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Nurse Case Manager II Do 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...

Carries out communicable disease surveillance, prevention, and control measures for the City of Boston. Investigates reports of communicable diseases including pathogens of public health importance, reported outbreaks, or other...

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing...

The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes...

The range for this role is $25.00 to $34.13/hr Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested...

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...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff...

A healthcare organization in Dallas, Texas is seeking an Area Director of Education (RN) to lead clinical education strategies. This role involves designing and delivering training programs, enhancing onboarding, and ensuring compliance with...

Nurse - Residential ProgramNurse - Residential Services ProgramPosition SummaryThe Nurse for the Residential Services Program is responsible for ensuring that all healthcare-related policies, procedures, and practices within the group home align...

Enterostomal Therapy Coordinator (RN) The Ohio State University Medical Centers mission is focused on integrating quality patient care, education, teaching and research. The Wound Ostomy Continence Nurse (WOCN) assists/provides nursing...

This is a benefited, part time position with 8-hour weekday shifts starting between 8 and 8:30am, and occasional weekend coverage as needed. The role is hybrid, with a combination of on-site work at the 4S Ranch clinic and remote work. ...

A global healthcare provider, Optum, is seeking a Coding & Clinical Auditor / DRG Specialist RN to join their team. In this role, you will utilize your expertise in DRG coding methodologies to audit inpatient claims and ensure accurate...

Job Summary Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical...

*Employment Type:* Full time *Shift:* *Description:* *Home Care Registered Nurse (RN)* *Mount Carmel Home Care* Make a meaningful impact—one patient at a time. As a Home Care Registered Nurse (RN) with Mount Carmel Home Care, you'll...

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...

RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time...

Description Who we are ...

HonorVet Technologies is seeking a travel nurse RN Utilization Review for a travel nursing job in Costa Mesa, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 02/23/2026 Duration: 13 weeks 40...

Job Description General Purpose The primary purpose of your job position is to implement assigned modules of the EHR Platform (PointClickCare) in all the facilities supported by PACS in accordance with current federal and...

Part-Time Lead LPN/RN Night Shift - (Urbana, OH) Part-Time Lead LPN/RN Night Shift in Champaign, OH BASIC FUNCTION: To provide quality nursing services to consumers based on each consumer's Medical needs...

Job Description JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the...

Senior Account & Relationship Executive Wolters Kluwer is a global leader in professional information services that combines deep domain knowledge with specialized technology. Our portfolio offers software tools coupled with content and...

Medical Authorization Centre (MAC) Pharmacy Position If you're looking for a fulfilling career that can make a real difference in your life, and the lives of others, you've come to the right place. As a national health solutions...

Agency Adult Correction Division COO - Health Services Job Classification Title Registered Nurse (S) Position Number 60068253 Grade MH15 About Us...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...