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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,...

Job description **This role is 100% remote. We are looking for experienced telehealth RNs to join our case management team.** Who We Are At HV Occupational Health and Safety, we are passionate about fostering...

Director Of Nursing The Director of Nursing is responsible for planning, organizing, and directing the delivery of quality general and psychiatric nursing care consistent with the facility's goals and objectives. Duties include...

This is a hybrid role based in West Hills, CA ACTIVE LVN or RN license required Key Responsibilities: Audit denied provider and member claims for accuracy and compliance...

20 miles from Boston - surrounding areas (Only QUALIFIED Healthcare Professionals accepted) Case Manager - Are you ready to make a real difference in people's lives while enjoying a schedule that suits your lifestyle? We're on the lookout...

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...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...

JOB SUMMARY The Utilization Review (UR) Nurse is a registered nurse who provides clinical review against nationally recognized medical necessity criteria for the purpose of evaluating medical necessity or hospitalization...

*Employment Type:* Part time *Shift:* Rotating Shift *Description:* **Why Mount Carmel?** With five [hospitals]( over [60 free-standing outpatient clinics]( a [college of nursing]( a [Medicare Advantage plan]( and extensive outreach and...

Anticipated End Date: 2026-04-21 Position Title: Transitions of Care RN 100% Virtual, CareBridge - Bilingual Preferred Job Description: Transitions of Care RN 100% Virtual, CareBridge -...

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

Vivo HealthStaff is actively recruiting for a fully remote Case Manager position. This temporary 3-month contract role, with an option to extend, and focuses on health care management and coordination for members with complex and chronic care...

Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of...

Care Career is seeking a travel nurse RN Palliative for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: PalliativeDiscipline:...

Set your own schedule while getting paid up to $49 an hour as a Registered Nurse (RN) in Hilliard, OH, and surrounding areas. That's right, at...

$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...

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...

Description Location: UCHealth Memorial Hosp Central, CO:Colorado Springs Department: MHS Care Management Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's...

NEW INCREASED WAGES! We now offer Daily Pay! Are you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at The Laurels of Worthington, you have the...

Cabell Huntington Hospital is seeking a full-time Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and driving...

Employment Type: Full timeShift: 12 Hour Night Shift Description: The licensed Registered Nurse (RN) plans & provides professional nursing services &...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an...

BJC HealthCare is seeking a Registered Nurse (RN) Assistant Manager for a nursing job in Saint Louis, Missouri. Job Description & Requirements Specialty: Assistant Manager Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health,...