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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...

A healthcare company is seeking a Care Management Nurse to provide telephonic care services to chronic patients. The ideal candidate will have a nursing license and 1-2 years of experience in clinical or telehealth settings. Responsibilities...

US Army Reserve – Psychological Health Program Nurse Case Manager (RN) The US Army Reserve Psychological Health Program (PHP) provides comprehensive behavioral health support to Reserve Soldiers and their families nationwide. As a Nurse...

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...

About Wider Circle Wider Circle is a mission-driven healthcare organization on a mission to improve health outcomes for older adults and people with complex health needs. We do this by addressing the social and clinical barriers that get...

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...

Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients,...

Job Summary and ResponsibilitiesAs our Educator, RN in Periop, in accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position serves as a consultant/resource professional by providing staff...

Providence Health and Services – St. Joseph Hospital in Orange, CA seeks a Nurse Educator to advance clinical knowledge and staff development.This part-time, day-shift role partners with multidisciplinary teams to support evidence-based nursing...

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...

Health And Social Services Coordinator 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...

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...

Your RoleThe Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Medicare Appeals and Grievances RN Lead will...

Location Address: 2925 Chicago AveLoading DockMinneapolis, MN 55407-1321 Date Posted: July 15, 2026 Department: 16008746 Information Systems Optimization Solutions Shift: Day (United States of...

Position TitleRegistered Nurse, Case ManagerLocationMontebello, CA 90640DescriptionGrow HealthyIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

Providing comprehensive medical reviews and analysis of disability claims, the full-time RN Clinical Consultant will work remotely to assess functional capacity based on medical data, collaborate with healthcare providers, and enhance the customer...

Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13180 Salary Range:...

Utilization Management Nurse – Precertification RN Remote | Full-Time | Weekday Schedule Are you a clinically strong Registered Nurse who enjoys critical thinking and making evidence-based decisions? Join our Utilization...

RN Case Management Alhambra, CA About Seen Health At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen...

Mission-Driven RN Educator, Clinical Documentation Integrity We're with you for life's journey. At Denver Health, purpose isn't just something we believe in—it's something we live every day. Our Values Respect | Belonging...

City/State Richmond, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Prevention Nurse Specialist- Richmond, Virginia This is a PRN...

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to...

Responsibilities Leads best practice implementation and patient care delivery systems across multiple locations.Delegates investigation and resolution of patient/family concerns regarding care and services.Facilitates physician and healthcare team...

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