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Alliance Liaison 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...

The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential...

Job Title Nursing Orientation Program Coordinator Duties Duties include, but are not limited to: Assess, plan, coordinate, implement, and evaluate the Nursing Orientation Program Coordinate,...

Description Risk Management Analyst RN at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This position is Full-time and will work Day shifts. Providence Cedars-Sinai Tarzana Medical Center, recognized...

Nahse is seeking a Nurse Manager for its clinics in Houston, Texas. This role involves overseeing operational management and care delivery in line with high nursing standards. The Nurse Manager will work closely with leadership, coach nursing...

Oncology Contact Center Supervisor At Siteman Cancer Center, no one navigates cancer alone. Our team of oncology-trained registered nurses answer every call helping you navigate appointment scheduling, finding the right doctor and making...

DescriptionUsing your advanced practice nursing skills, you will be responsible for assessing and coordinating care for a diverse group of patients. You will collaborate and consult with a multi-disciplinary health care team as well as with...

General Information Press space or enter keys to toggle section visibility Work Location: Santa Monica, CA, USA Onsite or Remote Fully On-Site Work...

Army Public Health Nurse Job Overview As an Army Public Health Nurse, you'll assess health risks and implement programs to monitor the spread of disease. You'll promote wellness for Soldiers and their families while also informing policy and...

Company Mission/ statement: Our mission is to inspire and empower people to seek and maintain recovery and health. Daymark Recovery Services, Inc. is a mission driven, comprehensive community provider of...

Origin Travel Nurses is seeking a Case Manager responsible for utilization review and case management in a hospital setting. You will perform chart reviews, quality assessments, and ensure appropriate discharges while adhering to InterQual SI/IS...

Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...

MinUSD $95,000.00/Yr.¥n MaxUSD $101,764.00/Yr.¥n Position Overview¥n I. SCOPE OF ROLE: ACT is an intensive, community-based multidisciplinary treatment team that provides person-centered care to a shared caseload of...

Nurse Navigator Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Min USD $95,000.00/Yr. Max USD $101,764.00/Yr. Position Overview I. SCOPE OF ROLE: ACT is an intensive, community-based multidisciplinary treatment team...

DescriptionThere's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive, supportive, and...

Clever Care Health Plan is looking for a dedicated Case Manager II – RN in California to manage a caseload of members with complex health needs. You will develop care plans, monitor progress, and lead interdisciplinary teams to improve care...

Note: We are seeking a highly motivated, skilled and experienced nurse educator for an ‘sweat equity' ownership position in a new allied health ursing program in Redondo Beach. This is a once-in-a-lifetime opportunity for the right person.We...

Supports the Risk Management, Regulatory Compliance and Patient Safety programs through investigation and analysis of potential and actual adverse events, claims, and regulatory compliance and accreditation related occurrences or deficiencies,...

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...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

Compliance Nurse 2, Long-Term Care Unit The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for...

To support accurate billing practices, the full-time remote Nurse Coder Auditor will review medical records and claims, validate coding accuracy, and conduct hospital bill audits while ensuring compliance with industry standards and guidelines.Key...

Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit...