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Registered Nurse Primary Care Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health...

*** Modified schedule requests cannot be accommodated *** Required Qualifications: • 1+ years of experience in an outpatient clinic/ambulatory setting • Strong Ortho experience • CA RN License - no temp or pending • BLS (AHA or ARC only)...

Nursing QA Specialist The primary function of the Nursing QA Specialist is to review and audit Home Health Agency visit notes for documentation consistency with the patient's Plan of Care and adherence to the quality of care guidelines...

Job DescriptionMake a Difference Every Single Day at Cedars-Sinai!When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and...

Medical Solutions is seeking a local contract nurse RN Case Management for a local contract nursing job in Glendale, California. Job Description & RequirementsSpecialty:...

Optumcare Medical Behavioral Integration Nurse Case Manager (MBI NCM) For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum...

OptumCare seeks a National On Call advanced practice clinician (APC) for remote telehealth care. You will provide telephonic/telehealth care, coordinate with care teams, and support members 24/7 including holidays. Requires NY NP license, MSN/DNP,...

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 who care deeply, innovate with purpose, hold...

Remote Registered Nurse – Clinical Review Fully Remote | $48–$65/hr | Monday–Friday, 9:00 AM–6:00 PM ET Medix is supporting a healthcare technology organization that is adding...

RN Coordinator Utilization Management The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. This position reviews applicable...

Job Title Pay Rate: $27.50 per hour Work Mode: Fully Remote Duration: September to February with possible extension Responsibilities: Work telephonically with claimants, physicians, employers, and customers to ensure...

Optumcare Medical Behavioral Integration Nurse Case Manager For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care.

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use. I further...

Current Saint Francis Employees - Please click HERE to login and apply. Full Time Shift: 10a - 10p Minimum of 5 years bedside experience preferred. Critical Care RN experience required...

Molina Healthcare is seeking an RN to support care management and care coordination across the continuum in a 100% remote role. Collaboration with a multidisciplinary team and occasional in-person or telephonic visits are included, with 25–40%...

Job Title Employment Type: Full time Shift: Rotating Shift Description: This is a remote position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint...

Description LifeHealth, LLC, a federal government contractor, is seeking Registered Nurses to provide telephonic Nurse Advice Line services to Soldiers, Veterans, Wounded Warriors and their families, who are TRICARE members.

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current employees and candidates who reside in Idaho and Utah...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal health care professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Medical Management And Health Education Program Coordinator The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers...

Case Management Nurse The Case Management Nurse delivers comprehensive, client-centered case management services across the continuum of care, ensuring that each individual receives the most appropriate level and type of health, medical,...

Remote Nursing Role Shift: Mid 5x8-hour (15:00 - 23:00) / Day 5x8-hour (12:00 - 08:30) Remote Role (facility will provide all equipment needed. Traveler will need to have high speed internet & private office space) This role does not...

A leading healthcare company is seeking a Tele-Health Nurse to provide high-quality service for specialty prescription drugs. This role includes case management and patient coordination. Ideal candidates should possess a Vocational or technical...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...