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Description Under the direction of the Assistant Director, the Intensive Case Management Medicare Advantage Utilization Review Nurse performs utilization review of medical necessity and appropriateness, cost...

Registered Nurse The registered nurse is expected to provide direction to members of the patient care team through case management of a patient. Case management of patient services includes: • Perform initial evaluation, follow...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Work Schedule Monday-Friday, 8AM-5PM ...

Optum Case Manager RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with...

RN Case Manager This position functions autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, cost-effective care while minimizing fragmentation of the healthcare delivery system...

Utilization Management Nurse We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for...

Join Our Innovative Company Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that...

Crossbridge Hospice At Crossbridge Hospice, we believe a role is truly fulfilling when it aligns with your personal values, reflects your interests, leverages your strengths, and supports your professional growth. Our mission—people...

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 information to determine the...

Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues...

JOB SUMMARY CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving local...

Remote Care Manager (LPN/LVN) - New Jersey Work Arrangement: Fully Remote (New Jersey LPN/LVN license required) Schedule: Flexible Remote Hours Licensure: Active New Jersey LPN or LVN (Required) Position Summary...

Utilization Management Nurse Consultant - Must Reside In Florida We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded...

Alchemy is seeking a Nursing Clinical Placement Advisor to coordinate student communications, develop clinical sites, and manage matching and documentation for nursing programs. The role acts as a liaison among students, university partners,...

Details Client Name Providence Saint Joseph Medical Center - Burbank Job Type Travel Offering Nursing Profession Registered Nurse...

Registered Nurse Case Manager As a Registered Nurse Case Manager, you will be responsible for coordinating patient care, discharge planning, and ensuring optimal patient outcomes. You will work closely with a team to manage a caseload of...

Clinical - Clinical Review Nurse - Concurrent Review Immediate need for a talented Clinical - Clinical Review Nurse - Concurrent Review. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote).

AHMC Healthcare Inc. is seeking a full-time Case Manager in Monterey Park, CA, within the Utilization Review Department for an 8-hour day shift Saturday through Wednesday. The role requires coordinating admissions, discharges, and post-acute...

Requisition number: 2386905 Job category: Nursing Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team...

Case Manager Registered Nurse MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our top healthcare clients.

Nurse Advisor (RN) This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Nurse Advisor (RN) based in the United States. As a Nurse Advisor, you will play a...

Staff Nurse Case Manager 10/12/26 08:00 AM-04:30 PM Day Shift, 8-4:30PM, T-Sat, 40 hrs/week. No on call. Must have an RN CM certification. Looking for staff with IP CM experience, preferred staff that are used to strike force for KP or...

About RPM Roman Pennsylvania Medical, P.C. (RPM) is a telehealth practice dedicated to providing high-quality, patient-centric care. RPM is part of the provider network affiliated with Ro, a direct-to-patient healthcare...

Utilization Management RN (M-F FROM YOUR HOME OFFICE) HealthCare Strategies Description Do you want to work from the comfort of your own HOME? Do you want to work for a...

LPN Hospice Job Title: LPN Hospice Location: Independence Facility: Business Operations Center Department: Hc Hospice Field Staff-Center for Connected Care Shift: Days Schedule: 8:00am-4:30pm Job...