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Are you our next Change Agent? We are seeking a compassionate and experienced Patient Support Program (PSP) Nurse to deliver exceptional, one-on-one support to patients navigating their treatment journey. You will be part of...

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...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

**Job Description**Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a passion for the highest quality and patient happiness? Then please respond to this...

Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).

Utilization Management RN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit...

" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

LocationRedondo Beach, United States# Nurse Educator for school ownership at Internexus/AntaresLocationRedondo Beach, United StatesSalary$60 - $80 /hourJob TypePermanentDate PostedMarch 22nd, 2026Apply Now**Note: We are seeking a highly motivated,...

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To:...

Nurse, Concurrent Review Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including admission reviews, continued stay reviews, transitional care...

DescriptionThere's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive, supportive, and...

Conduct comprehensive nursing assessments of patients' physical, emotional, psychosocial, and spiritual needs during admission, resumption of care, recertification, and discharge.Develop, implement, revise, and evaluate individualized Plans of...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

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...

Job Summary and ResponsibilitiesAs our Educator, RN in Periop, in accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position serves as a consultant/resource professional by providing staff...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff...

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,...

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Summary of Primary Function In the capacity of a Registered...

Case Manager RNBurbank, CA$2289 / Weekly Gross (Estimated pay package. Does not include taxes, insurance, or other deductions that may occur)Start Date: 8/10/2026Shift: 8H Days (8:00 AM-4:30 PM)Length: 13 WeeksWeekly Hours: 40Facility Type: Short...

To enhance patient care management, the full-time RN Utilization Review Manager will oversee the utilization management program, ensuring compliance with regulations and effective resource allocation while working remotely from Ohio.Key...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

MinUSD $95,000.00/Yr.¥n MaxUSD $101,764.00/Yr.¥n Position Overview¥n I. SCOPE OF ROLE: ACT is an intensive, community-based multidisciplinary treatment team that provides person-centered care to a shared caseload of...

Inspire Health Alliance is seeking a Registered Nurse, Case Manager in Montebello, CA. The RN Case Manager will coordinate care and provide support for patients with chronic diseases, collaborating with various healthcare professionals.Qualified...

A healthcare company is seeking a Care Management Nurse to provide telephonic care services to chronic patients. The ideal candidate will have a nursing license and 1-2 years of experience in clinical or telehealth settings. Responsibilities...

Supports the Risk Management, Regulatory Compliance and Patient Safety programs through investigation and analysis of potential and actual adverse events, claims, and regulatory compliance and accreditation related occurrences or deficiencies,...