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A leading health solutions company is seeking a Precertification Nurse Case Manager to evaluate medical necessity for procedures and coordinate care for members remotely. The role requires active RN licensure and 3+ years of clinical experience,...

A healthcare provider is seeking a Medicare UM Case Manager, RN, to perform utilization management activities for Medicare Advantage. This remote role focuses on reviewing authorizations for various services and requires an Associate's Degree in...

Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...

Job Type Full-time Description WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM! SIGN ON BONUS OFFERED! LOAN PAYOFF PROGRAMS...

A leading healthcare provider in Virginia Beach is hiring a full-time Senior Inpatient Case Manager Registered Nurse. The role requires a Registered Nurse license and three years of related experience in acute care. Responsibilities include...

Pre-Access Utilization Management Registered Nurse Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for...

Salary: $70,779.53 Annually Location : Homebased, GA Job Type: Full-Time Salaried Job Number: 2020-02252 Division: Healthcare Facility Regulation...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

Job Title: Registered Nurse (RN) Disease Manager Job Overview: The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or...

A leading health solutions company in Hartford, CT, seeks a Care Manager-Registered Nurse to coordinate care for members facing chronic medical and behavioral health conditions. Responsibilities include conducting assessments, developing care...

Remote from home- with local presence for occasional visits. Providing quality service and accurate results supports Ascential Care Partner's primary mission as a trusted adviser to our clients. As Nurse Case Manager (full, or hybrid), you will be...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record...

JOB DESCRIPTION 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...

RN Utilization Review Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the...

Public Health Program Manager I (RN) (Vacancy) Print ( Apply  Public Health Program Manager I (RN) (Vacancy) Salary $37.96 - $56.98 Hourly Location Varies by position Job...

A leading health care organization is seeking an experienced RN for a Field-Based role in the Dallas area. The position involves approximately 75% travel to provide individualized care strategies and manage health plans for Medicaid members.

A healthcare company is looking for a Utilization Management Nurse 2 to use clinical knowledge and communication skills to facilitate optimal care for members. Applicants must be a licensed RN with 3-5 years of clinical experience, particularly in...

*Quality Assurance Registered Nurse - 100% Remote* Contract duration: 520 hour contract to hire Training Schedule: M-F, 4-6 weeks *Contract Details* * *Contract Duration:* 520-hour contract-to-hire, long term opportunity *...

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...

Site: Brigham and Women's Faulkner Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a...

Nursing Facility Service Coordinator - Kutztown area - Remote Join to apply for the Nursing Facility Service Coordinator - Kutztown area - Remote role at Amcord Care Inc. Job Overview The...

Overview This position is a temporary role facilitated through one of our contracted agencies and is not a direct employment opportunity with IEHP. The contracted agency offers an assignment length of up to six months, during...

Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...

A healthcare organization is seeking an RN Clinical Manager in Washington to oversee a team of nurses and ensure effective clinical operations. The role involves managing performance metrics, providing guidance, and developing the clinical staff...

Current Employees and Students: If you are currently employed or enrolled as a student at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Position...