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Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone...

Royal Oaks in Duarte, CA, one of several HumanGood communities recognized as a Best CCRC-2026 by U.S. News & World Report, is seeking a Full time Certified Nurse Assistant to join our Skilled Nursing Team. Our Certified Nursing Assistants...

Job Summary and ResponsibilitiesAs our RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient experience.Every day, you will...

Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...

Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization Review Nurse is responsible for determining the clinical appropriateness of...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy - we're a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders,...

Research Nurse Healthy Brain Clinic in Long Beach is part of the Irvine Clinical Research site network, the largest of its kind on the West Coast. With 5 research centers in California, we are leaders in the search for new treatments in...

Nurse Care Manager (Registered Nurse) The duties of the Nurse Care Manager (Registered Nurse) are but is not limited to the following: Assesses, plans, implements, and evaluates care-based age specific components.

Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).

Overview Community Focused. Care Driven. Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a...

Nurse Practitioner / Physician Assistant - Hybrid Work From Home & On-Site$108,000 - $134,000 per year | Durham, NC | Hybrid | PermanentOption for 1-2 work from home days. Neurology focused.A bit about us:Healthcare leader in the Triangle offering...

Registered Nurse - Case Management Duration:13 Weeks Start:03/10/2025 Job Type: Travel Minimum Guaranteed Hours: 40 Jobs Notes: Day Shift, inpatient RN CM Acute hospital experience,...

Overview Under the supervision of the RN Patient Scheduler Manager, provides timely, efficient, and accurate triage response and documentation according to nursing standards and physician protocols. Evaluates patient needs,...

Nurse-SC/Hope Harbor Job Category: Medical & Health Part-Time Location: Los Angeles, CA Description Mission Statement The Salvation Army, an international movement, is an evangelical...

Cabell Huntington Hospital is seeking a casual, as needed Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and...

Come care with us at West Coast University! As a Nursing Faculty member for a certified Great Place to Work, you will guide nursing students to do more than change their own lives – you will help change the lives of every...

Real Job 3266306 *Works with any dept, if a patient complaint arises* *Experience in Critical Care or ED is a plus* *weekends will not typically be required UNLESS survey is on site* *2 years experience required, hard stop* *First time travelers...

At St. Luke's, our dedicated team of Remote Patient Management RNs are critical in providing exceptional, patient-centered care. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which...

Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range:...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

Advance Practice Nurse Psychiatric Nurse Practitioner – Tele-Psychiatry (Evenings/Nights) 100% Remote | Flexible Evening & Overnight Schedules | Full-Time, Part-Time & Per Diem Opportunities Remote (New Jersey-based...

Come join us for our upcoming virtual hiring event! Event Date & Time: Tuesday, July 14th at 12:00pm EST Florida Care Managers & Care Review Clinicians Virtual Hiring Event Event Date & Time: Thursday, July 23rd at 12:00pm EST Florida...

RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...