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JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...

Care Manager The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the...

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify and attract...

Inpatient Case Manager Based on an initial review of member care needs at the time of admission, establishes a discharge/transition plan in collaboration with the hospitalist team. On an ongoing basis reviews and identifies changes in...

US Army Reserve – Psychological Health Program Nurse Case Manager (RN) The US Army Reserve Psychological Health Program (PHP) provides comprehensive behavioral health support to Reserve Soldiers and their families nationwide. As a Nurse...

Sentara Healthcare Integrated Nurse Case Manager Location: Manassas, VA Work Shift: First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA. This is a...

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,...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

Care Manager—Registered Nurse We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...

RN MDS Coordinator We are looking for a kind and passionate RN MDS Coordinator to work in a Skilled nursing facility. The responsibilities will include: Under the direction and supervision of the Director of Nursing Services,...

Concierge Home Health RN In Los Angeles/Orange County Looking for a rewarding nursing career with independence and flexibility? Join us as a Concierge Home Health RN in Los Angeles/Orange County today! Rates starting at $70/hr...

Job Summary The Care Manager—Registered Nurse is a key member of the Special Needs Plan (SNP) care team, responsible for coordinating care for members with multiple chronic medical and behavioral health conditions and social determinants of...

Utilization Management RN IL Regional Office - Springfield, Illinois Overview Position Type: Full-Time Job Shift: Day Education Level: Bachelor's Degree Category: Nursing Professional & Support Description...

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource...

Kindred Hospital Paramount and Acute Rehabilitation Unit (ARU) is 177-bed hospital. With 159 long-term acute care hospital (LTACH) beds, we offer the same in-depth care you would receive in a traditional hospital, but for an extended recovery period.

Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) -...

Job Title Details Job Type Local Profession RN Specialty MS / Tele Shift Details Shift Variable Shifts - 36 Hours Job Order Details Start Date 08/16/2026 End Date 11/15/2026 Duration 13 Week(s) Client Details State MA ...

Real Job 3266306 *Works with any dept, if a patient complaint arises* *Experience in Critical Care or ED is a plus* *weekends will not typically be required UNLESS survey is on site* *2 years experience required, hard stop* *First time travelers...

RN Case Management Alhambra, CA About Seen Health At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen...

Duration: 2.5 Months (10 Weeks) Job Description: We are seeking compassionate and dependable Registered Nurses (RNs) to join our nationwide immunization program. In this role, you will administer vaccines to adult and...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

Registered Nurse Duty Days: 187 Pay Grade: T07-T08 Salary Schedule: Click for Salary Schedule Primary Purpose: Ensure that learning is not hindered by a correctable health problem and educate students toward worthwhile decisions...

Achievable Health's mission is to provide high-quality healthcare to our community, with a specialty in treating individuals with intellectual and developmental disabilities and their families. SALARY: $140K - $162K, DOE $10,000 signing bonus...