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Medical Management And Health Education Program Coordinator This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering,...

Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift: Day 5x8-Hour (08:00 - 16:30) Job Description: Willing to work weekends (expectation is they work a...

Part Time Care Transitions Nurse - This is a part-time remote role that requires high-speed internet and requires some evening and weekend coverage. Care Transitions role for both 30 and 90-day programs Medicare/ACO patient population/Medicare FFS...

Job Specifics Location: 2020 S Webster Ave, Green Bay, WI 54301 Opportunity to be remote after training and leader sign-off (6-9 months) FTE Status: 0.60 FTE (24 hours/week) Work Schedule: PM...

Field Based Registered Nurse 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...

Work Schedule Standard (Mon-Fri) Environmental Conditions Office Job Description Join Us as a Medical Information Specialist I - Nurse - Make an Impact at the Forefront of Innovation We have...

OverviewCarenet Health is not authorized to hire in certain states due to internal business considerations: CA, CO, NY, NJ, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto Rico.Are you a compassionate, self‑motivated registered nurse with...

Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities...

Home Health Visiting RN - King County Provides comprehensive skilled nursing care and services to patients in the home setting. Works on an interdisciplinary team to provide care in the home health, palliative care and hospice programs.

Eastway Behavioral Healthcare is hiring for a Psychiatric Mental Health Nurse Practitioner (PMHNP). This position will support our kids who are in residential care with us in both Columbus and Washington Court House, Ohio. Job Description: Candidates...

Site: Mass General Brigham Community Physicians, 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...

Remote MTM Registered Nurse (RN) Location: Remote (Must reside in a participating Enhanced Nurse Licensure Compact (eNLC) state) Pay Rate: $35.26 / hour Shift: Monday...

Resource Registered Nurse (RN) Group Health Cooperative of South Central Wisconsin. Better Together 0.9 FTE / 36 Hours per Week This position may have the possibility to work remote periodically up to once a week.

Job Description Description: Work Schedule: Day/evening, you will work five10-hour shifts per pay period including every other weekend. Holiday rotation required. Hours are based...

Outpatient Psych NP needed for a busy outpatient clinic located in Columbus, OH. Full time work with full benefits. Monday-Friday work week. W-2 or 1099 are options. Very competitive pay located in a wonderful city. For more, reply or contact Jay...

These roles involve patient care, including assessment, diagnosis, treatment, and follow-up. May work across various healthcare settings, such as hospitals, clinics, long-term care facilities, and community health organizations. Responsibilities...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work...

JOB SUMMARY Registered Nurses deliver care to patients utilizing the nursing process. Nurses collaborate with other professional disciplines to ensure effective patient care delivery and achievement of desired patient...

Description Utilization Review RN - Remote The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled...

Job Description JOB DESCRIPTION Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory...

Registered Nurses w/ we & call Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you...

Join Our Caring Community Humana Healthy Horizons in Virginia is seeking RN, Field Care Managers to perform telephonic and face-to-face assessments and evaluations of the needs and requirements of our long-term services and support (LTSS)...

RN Triage Nurse (Full-Time) Anchor Health is looking for a compassionate RN Triage Nurse to join a strong supportive team of professionals that provide hospice/palliative care. Position Purpose: Under the general supervision...

A company is looking for a Utilization Management Nurse.Key ResponsibilitiesCoordinate and facilitate correct identification of patient statusConduct concurrent and retrospective reviews and support the medical necessity denial and appeal...

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