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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. Accountabilities include...

A leading healthcare institution in Houston is seeking a Nurse Care Manager to facilitate patient experiences and coordinate care management. This role requires a Bachelor's degree in Nursing and eligibility as a Registered Nurse in Texas, with a...

A healthcare provider is seeking a Medicare UM Case Manager, RN, to perform utilization management activities for Medicare Advantage. This remote role focuses on reviewing authorizations for various services and requires an Associate's Degree in...

A healthcare company in Rockford, Illinois, is seeking a Registered Nurse Case Manager to work remotely. This role focuses on enhancing member management quality, conducting outreach, and analyzing eligibility while adhering to healthcare...

Why Suncrest At Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff...

Become a part of our caring community and help us put health first The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services...

Job Summary Job Description: Job Summary: Start Date: Monday October 27, 2025 Salary: $85,000 annually, plus comprehensive benefits package The Care Manager supports...

Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...

A healthcare provider is seeking a Registered Nurse for care management coordination in Salt Lake City, UT. This role involves assessing member needs, developing care plans, and facilitating interdisciplinary collaboration. Candidates should have...

Details Client Name Critical Illness and Rehab Ohio Health Rehabilitation Hospital Job Type Travel Offering Nursing Profession...

RN Case Manager - Senior Home Care Location: Visiting Angels Columbus, Ohio Position Type: Full-Time, in person Compensation: $75,000 - $80,000/yr. Plus...

A healthcare navigation organization is seeking an RN Case Manager to join their Dublin, OH campus. This hybrid role involves supporting members through their healthcare journey, providing education, and maintaining quality care standards.

Overview Ensuring Compliance. Streamlining Authorizations. Supporting Patient Care. The Clinical Authorization Nurse plays a key role in supporting our authorizations department by reviewing clinical...

Become a part of our caring community and help us put health first The Divisional RN assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Note: The...

This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow...

A leading insurance solutions provider is seeking an RN Case Manager for the Portland, OR region. This role involves effective case management services, supporting various insurance benefits. Candidates should have an RN degree and ideally a...

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...

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...

Scope of Position Revenue Cycle Clinical Support Office (RCCS) is an area within Access and Revenue Cycle Management Shared Services responsible for Clinical Pre-Certification, Case Reviews, Pre-billing edits, in-patient account...

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...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: House Managers Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $52.33 - $83.73 / hour. Pay is dependent on applicant's relevant...