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The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

Saint Alphonsus Health System is seeking a Peer Review Coordinator to manage data collection, analysis, and reporting for performance improvement and physician peer reviews. You will coordinate with Medical Staff Office and Risk Management while...

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DocGo is hiring a remote nurse to coordinate employee health compliance programs across our AI-powered logistics network in the United States. You will manage OSHA respiratory protection, Hep B, TB screening, and related health initiatives while...

Title: Clinical Review Nurse Concurrent Review Location: Remote Duration: 12 months (Potential Extension) Schedule: Mon-Friday, 11AM to 8pm CST; Weekends and Holidays on a rotation basis based on...

Opco-Skilled-Management- is seeking a Central Intake Nurse to obtain referral documentation from physicians, insurers, and providers to determine service appropriateness and facility placement, and to coordinate patient care plans with service...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe employee's primary work location will be the assigned clinic; however,...

Description Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most appropriate...

Providence California Regional Services is seeking a Care Manager Appeals RN (remote, per diem) to oversee clinically-based appeals and advocate for reimbursement of services. The CMRA will coordinate with Providence and external payers, ensuring...

NCW Staffing is looking for a Case Manager RN's to work for a hospital in Downey, CA! Case Manager RN Details: Number of Positions: 8 Shift: AM Shift available Shift Length: 13 weeks Start...

Molina Healthcare is seeking a qualified RN Care Manager to join a fast-paced, fully remote care management team. You will support care coordination across the continuum and collaborate with a multidisciplinary group to improve member outcomes and...

Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

UnitedHealthcare is seeking an RN Clinical Care Coordinator who will manage a panel of members with complex medical and behavioral needs. You will coordinate care across medical, behavioral, and social needs to improve utilization and outcomes.

JOB SUMMARY: The care management staff that KPPC employs are all state-licensed Registered Nurses or Licensed Social Workers. These professionals all have thorough knowledge of North Carolina patient resources and...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

8 Hours POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care.

Job Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...

WPS Health Solutions in Madison is seeking a Case Management RN to coordinate care for members with complex needs and develop individualized plans of care. You'll educate members and families, act as a liaison among members, families and...

Ambulatory Chronic Care Manager (RN) To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect,...

Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current employees and candidates who reside in Idaho and Utah...

Description Job Title Nurse Case Manager 2 Location Remote - OK Position Description The Case Manager utilizes a collaborative process of...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12...

Utilization Management Nurse The primary role of the Utilization Management Nurse is to review and monitor members' utilization of health care services with the goal of maintaining high quality cost-effective care. The role includes...

Medical Solutions is seeking a local contract nurse RN Case Management for a local contract nursing job in Burbank, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 26 weeks40 hours per weekShift: 8 hours,...