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JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Collaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental goals and needs, as well as organizational...

Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plansCompetitive pay ratesReferral opportunities ? Refer a friend & Cash in!Travel reimbursement and per diem...

Discharge Care Manager 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 with...

Overview Virtual Interview Day - Cardiac Nurses Emory University Hospital Emory University Hospital is hosting a Virtual Interview Day for experienced and...

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 is our...

WHO WE ARE We are VITAS Healthcare, the nation s leading end-of-life care provider since 1978. Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally recognized best-in-class...

About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and...

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...

RN Clinical Manager / Clinical Consultant (RN or MSW) – California Pay Rate: $52.50–$53.00/hr Position Type: Special Projects – 12-Month W2 Contract (renewal based on performance, project continuation, and health plan needs)...

RN Transfer Center Specialist The RN Transfer Center Specialist coordinates patient transfer logistics using workflows identified by client to assist with patient acceptance and bed placement. This RN understands cases are related to...

yourcommission is looking for a Utilization Management Review Nurse to evaluate and ensure the effectiveness of medical services in Texas. This role supports the healthcare system by leveraging clinical expertise and management skills.Candidates...

Description To participate in a remote work arrangement, employees must reside in the United States. No remote work arrangement will be considered for working from outside the United States. Current staff, faculty/adjunct at Herzing...

The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...

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

Registered Nurse – Clinic/Wellness/Immunization The Registered Nurse – Clinic/Wellness/Immunization works in a variety of either remote or clinic locations to serve a specific population's health and wellness needs. The Registered...

Clinical Documentation Integrity Specialist/Consultant The Clinical Documentation Integrity (CDI) Specialist/Consultant serves as a trusted advisor to client organizations, providing expert guidance in clinical documentation practices...

RN Clinical Care 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 for the...

Scope: The Chronic Condition Case Manager will have direct responsibility for managing an individual caseload using Complex and Chronic Condition Management constructs. This individual is expected to accurately service and satisfy...

Job Title This is a remote position but will need onsite training in Mishawaka Indiana. Shift: PRN/Days - 8 hr shift Considering local candidates only!!! Why Choose Saint Joseph Health System? At Saint Joseph Health...

Nurse Consultant - Remote in California 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...

Concierge Home Health RN In Los Angeles/Orange County Looking for a rewarding nursing career with independence and flexibility? Join us as a Concierge Home Health RN in Los Angeles/Orange County today! Rates starting at $70/hr (varies on...

Travel Rn Case Management Job Type: Travel Profession: RN Specialty: Case Management Shift Details: Shift 5x8 Days Job Order Details: Start Date 06/29/2026 End Date 08/26/2026 Duration 13 Week(s) Client...

Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to...

Responsibilities Under the direction and supervision of the Chief Nursing Officer, The Vice President of Nursing Operations leads and manages a national team of RN Case Managers. The primary responsibility of...