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Company Highmark Inc. Job Summary This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,...

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,...

Vivo HealthStaff is actively recruiting for a fully remote Case Manager position. This temporary 3-month contract role, with an option to extend, and focuses on health care management and coordination for members with complex and chronic care...

Job Description $15,000 Sign-On Incentive for eligible rehires and external hires that meet required qualifications and conditions for payment. Our home health and hospice agencies are located throughout California,...

Duties: The Intake Nurse Case Manager ("NCM") is an integral member of Axiom's Nursing Department ("Nursing"). The NCM is primarily responsible for performing telephonic medical case management for work-related and non-work-related...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

A growing specialty pharmacy in Louisville, KY is seeking a Quality Nurse to ensure quality patient care through audits and assessments. This full-time position offers a salary starting at $80,000 annually, with remote work flexibility for...

Details Client Name The James Cancer Hospital and Solove Research Institute Job Type Travel Offering Nursing Profession RN...

Job Title Entry-Level Junior Registered Nurse - Aesthetic Medical Spa Employment Type Full-Time Pay...

We are more than a health system. We are a belief system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

Summary As a leader in eldercare for nearly 70 years, we are always looking for qualified people to join the Stella Maris team. Unique opportunity to join the dynamic, collaborative and well-established Admissions...

The RN School Support Manager is responsible for the clinical oversight of the designated medical care needs per the district contract. This oversight includes support of care management as required by regulation, contract and personnel management...

Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...

UTILIZATION REVIEW NURSE HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. SCHEDULE:...

Welcome to GSC! About Us At Geriatric Specialty Care of Reno, we're expanding our model for caring for seniors that provides high-quality, comprehensive in-home...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

Summary Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders, established hospital and departmental policies and procedures, American Nurses...

Hourly Rate: $38.34 Plus More For Related Experience We're looking for a Registered Nurse Consultant to join our team! The RN Consultant provides consultative services to assist people with intellectual and/or...

Gentiva is seeking a Registered Nurse (RN) Clinical Liaison for a nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Clinical LiaisonDiscipline: RNDuration:...

About Us : Signature HealthCARE of Terre Haute, a 176-bed facility. It is our mission as a family-based organization to revolutionize the long-term care industry through a culture...

Company: OhioHealth at Home in partnership with Compassus At OhioHealth at Home, Together with Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for...

Salary: $33.98 - $44.44 Hourly Location : Milaca, MN Job Type: Full-time Remote Employment: Flexible/Hybrid Job Number: 00871...

About Scene Health Scene is reimagining medication adherence with our 360° model of care, bringing the gold standard of Directly Observed Therapy into the digital age. Through personalized video coaching, engaging...