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A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

Case Management SupervisorThe Case Management Supervisor assists the Director with the overall development of the case management program and implements at the hospitals. This includes oversight of all case management staff, development and...

General Purpose The 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...

Case Manager - RN / Clinical Liaison Hours: 9 am to 530pm Start date: ASAP Pay rate: $65,000 to $70,000 Position: Remote - Home Base Clinical Liaison / Case Manager Position: Work closely with...

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...

Registered Nurse (RN) – Remote Care Management & Coordination Location: remote Job type: Contract Job Summary: The Registered Nurse (RN) plays a critical role in delivering remote patient support, care management, and care...

Care Manager Registered Nurse (CMRN) At Hopscotch Primary Care, we believe great healthcare should be accessible to all people across all communities. Today, almost 20% of Americans live in a rural community, yet only 11% of physicians...

Comprehensive Rehab Consultants (CRC) is building the future of nursing homes. We empower nursing home teams to provide exceptional clinical care to their elderly patients by embedding our clinicians and technology. Job Description...

Centene is seeking a RN/UM Supervisor to oversee Prior Authorization, Concurrent Review, and Retrospective Review teams, ensuring compliant and quality care for members. The role collaborates with the UM team and senior management to improve...

Clinical Nurse Reviewer As one of the fastest growing Independent Physician Associations in Southern California, our organization offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and...

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.

Nurse II Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your...

Arkansas Blue Cross Blue Shield is seeking an Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, benefit inquiries, and admissions. The role evaluates medical necessity using evidence-based criteria...

Registered Nurse – Acute Care Day Shift - 8 hr shifts M-F Requirements Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life...

Full Time LPN Opportunity Position Type: Full Time LPN Coverage Area: Chicago (S) to Hyde Park Pay: $66,000.00 - $77,000.00, based on experience Schedule: M-F 8-5 What You Need To Know Under the...

Field Nurse Case Manager As a 501(c)(3) nonprofit organization, NTSOC prioritizes client-centered care without the influence of profit-driven interests. Our mission is to serve families in southern Colorado by supporting children and...

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...

Join AMG Specialty Hospital - Albuquerque At AMG we offer our employees much more than just a job in the healthcare industry. We offer unique career opportunities for people who are called to make a healing difference in the lives of...

To support staffing needs for patients, the part-time Ohio Licensed LPN Scheduler will manage clinical support and staffing duties, ensuring accurate order reviews while working remotely after training.Key responsibilitiesAssign and staff all...

CorVel is seeking a Utilization Review Case Manager to gather demographic and clinical data for in-patient and outpatient reviews, certify medical necessity, and assign appropriate LOS while supporting the Case Management department's goals. This...

SCAN seeks a registered nurse to enhance frail seniors' ability to age in place by delivering person-centered care telephonically. You will develop plans of care and educate members to manage chronic conditions, reducing hospital visits and...

The Department of Family Medicine of the Keck School of Medicine of USC provides care for every member of the family, across generations and over lifetimes. We aim to enhance the quality of life for underserved and vulnerable patients while...

Medical Management Nurse - AmeriBen Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes...

Lehigh Valley Health Network, Inc. seeks an experienced RN for care coordination and case management. You will implement individualized care plans, educate patients and families, and collaborate with a multidisciplinary team to ensure seamless...

Facilitates the provision of timely and effective patient care under the supervision of licensed members of the healthcare team. Helps maintain a safe and clean environment in order to enhance department operations. Patient care is delivered...