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Trillium Health Resources is seeking a Population Health Nurse to provide clinical care management and population health support for assigned members, focusing on prevention, wellness, and outcomes. The role uses nursing judgment as an RN to...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

Benefits: Health insurance Paid time off 401(k) Competitive salary About the Role: Bell-Clinica Familiar Medical Corp is looking for a passionate and dedicated Nurse Practitioner to join our growing healthcare...

See Your Work in a New Light At LUX Infusion, we're reimagining infusion care to be more human, supportive, and connected. Inspired by lux—meaning light - we guide patients, providers, and partners through complex therapies with...

Remote TCM Nurse Care Manager At Duly Health and Care you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center...

Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must Have Requirements: RN,...

CVS Health is seeking a Case Manager Registered Nurse to provide comprehensive care management for members with complex medical and psychosocial needs. The role involves assessments, care planning, and coordinating across providers, with a focus...

Davies North America is seeking a Triage Telephonic Nurse Case Manager to join our remote team. You will evaluate workers' compensation referrals to determine the appropriate level of clinical case management intervention. You'll review...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

Cook Children's Health Plan in Fort Worth, TX seeks an experienced RN Reviewer for Utilization Management to coordinate care and ensure timely, quality services for plan members. The role focuses on behavioral health and ambulatory care, with...

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). Pay...

UnitedHealth Group's Optum Care at Home team is seeking a Telephonic RN Case Manager to provide high-quality, member-centered care for individuals with complex medical and social needs. This role conducts assessments, develops care plans, and...

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...

Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

Supportive Housing Case Manager (Ages 18–25) The Supportive Housing Case Manager (Ages 18–25) supports young adults in securing and keeping stable housing while building life skills and independence. Using a positive, youth-centered...

Job Description Title: HEDIS Nurse Reviewer (Several Openings) Location: Fully Remote - Must Reside in North Carolina Pay: $30-$40 per hour, based on licensure and...

RN - Registered Nurse - Case Manager The Community - El Segundo, CA El Segundo is a city in Los Angeles County, California, United States. El Segundo, from Spanish, means The Second in English. Located on the Santa Monica Bay, it...

Responsibilities The Remote Phone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during nights, holiday and weekends in accordance with...

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 (1) year of...

Job Title: SUD Licensed Vocational Nurse | Department: Substance Abuse Disorder | Reports To: SUD Program Director Job Summary The Licensed Vocational Nurse (LVN) in the Substance Abuse Disorder focuses on delivering compassionate,...

Guidehealth in the United States seeks an experienced RN Case Manager to work remotely with Illinois licensure. You will oversee member management, promote wellness, and support cost-effective care within a value-based care framework.

To ensure timely and accurate care decisions, the full-time Utilization Review Nurse LVN/LPN will perform clinical reviews for medical necessity and benefit coverage, applying clinical guidelines and maintaining compliance in a remote work...

Home Health | Hospice | Care Giving | Pharmacy | Transportation | Remote Patient Monitoring |Primary Care |Podiatry | Mobile Physician Billet Health is looking for LICENSED PRACTICAL NURSES who have the passion and heart for total patient...

Grievance & Appeals Nurse, RN 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! Reporting to the...

Responsibilities include in-basket management, triage support, and collaboration across departments. Remote work is possible with some in-office hours, ongoing professional growth, and adherence to hospital policies. #J-18808-Ljbffr...