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Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients'...

A national health provider is seeking a Utilization Management / Medical Management Nurse. This remote role offers flexibility, with in-person training and occasional onsite work requirements. Ideal candidates will have a nursing degree, extensive...

Join the Patient Management Unit at a key moment in our history as we strengthen our clinically-driven, patient-centered preadmission pathway for DSH patients! Under direction of the Chief Psychologist of the Patient Care Coordination...

What You'll Do: The Ohio Department of Health / Complex Medical Help program is looking for an experienced nursing leader to oversee statewide public health nursing programs, guide policy development and ensure consistent,...

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...

Become a part of our caring community The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with...

Introduction Are you an experienced Registered Nurse looking to make a difference in the lives of individuals with disabilities? If so, we invite you to take this opportunity to join our team!

A leading healthcare staffing agency is immediately hiring Remote Clinical Review Nurses to review cases for medical necessity. The role demands 3+ years of relevant experience and an active RN Compact License. You'll advocate for members and...

RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...

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...

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

Build What Matters Most-Families, Futures, and Your Career Enjoy meaningful work while contributing to an organization that changes lives every day. US Fertility, the nation's leading partnership of...

ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation. Triage calls to the Nurse Practitioner Conduct...

Benefits: 401(k) Company parties Competitive salary Flexible schedule Free food & snacks Paid time off Training & development Tuition assistance...

Requisition number: 2348670 Job category: Medical & Clinical Operations REMOTE IN TEXAS At UnitedHealthcare, we're simplifying the health care experience, creating healthier...

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,...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

Build What Matters Most-Families, Futures, and Your Career Enjoy meaningful work while contributing to an organization that changes lives every day. US Fertility, the nation's leading partnership of...

LPN Care Coordinator - Remote after 90 Days *This position is for local FL Residents Only and will require in person (face-to-face) successful training for 90 days at the Winter Garden, FL location before going...

Site: Martha's Vineyard Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", may be the place for you! Alliant is recruiting...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

Job Description Salary Range: $40 - $42/Hourly Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty-one that blends clinical expertise with deep human connection?

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

Department BSD OBG - Gyn Onc About the Department The Section of Gynecologic Oncology is a part of the Department of Obstetrics and Gynecology. The Section is comprised of 12 faculty physicians, 7 advanced practice...