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Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals,...

Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through...

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...

$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...

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 of healthcare alone, and we're on a mission to...

Education experience highly preferred 32 hours a week- 4 days variable 8:00 a.m. to 4:30 p.m. Scope of Work: In collaboration with nursing leadership, designs, develops, implements and...

UW Health is seeking a Registered Nurse (RN) Home Health for a nursing job in Madison, Wisconsin. Job Description & Requirements Specialty: Home Health Discipline: RN Duration: Ongoing Employment Type: Staff Description: Work Schedule: 90% FTE,...

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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...

Job Address: 10123 Alliance Road, Suite 320Blue Ash, OH 45242 Telehealth Administrator on Call (Registered Nurse), Remote Position The PHP Telehealth Administrator on Call has a passion for providing remote...

Welcome to Pine Park Health! About Us Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get healthy, stay...

A healthcare provider in Columbus, Ohio is seeking a Registered Nurse (RN) Hospital Liaison to coordinate patient care and assist with home care eligibility. The ideal candidate will have at least two years of nursing experience, preferably in...

Job Description Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal...

Company : Allegheny Health NetworkJob Description : GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for...

Registered Nurse - PRN visits Leave Shift Work Behind Consider our per diem opportunity to earn additional income as a Nurse Interviewer visiting clients at their place of residence. Complete...

Lighthouse Behavioral Health Solutions (LBHS) offers a full continuum of care, including outpatient, intensive outpatient, partial hospitalization, residential treatment, psychiatric services, and medication-assisted treatment. We take pride in...

Overview Open Doors to Care. Guide First Steps. Transform the Hospice Experience. Are you a compassionate, experienced RN who loves making personal connections and helping patients understand their...

Job Description JOB CATEGORY: REGISTERED NURSE / COMMUNITY HEALTH CENTER / WELLNESS POSITION SUMMARY: This position works directly with Contact Center agents to assess and triage...

GoTo Telemed seeks experienced, certified CRNAs for remote anesthesia consultation, patient education, and post-operative follow-up services. This 1099 independent contractor position provides flexibility while supporting surgical teams across...

Job Title: Nurse Practitioner (Telehealth) Job Location: Remote, Utah Company Description: Greater Good Health is a fast-growing organization delivering care to older adults in access starved communities. Our...

A leading health insurance provider is seeking a Senior Care Management Nurse in Columbus, Ohio. This role involves assessing member needs and coordinating care to ensure high-quality service delivery. Candidates should have an active RN license,...

Job Title: LPN Care Coordinator with Skilled Nursing Experience (Fully Remote) (Spanish Speaking Required) Overview: The Care Coordinator is responsible for developing and providing care coordination...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

Company Description Established practice in Columbus, OH has been delighting patients for years. The practice is a full-service general dermatology, surgical, and cosmetics practice. You will be supported by an...

RN Health Care Facility Surveyor - All States - Remote (#1131) Medical, Dental, and Vision insurance Flexible Spending Account Paid...