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Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Centene is seeking a RN/UM Supervisor to oversee Prior Authorization, Concurrent Review, and Retrospective Review teams, ensuring compliant and quality care for members. The role collaborates with the UM team and senior management to improve...

CareHarmony is seeking an experienced Licensed Practical Nurse (LPN) for a fully remote position in Little Rock, Arkansas. The role involves delivering value-based care management, coordinating community resources, and managing patient education...

Main Line Health, Inc. is seeking a Part-Time Nurse Practitioner/CRNP for Hospitalist VCOC to cover night shifts in a remote capacity, with some on-site training at Paoli and Bryn Mawr Hospitals. The role emphasizes acute care management,...

Job Summary This position is responsible for evaluating requirements for HEDIS medical record review, data validation, and quality auditing activities prior to production release. Seeking licensed nurses, RN or LPN, with strong clinical...

St. Luke's University Health Network is seeking a Clinical Triage Specialist (CTS) to deliver compassionate patient care within the Access Center, using nursing judgment to triage calls and route to appropriate care per established protocols.

Join Our TeamCome join the team everyone is talking about!!! #LVN$250 sign on bonusSanta Anita Assisted Living is a pillar for providing care to the homeless in the community of Temple City, CA. We approach every day with one goal: To improve the...

Registered Nurse - Utilization Management (Remote) - Philadelphia, PA (Remote) - Contract - Mon-Fri, Day Shift Hours - $41.15-$46.15 Per HR Title: Registered Nurse - Utilization Management (Remote) Location:...

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...

Provide remote clinical support via video and phone to village employees.Deliver evidence-based reviews, clinical teaching, and incident management.Work casually on an as-needed basis with flexibility to cover shifts at short notice.About You:Hold...

Job Description: The Patient Care Technician functions as a clinical support partner, assisting the patient care team by performing various tasks and procedures as instructed by a licensed professional. Additionally, the Patient Care Technician...

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...

The RemotePhone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during nights, holiday and weekends in accordance with InnovAge policies and protocols. The Phone Triage RN...

nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure...

SteadyMD is excited to invite Nurse Practitioners for a potential role with our team. About SteadyMD: Recognized by Forbes as a Top 100 Best Startup Employer, SteadyMD is at the forefront of telehealth, facilitating modern healthcare...

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...

UnitedHealth Group is seeking a Telephonic RN Case Manager to act as the primary contact for members with complex medical and social needs. You will conduct telephonic assessments, create person‑centered care plans, and coordinate services...

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...

Provider Position at Fast Pace Health In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health's scope of services while achieving optimum patient...

Health Care Service Corporation (HCSC) seeks a registered nurse to facilitate member and provider appeals, coordinating with Medical Directors and Customer Service to ensure compliant processes. The role requires adherence to accreditation and...

RN Infusion Nurse Schedule is four days a week; three days in Beverly Hills, one day in Sherman Oaks. Position Summary: As an RN Infusion Nurse at Pure Infusion, you will support our doctors and patients through a variety of...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of...

Providing timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions, treatment planning, and recovery for injured employees while advocating for effective...

RN, Day Triage - Monday - Friday 8am - 5pm page is loaded## RN, Day Triage - Monday - Friday 8am - 5pmlocations: Washington, DCtime type: Full timeposted on: Posted 30+ Days Agojob requisition id: R259642**It's inspiring to work with a company...

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...