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Hiring multiple RNs in various locations Care that meets patients where they are. Nursing that meets you where you thrive. UVA Health's Continuum Home Health team is redefining what high-level nursing looks like outside the hospital walls. We are...

Job Description: The Registered Nurse (RN) with Homecare is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of Home Health adult and pediatric patients and their...

Infection Preventionist Nurse - Acute Care is an exciting opportunity to lead infection prevention initiatives at a respected Southern California medical center. The Infection Preventionist Nurse - Acute Care will advance patient...

Atrium Health is seeking a Clinical Appeal Nurse to join our fully remote Revenue Recovery Audit team. This RN role focuses on evaluating denied claims, applying level-of-care criteria, and preparing clinical appeals with medical necessity...

Job Description Make an Impact. Advanced Cancer Care. Be Part of Something Exceptional. At Cedars-Sinai, every...

Case Manager RN Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation...

Job Description: Full Time Position, Spanish Fork OBGYN Clinic The Maternal Health Connection RN supports patients in remote or rural areas, enabling them to receive obstetrical care within their communities. This individual, local to the...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Manager, Appeals and Grievance Fully Remote • Any Location Remote US - Oklahoma City, OK 73102 Overview Position Type Full Time Job Shift Day Education Level 4 Year Degree Travel Percentage Occasional Category Nurse...

LanceSoft seeks an experienced RN Case Manager for a remote, fulltime role. The candidate will assess member needs, determine care plans, and advocate for access to benefits and services to meet health goals. Ideal applicants have 3+ years...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home...

Centene Management Company LLC is seeking an RN for remote utilization management supporting Illinois Medicaid and Ambetter. The role is full-time with standard hours Mon-Fri 8am-5pm CT, with rotating weekends and holidays. The RN will...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to...

Registered Nurse in Mother-Baby / Couplet Care / Post Partum Unit Join our team as a Registered Nurse in the Mother-Baby / Couplet Care / Post Partum unit, where you'll provide essential care to new mothers and their infants. What...

Job Title This position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

****Must be located in CA! Will work remote but still attend trainings in LA and need to pick up equipment**** JOB REQUIREMENTS: -Experience: 1 year of CM exp - work comp exp required -CA LVN License -Certs: BLS -**FLU...

CVS Health is seeking a Field/Remote Case Manager RN in New Jersey, with up to 75% travel in Union County and surrounding counties. The role focuses on assessing needs, developing care plans, and coordinating services for members enrolled in...

Job Summary: Functions as a Lead of the healthcare team, coordinates departmental operations that ensure quality patient care in a safe, healing environment that is patient and family centered. Demonstrates responsibility and accountability for own...

Job Description Licensed Practical Nurse - Home Health - Sumter/Clarendon *15,000 Sign On Available! Essential Functions Maintains a professional...

Supervisor Utilization Management The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management...

Passport Health in Alberta is seeking a Travel Health Nurse Practitioner to deliver evidence-based pre-travel medical care. The NP works autonomously within scope, assessing and prescribing for travel-related health needs, including vaccinations...

Job Title This is a remote, PRN position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values...

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...

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...