay Rate: Up to: 1977.42/Week Start Date: 03/02/2026 to 06/01/2026 Duration: 13 weeks Number of Positions:...