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MU Health Care in Columbia, MO, seeks a highly motivated nurse to join the Heart and Vascular Clinic. You will independently interrogate patient devices, oversee remote monitoring, and collaborate with electrophysiology physicians to educate...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

Remote Care Manager (RN) - MUST LIVE IN TEXAS TX, United States Trending Job Description JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state.

Seeking a full-time RN Case Manager - Remote, who will manage care for members with complex and chronic needs by assessing, developing, implementing, and evaluating care plans while working primarily through telephonic communication.Key...

Telligen is seeking a Senior Review Coordinator RN to conduct utilization review and medical management for all services, including mentoring teammates and performing preliminary research. This is a home-based, part-time role with Saturday and...

Wellness Nurse (LVN/LPN) Ciela offers seniors a state-of-the-art community which features incredible 360-degree views, expansive outdoor spaces, floor-to-ceiling windows, light-filled residences, gourmet California cuisine, engaging...

Category : Customer Service/Support As a Healthcare Customer Support Specialist, you will serve as a primary point of contact for our clients, managing inbound and outbound communications with professional excellence. Utilizing a suite of...

Elevance Health's AmeriBen unit is hiring a Medical Management Nurse to review highly complex cases, applying nursing judgment and holistic assessment to determine medical necessity. You will work with clinicians and the Medical Director,...

GlobalHealth is seeking an experienced RN Case Manager to oversee telephonic case management and advocate for members' health needs. You will coordinate care with providers, educate members and caregivers, and participate in SNP MOC activities...

Call 4 Health is seeking an experienced Registered Nurse (RN) to join our 24/7 remote triage center. You'll handle telephone triage, EHR management, and clinical support across multiple states from a home-based setting. The role emphasizes...

Sentara Health is hiring an Integrated Case Manager, RN. The position is remote but requires in-person face-to-face assessments, with travel to Roanoke and northern areas up to 60-90 minutes, roughly 50-75% of the week. The role involves...

Sentara Health is hiring a part-time Registered Nurse for a physician practice/ambulatory clinic. The role supports chronic disease management, patient education, and care coordination, with duties including triage, documenting in the EHR, and...

Roze Room is a leading provider of Hospice and Palliative Care, celebrating over 25 years of service to Southern California communities Be the Nurse Who Makes Every Moment...

Elevance Health is seeking a Nurse Case Mgr II (RN) for virtual work with in-person trainings as needed. The role focuses on care management for members with complex needs via telephonic engagement, coordinating care across the continuum, and...

Kaiser Permanente in Downey, CA seeks an experienced Registered Nurse for case management and discharge planning. You will coordinate admissions and post-hospital care with physicians, patients, and families to ensure safe, cost-effective plans.

POSITION SUMMARY The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility and as directed by your supervisors.

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal...

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...

Job Overview: Pay Range: $46.76hr - $51.76hr Requirement/Must Have: 5+ years Clinical nursing experience. 2+ years Care Management. Bachelor's Degree in Nursing.

Why Brighton PRN/REMOTE*Oregon State RN License Required At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to...

Cambia Health Solutions, Inc. is seeking a Care Management Clinician to work from home in Idaho, Oregon, Utah and Washington. You will provide clinical care management, care coordination and utilization management to support members' health...

Granite VNA in New Hampshire is seeking a Clinical Resource Nurse (Triage) to serve as the clinical link between patients and care teams. The role involves triaging calls, coordinating home visits and referrals, and providing education with the...

Job Summary: The Registered Nurse - Case Manager provides skilled nursing care and care coordination within an acute care facility. This role involves case management, discharge planning, and collaboration with...

National University seeks a Project Manager Nurse Practitioner to support the Gloria J. McNeal Nurse Managed Clinic grant initiatives, ensuring quality care and improved access to behavioral and primary services. The PMNP will oversee...

Highmark Inc. is seeking a full-time remote RN Care Manager with weekend availability. The role emphasizes utilization management, applying criteria to ensure appropriate care, and identifying opportunities for Health Coaching and case management.