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Senior Director of Nursing Connected & Remote Care (RN) About the Job Senior Director, Nursing - Connected & Remote Care Transform How Nursing Care Is Delivered MedStar Health is seeking a visionary nursing leader to...

Sedgwick is hiring a Telephonic Case Manager for a US-based, remote role. The position focuses on partnering with injured workers, employers, and medical providers to create case management strategies that facilitate recovery and a successful...

Nascentia Health is seeking an Licensed Practical Nurse to support Health Plan Health Support within Care Management. This fully remote role requires NY licensure and periodic travel to the nearest office. You will triage calls, educate...

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...

Olympia Convalescent Hospital is looking for a Licensed Practical Nurse / Licensed Vocational Nurse (LPN / LVN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care, under the...

Cambia Health Solutions, Inc. is seeking an Utilization Management Nurse to perform prospective, concurrent, and retrospective reviews for member care across multiple states. The role emphasizes applying clinical criteria, ensuring medical...

Urgently hiring for a PM nurse (3p-11p) Schedule Sunday- Wednesday Glendale Post Acute Center250 N Verdugo Rd. Glendale, CA 91206-3930 (818) 244-1133...

Clinical Triage Specialist (CTS) (RN) - Access Center St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are...

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...

Nursing Care PositionThe primary purpose of your job position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and as may be directed by your...

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...

Company Highmark Inc. Job Summary This job works with appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines.

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...

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...

Centene Corporation is seeking a fully remote Utilization Management/Case Management nurse to perform concurrent reviews, discharge planning, and medical necessity assessments. The role requires 2+ years of acute care nursing and prior UM/CM...

Northern Light Home Care and Hospice is seeking RN nurses for PRN, traveler-like assignments in Ellsworth, ME, with remote options. Positions are 12-week temporary per diem roles, with potential transition to permanent full-time, part-time, or...

Tier 3 - System Flex Team Traveler Registered Nurse (RN) A Tier 3 - System Flex Team Traveler Registered Nurse (RN) is expected to be assigned to various sites throughout the Bon Secours Mercy Health System to provide patient care...

UCLA Health Advanced Practice Nursing Position Work Location: Los Angeles, CA, USA Work Schedule 4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidays Salary Range: $68.81 - 88.99 Hourly Employment...

Highmark Inc. is seeking a full-time remote Health Care Case Management professional. Responsibilities include reviewing care plans, ensuring regulatory compliance, and identifying opportunities for Health Coaching and case management...

Agency Dept of Health and Human Services Division Health Service Regulation Job Classification Title Nurse Consultant I (NS) Position Number 60054266 Grade MH16...

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...

About US: At POD Health, we enhance patient outcomes by integrating technology and personalized care. Our services—Telehealth, Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Community Health Initiatives...

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...

Under the supervision of the RN Patient Scheduler Manager, provides timely, efficient, and accurate triage response and documentation. Evaluates patient needs and performs triage within the contact center setting, operating within...

Nurse Case Mgr II (RN) role at Elevance Health offers virtual, full-time care management for members with complex needs. The position emphasizes risk stratification, planning, implementation, and transition of care to optimize outcomes and access...