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Gallagher Bassett Medical Management Position At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

Building Location: Business Service Center Department: 1007190 PRE-SERVICE AUTHORIZATION - EH SS Job Description: Conducts Managed Care Programs in...

Professional Nursing Care Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

Supporting oncology patients within a Collaborative Care Model, the full-time Consulting Psychiatric Nurse Practitioner will provide direct psychiatric evaluation and treatment, assist with medication recommendations, and collaborate with...

Voca Healthcare is seeking a travel nurse RN Float for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...

Job Title: Appeals Clinical ReviewerJob Description The Appeals Utilization Review Nurse reviews and evaluates member and provider appeals related to medical necessity determinations, authorization decisions, and claims outcomes. This role...

Job Title: Registered Nurse - Communications Center (Central Triage) Location: Riedman Center/Remote *IN PERSON TRAINING (4-5 MONTHS)* *Working from home / hybrid schedule is an option once trained,...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Clinical Nurse Educator The Clinical Nurse Educator is located at Central Virginia VA Health Care System, Richmond, Virginia. Clinical Nurse Educator is responsible for providing competent, evidence based education to staff. The incumbent...

Virtual Care Nurse RN Virtually Integrated Care supporting CHI Health St. Elizabeth Hospital in Lincoln, NE. As our Virtual Care RN, you will revolutionize patient care, leveraging cutting-edge technology to deliver expert nursing...

Job Summary Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination, and management of member's needs, including physical health, behavioral health, social services and...

Registered Nurse Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout...

Position Title: Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Location: Dallas, TX, USA Job Category: Medical Case Management Job Type: Full-Time Description:...

Psychiatric Nurse Practitioner (PMHNP-BC) $135k - $160k/year Position Requirement: Full-Time FLSA Status: Exempt Location: Taunton, Massachusetts Salary: 135K - 160K+ Work from Home! Competitive, negotiable...

Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...

" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

Lead a Team. Improve Lives. Shape the Future of Community-Based Care. Are you an experienced Registered Nurse leader who is passionate about coaching others, improving clinical quality, and making a meaningful impact in your community?

Psychiatric Nurse Practitioner Louisville, Kentucky We are a clinician-led, patient-centered, collaborative behavioral health company of mental health professionals committed to improving access to extremely high-quality mental...

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

LPN Care Navigator HealthSnap empowers patients and their physicians to improve health outcomes using an innovative platform for modern, proactive patient care. We help healthcare organizations easily manage chronic conditions remotely,...

Interested in working for the Golden Isles' healthcare provider and employer of choice? Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...

Psychiatric Mental Health Nurse Practitioner Blackbird Health is looking for a Psychiatric Mental Health Nurse Practitioner to join our team in Virginia. You'll collaborate with an interdisciplinary team to deliver comprehensive...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...