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Nurse Case Manager Under the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource...

Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia! Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of...

Registered Nurse We are looking for Registered Nurses for Care Centers. RN will be providing non-judgmental and compassionate care for patients who are experiencing homelessness and have complex and often severe medical and psychiatric...

Ocean View Psychiatric Health FacilityWe are proud to serve as a trusted resource for our community, providing high-quality mental health care with compassion and integrity. Our Long Beach facility currently operates as a 79-bed adult voluntary...

Job Summary CVS Health is seeking a dedicated Drug Utilization Review (DUR) Technician to join our growing remote pharmacy operations team. In this role, you will play a critical part in ensuring patient safety and medication effectiveness through...

Job Overview The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient...

Registered Nurse Los Angeles VA is looking for qualified LVN's for their Ambulatory Care Center located in Ventura, Santa Barbara, and Santa Maria area. Benefits/Perks Flexible Scheduling Competitive...

Humana is seeking a Pre-Authorization Nurse to review and authorize care requests in a remote role based in Virginia or a compact-license state. You will evaluate medical necessity, coordinate with internal stakeholders, and educate providers on...

Chronic Care Coordinator Location: MICHIGAN - 100% REMOTE (NOT A COMPACT STATE) Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before...

Clinical Research Nurse I Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's...

Licensed Vocational Nurse (LVN) Mission Community Hospital is seeking a compassionate, organized, and detail-oriented Licensed Vocational Nurse (LVN) to join the Case Management Department. The ideal candidate will have a minimum of one...

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...

About the Role: Our client, a leading telehealth platform, is expanding rapidly and looking for a dedicated Nurse Practitioner to join their virtual care team. You will provide exceptional primary care services to a diverse patient...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and...

The Certified Nurse Attendantperforms effective patient care duties under the supervision of licensed members of the healthcare team necessary to maintain the flow of patient care in the hospital; and helps to maintain a safe and clean environment...

Position Summary: Reporting to the Clinical Nurse Director, this position is responsible for planning, directing, coordinating and providing high quality, individualized patient care using the components of the nursing...

ICM Nurse LeadWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday, 8AM-5PMSalary Range: $150,858 - $198,986 annualEmployment Type 2 - Staff: Career Duration Indefinite Job # 33185Primary Duties and ResponsibilitiesThe ICM Nurse Lead...

Anaheim Crest Nursing Center is a skilled nursing facility with 99-beds.POSITION SUMMARYThe purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards...

Clinical Appeals Nurse We are seeking an experienced Clinical Appeals Nurse to support the appeal and grievance processes by analyzing and responding to adverse coverage decisions. This role involves clinical judgment, regulatory...

Job Description Legacy Healing Detox is seeking Staff Nurses. Nurses will be responsible for all nursing related services for each patient. The nurse participates in the Interdisciplinary Team Meetings to inform the clinical...

You will ensure medical necessity and appropriate levels of care to support quality and financial outcomes.You will collaborate with liaisons, physicians, and revenue cycle teams.Responsibilities:Conduct daily admission and continued stay reviews...

Palliative Care Nurse Devoted Medical was founded on the belief that if we treat each patient like we would our loved ones, we can meaningfully improve healthcare experiences and outcomes for some of America's most vulnerable patient...

To support a growing healthcare organization, the full-time Remote LVN/RN Delegation Oversight Auditor will conduct Utilization Management (UM) and Case Management (CM) audits, ensuring compliance with regulatory and operational standards while...

What you can expect! 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! Under the direction of the...

Field Nurse Case Manager McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and...