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Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Downey, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 16 weeks 40 hours per...

The University of Kansas Health System at the Southlake Campus in Lenexa, KS seeks a Registered Nurse (RN) – Procedural Scheduling Nurse Coordinator to oversee daily scheduling operations in designated procedural areas. Under the direction of...

Clinical Review Nurse - Concurrent Review TX All On-site Share on Job Description Location: 100% Remote - TX: RN only with TX license SHIFT: Tuesday – Saturday 8am-5pm CST- schedule is firm- no flexibility...

Telephonic Nurse Case Manager: California RN License (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States Reporting To:...

Certified Nursing Assistant (CNA)Are You Ready to Make a Difference in Healthcare? We are currently seeking a Certified Nursing Assistant (CNA) to join our outstanding healthcare team!Salary Range: 23.00$-25.00$ per hourWe are passionate about...

Kaiser Permanente seeks an RN case manager to coordinate admissions and discharge planning, ensuring appropriate levels of care and cost-effective resources. You will collaborate with physicians, patients, and families to develop individualized...

Telligen is seeking a Senior Review Coordinator RN to conduct utilization review and medical management for all services, including mentoring teammates and performing preliminary research. This is a home-based, part-time role with Saturday and...

Netsmart Technologies, Inc. is seeking a Registered Nurse with utilization management experience to review ED admissions and apply InterQual/MCG criteria for medical necessity. You will discuss documentation with ED physicians and ensure proper...

Please make sure to complete all the questions in the application and continue through to the end in order to sign and submit it. The preferred work hours are 8:30 am / 9 am - 5 pm / 5:30 pm central time...

Monterey Park Hospital seeks a Case Manager for the Utilization Review Department. This is a full-time, 8-hour day shift role from Saturday through Wednesday, reporting to the Chief Operating Officer.The Case Manager will coordinate Continuum of...

Benefits: High Degree of Independence Flexible schedule Elevate Patient Care from the Comfort of Home Are you a highly skilled RN looking for the autonomy of independent practice and the flexibility of a part-time...

WellSky is seeking a registered nurse to conduct telephonic patient evaluations for multiple payer programs, working on Pacific Time hours. The role emphasizes remote care coordination, schedule management, and collaborative protocol development.

A leading healthcare provider is seeking a Registered Nurse for their LTSS department in New York. This role involves providing case management services, evaluating medical services, and managing appeals for denied services. Candidates must...

CareSource is seeking a Manager of Utilization Management in Massachusetts. The role leads the UM team, ensuring consistent application of authorization criteria and adherence to NCQA/URAC standards. Requires MA RN license and 5+ years in clinical...

Munson Healthcare is seeking a remote Front Desk Clerk to greet patients and families and manage registrations. Responsibilities include collecting insurance information, scheduling appointments, and coordinating with care teams. Remote...

Seeking a full-time RN Case Manager - Remote, who will manage care for members with complex and chronic needs by assessing, developing, implementing, and evaluating care plans while working primarily through telephonic communication.Key...

Quality Assurance Registered Nurse (RN) - Home Health Location: Remote Pay: $45.00 - $55.00 per hour Job Type: Full Time Seaport Scripps Home Health, a Scripps Health joint venture,delivers...

Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

Grievance & Appeals Nurse, RN Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Reporting to the...

Logan Health Medical Center is seeking a Utilization Management Specialist to review admissions across the system and determine appropriate status. This role suits an RN or Social Worker with acute care experience, capable of collaborating with...

Aetna is seeking an RN Case Manager located in Charlottesville, Virginia. This role involves utilizing advanced clinical judgment to facilitate healthcare and social services for members, performing assessments, and providing crisis intervention.

Amedisys in Garner, NC is seeking a Hospice RN On-Call to provide after-hours clinical support, triage patient needs, and coordinate care across remote and field settings. You will assess conditions by phone and in person, collaborating with...

Advocate Health is seeking an RN to join the Ambulatory Care Coordination and Management team in Charlotte. The role supports population health across primary care and related settings, with a remote work option. Local NC residency is required.

Bring clinical insight, nursing expertise, and data-driven precision to a Hybrid/Remote Clinical Documentation Improvement Nurse Specialist career that combines meaningful patient impact, supportive leadership, modern healthcare technology,...

Blue Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical UM Team. You will perform clinical reviews to assess medical necessity and coordinate delivery of care for members, collaborating with providers, members and...