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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...

A healthcare organization is seeking a Nurse Home Visitor in Stratford, Connecticut. This role involves providing home visiting services to new parents, assessing family needs across various domains, and connecting them with community resources.

JOIN TEAM TRILOGY: At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of...

A prominent healthcare provider is seeking a Telehealth Registered Nurse to provide outstanding patient care across various settings. This remote role emphasizes compassionate care and operational excellence. Candidates should have a Bachelor's...

A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and...

Registered Nurse (RN) Cadence Health is seeking a dedicated Registered Nurse (RN) to join our team. If you are passionate about providing exceptional patient care, we encourage you to explore this opportunity with us. The ideal...

A healthcare solutions provider is looking for a Clinical Specialist for Wound Care Supplies (RN/LPN) in Manchester, NH. This remote role involves providing expert wound care support to nursing homes and long-term care facilities. Candidates...

RN Healthcare Advocate Solace is a healthcare advocacy marketplace that connects patients and families to experts who help them understand and take charge of their personal health. About the Role As an RN Healthcare...

A healthcare organization is seeking a Maternity Nurse Navigator for their South Boston location. The role focuses on providing comprehensive care in women's health settings including inpatient and outpatient services. Candidates must have a...

Details Client Name Ohio State University James Hospital Job Type Travel Offering Nursing Profession RN...

A healthcare provider located in Atlanta, GA is seeking a Home Infusion Registered Nurse. This fully remote role involves providing infusion therapies in patients' homes, allowing nurses to create one-on-one relationships with their patients.

A healthcare provider for seniors is seeking a Registered Nurse for a remote telehealth position. This role involves providing telephonic patient care, monitoring health metrics, and collaborating with other healthcare providers. Candidates must...

...Nursing Assistant, Certified Nursing Assistant, Nursing, Assistant, Property Management, Healthcare, Certified...

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...

A leading healthcare organization is seeking an RN Field Healthcare Transition Coach to manage members during care transitions. This role involves fieldwork, documentation of medical management, and coordinating care services. Ideal candidates...

Performs patient assessments and collaborates with the care team to develop and implement a plan of care. Makes referrals to other disciplines as indicated by the patient's identified needs or documents rationale for not doing so. Promotes patient...

A leading health care provider is seeking a Care Manager III based in Chicago, Illinois. This full-time position involves providing care coordination to members through telephonic and field-based management. Candidates must possess a valid nursing...

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...

The Ohio State University Wexner Medical Centers mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care and supportive services directed towards...

Advanced Nurse Practitioner (Registered Adult Nurse) Vacancy: Advanced Nurse Practitioner (Registered Adult Nurse) Location: Remote - UK Based Only Contract: Permanent Hours: Part time and Full time hours available...

Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse plays a critical role in analyzing prior authorization requests to determine the medical necessity of services and the appropriate level of care. This position...

Genie Healthcare is seeking a travel nurse RN Cardiac PCU - Progressive Care Unit for a travel nursing job in Grove City, Ohio. Job Description & Requirements Specialty: Cardiac PCU - Progressive Care...

Telephonic Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.

POSITION DESCRIPTION JobTitle: Wellness Nurse Supervisor:Health Services Director FLSAStatus:Hourly,...