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If you're a clinically driven RN or LPN with utilization management experience and a passion for making meaningful coverage decisions, this remote opportunity offers the chance to directly impact member care and outcomes. Join a collaborative team...

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 support to...

Nurse Care Manager - Telephonic (Local Remote) Tandigm Health, a transformational leader in population health management, is looking for a Nurse Care Manager - Telephonic in the greater Philadelphia area. We offer a competitive...

Nurse Case Manager IIDo you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.The Nurse Case...

Job Title Demonstrates leadership, experience, and creative approaches to improvement in quality-of-care outcomes Demonstrates performance that is broad enough to improve the care for a group of patients Responsible for the...

Summary The Albany VA Healthcare System is hiring for an Advanced Practice Nurse (Nurse Practitioner)to join our Home Based Primary Care / Geriatric and Extend Care Team at the Albany VA Medical...

Job Summary:Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and development of...

APPLICATION INSTRUCTIONS: CURRENT PENN STATE EMPLOYEE (faculty, staff, technical service, or student), please login to Workday to complete the internal application process. Please do not apply here, apply...

UBC is seeking a Telephonic LPN for their call center in a remote US setting. The role delivers telephonic nursing support, patient education, and resource referrals for client-funded programs. Requirements include an associate degree in...

About This Role The Case Manager Continuing Care Coordinator RN-Per Diem is responsible for coordinating patient care and managing health conditions for defined patient populations. This role is ideal for a registered nurse with leadership...

Hospice Care CoordinatorEvaluates patients referred to the Organization; identifies insurance coverage, plans, and coordinates referrals for hospice care services. Provides General Inpatient (GIP) Start of Care and daily visits for Torrance...

NK Consultancy LLC in California is seeking a Registered Nurse (RN) Field Case Manager for Workers' Compensation. This field-based role coordinates medical care and advocates for injured workers, helping them safely navigate recovery and return to...

*Job Summary and Responsibilities* As our surgical services nurse at Glendale Memorial Medical Center you will prepare patients for surgical procedures and assist in the operating room to ensure they receive excellent nursing when they are at...

Visa Hunt is seeking a Registered Nurse contract reviewer to perform medical review of claims suspended for medical necessity and pricing. The role requires navigating medical policies and communicating findings to providers and members.

Quality Liaison LVN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic...

Appeals Nurse Consultant 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...

Comagine Health seeks a Consultant to support our Health System Improvement team, with a focus on Long Term Care Facilities. This on-call role provides expert guidance across clinical, operational, public health, and quality improvement domains to...

Job Duties RSI is seeking a full-time Registered Nurse (RN) to provide nursing support to individuals with developmental, physical, and mental health needs in foster care homes throughout Duluth, East Central Minnesota, and Northern St.

Temporary Seasonal - RN - Downey - Urgent Care - PT (24) - Temporary - 2:00 PM - 10:30 PM -This position represents {3} openings.- Job Summary: As the leader of the health care team, provides professional nursing...

Job Title Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes scientific evidence...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way...

Registered Nurse This is a clinic RN position within the outpatient cardiology specialty. The role supports the electrophysiology device division, utilizing software for remote reports and alerts. The RN will provide support to the...

Optum Care At Home Registered Nurse Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that...

Operating Room Nurse Operating room nurses provide direct and individualized nursing care to patients based on best-in-class operating procedures, nursing disciplines, and patient safety protocols. They coordinate and consult with other...