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A leading health solutions company is seeking a Care Manager-Registered Nurse in Connecticut. This role requires developing and coordinating care plans for members with multiple chronic conditions while ensuring effective telephonic engagement.

" Licensed Psychiatric Nurse Practitioner Wage: Between $144-$222 an hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner? Whether you want to see patients alongside a full-time job or...

Per Diem Emergency Department Based Rn Case Manager This position is a per diem role, providing department coverage and cross trained to cover utilization review and discharge planning as needed. It is eligible for the per diem...

JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

A leading healthcare organization is seeking a Utilization Management Nurse RN to review clinical data and support patient care from a remote setting. This role requires critical thinking and clinical expertise to ensure proper hospital admissions...

Additional Information About the Role Part time position (2) 12 Hour Day Shift - 6:00 am to 6:30pm Located at BJC Commons Minimum of 2 -5 plus years of RN experience needed Recent bedside RN experience in Acute Med/ Med Surg needed We are seeking...

Bickford of Worthington - Join our DYNAMIC team at Bickford Senior Living as a Wellness Nurse! The Wellness Nurse supports resident care within the branch, ensuring that Resident's daily medications needs are met in a compassionate...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Leigh Hospital, located in Norfolk, Virginia is hiring a full time RN Case Manager for our inpatient units house-wide. Position Overview Case Manager RN Full-time; 40 hr/week A...

Job Address: 10270 Blacklick - Eastern Road NWPickerington, OH 43147 RN Staff Nurse, PRN At Solero, our passionate and highly trained team of professionals inspires hope and delivers holistic care to those in...

Job Title: Nurse Manager 1, Neuro/Trauma/Burn Clinics Department: Brain and Spine | Neurovascular Stroke Center In collaboration with the Service Line Administrator, the Manager 1 services assists with the...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic...

Say Goodbye to Unpredictable Schedules! Tired of last-minute shift changes, late nights, and weekend work? This is your chance to step into a full-time Registered Nurse role with a Monday-Friday, 8:00 a.m. -...

A healthcare insurance provider is seeking a qualified individual for a clinical oversight role in Phoenix, AZ. The position requires significant clinical experience, including work with Medicaid/Medicare, and offers a hybrid work model.

Overview The position is work from home with field visits. Job Purpose This position is responsible for conducting medical management and health education programs for customers on government health care programs.

Description The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare...

Job Title: Nurse Case Manager II Location: Remote Field Visit (Cook, Lake, Will, Kane, Winnebago, Rock Island County- IL) Duration: 3 months (possible extension) Schedule: 40hr/ per week and 5 days week. Pay Rate: $39.32 hr. on w2. Job Summary:...

Overview The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers.

Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday, 8:00 AM12:00 PM PST Compensation: $40,000$45,000 annually (part-time, 20 hours/week)...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

RN Clinical Appeals Nurse Job Summary: The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory...

A healthcare management firm is seeking a detail-oriented Utilization Management Reviewer for a fully remote position. The role includes reviewing care based on evidence-based guidelines, ensuring quality and compliance while upholding medical...

A healthcare provider is seeking a Utilization Management Clinical Manager for analyzing medical service requests. The ideal candidate will possess an RN license and extensive experience in prior authorization in managed care. Responsibilities...