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CHA Hollywood Presbyterian Medical Center (HPMC) CNA PositionHPMC 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 multicultural communities...

We are seeking to hire a Treatment Nurse - Licensed Vocational Nurse to join our team! We are a skilled nursing facility looking for dynamic associates to join our clinical team and provide our residents with a best-in-class care experience.

Humana is seeking an Utilization Management Administration Coordinator to provide non-clinical support for policies ensuring appropriate care for members. This fully remote role sits within Home Solutions, supporting the Skilled Nursing Facility...

Benefits: 401(k) 401(k) matching Employee discounts Health insurance Paid time off Vision insurance Wellness resources Benefits/Perks Access to wellness services Competitive commission...

Per-Diem Hours: Sundays 12am to 8am Summary & Objective The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care...

Job Description The Robotics Surgery Specialist works under the direction and supervision of the Associate Director and Executive Director. The RSS is responsible for developing and implementing services and activities related to the...

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote, nationwide role. You will review preauthorization requests, coordinate decisions with providers, and apply clinical judgment to ensure timely,...

Job Category: Executive Leadership, Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our...

Benefits: 401(k) Flexible schedule About Us We are a growing, patient-focused Home Health organization dedicated to providing exceptional care in the comfort of patients' homes.

Work From Home Nurse Practitioner (Remote Acute Visits, $210/hr)Join to apply for the Work From Home Nurse Practitioner (Remote Acute Visits, $210/hr) role at NPHireThis range is provided by NPHire. Your actual pay will be based on your skills and...

Jefferson City Medical Group is seeking a Licensed Practical Nurse for Medication Management in Jefferson City, MO. This remote-friendly role supports a centralized medication management office with responsibilities including handling refill...

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and...

Clinical Liaison (RN/Allied Health Professional) Location: Remote (covering PA and NYC) Employment Type: Part-Time - Weekend Coverage 9a-5p Compensation: $55-$60/hr The Role Are you an...

Job Title Case Manager Company Highmark Inc. Job Description This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and...

Senior Director of Nursing Connected & Remote Care (RN) About the Job Senior Director, Nursing - Connected & Remote Care Transform How Nursing Care Is Delivered MedStar Health is seeking a visionary nursing leader to...

Utilization Review Specialist (RN) – Work From Home (Florida-Based Candidates Only)Concierge Home Care | Work From Home Opportunity – Must Reside in Florida At Concierge Home Care, we are growing and looking for an experienced...

0 HOURS NBO Clinic RN Position. **This position highly prefers EP RN experience as well as device management experience.** Clinic RN role supports EP Device Division, utilizing MURJ for remote reports and alerts. Supports back office...

Sedgwick is hiring an RN Field Case Manager to support injured workers and coordinate with medical providers from a home-based office. This remote, US-wide role involves frequent travel to facilitate advocacy and timely return-to-work for clients.

You've done UM. You've worked appeals. Now find a role that uses both. We're hiring a contract RN for a New York health plan (Medicare Advantage, Medicaid and MLTC). You'll own clinical grievances and appeals from intake to final decision...

Remote Registered Nurse (CA RN License Required) The Opportunity: Love working remotely? Hold a California RN license? Pine Park Health is looking for a Registered Nurse who loves caring for older adults and thrives in a...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

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...

Medica is seeking Remote Care Coordinators to manage member care plans and coordinate services across Minnesota communities. This RN-led role emphasizes individualized care, collaboration with providers, and ensuring high-quality member...

Pride Health is seeking an experienced Registered Nurse (RN) with Utilization Management experience to support clinical quality review and AI model development for prior authorization use cases. The ideal candidate will review records, apply...

SCAN is seeking a Medical Management Specialist-RN in California to promote quality and cost-effectiveness of care under regulatory guidelines. You will support utilization management, conduct reviews, and coordinate with the Medical Director for...