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Job Opportunity At Highmark Inc. Job Summary: This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...

RN Health Care Facility Surveyor - Remote (#1148) Company-issued and company-paid Amex card for travel All travel expenses paid directly by the company Airline...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

The Hospice Field Registered Nurse (RN) PRN plays a critical role in delivering compassionate, patient-centered care to individuals facing life-limiting illnesses in their homes or care facilities. This position focuses on managing and...

Registered Nurse (12pm - 10pm) The Buckeye Ranch is seeking a Registered Nurse (RN) or Licensed Practical Nurse (LPN) to join our Residential Treatment Program. The Residential Nurse performs nursing procedures for the comfort and...

Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job...

Job Summary The Nursing Home Life Safety & Environment of Care Regulatory Consultant serves in a non-practicing, advisory consulting role providing expert-level regulatory guidance specific to skilled nursing facilities...

Everlywell is a digital health company pioneering the next generation of biomarker intelligence-combining AI-powered technology with human insight to deliver personalized, actionable health answers. We transform complex biomarker data into...

Facility: CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807 Department: 1039 Cardiac 500 W South Scheduled Weekly Hours: 36 Hours: 6:30 PM...

Job Description INTEGRIS Health Portland, Oklahoma's largest not-for-profit health system has a great opportunity for a Manager, Nursing Virtual Care in Oklahoma City, OK. In this position, you'll work days with our Clinical...

Overview: Compassionate Hospice Care. Supporting Patients. Comforting Families. We are looking for a compassionate Hospice...

Overview DEPARTMENT: Samaritan Center for Adult Care REPORTS TO: Adult Day Services Director SUPERVISES: NA STATUS: Contingent -...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people...

Job Profile Summary Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to...

Would you like to support educators with digital product training and optimization? Do you enjoy being part of a team that collaborates to deliver success and build customer relationships?? About our Team: As a global leader in...

JOIN TEAM TRILOGY - At Trilogy, youll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and...

A healthcare organization is seeking a remote Case Manager I to coordinate case management services for members with complex healthcare needs. The successful candidate will be responsible for advocating on behalf of members, working with...

About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

Job Title: Clinical Appeals Specialist Duration: 6 months Location: Fully Remote(DMV Area) Type:W2 only Job Description: PURPOSE: The Clinical Appeals Specialist completes research, basic analysis, and...

At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally...

Adecco Healthcare & Life Sciences is hiring Travel Nurse Educators! In this role you will work in per diem status. We're currently searching for RNs with a minimum of 4 years of recent critical care experience. This role begins in April 2026. Our...

Oversees medication distribution as stated on physician orders, ensuring strict adherence to Community medication management documentation and procedure, and demonstrating steadfast dedication to resident safety Upon thorough assessment, creates...

Overview The Ohio Hospital for Psychiatry is hiring a Full Time Night RN House Supervisor! Pay Range: $40.00 - $45.00/hr (dependent on years of experience)...

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health,...