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Job Opportunity At Qlarant Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of...

Utilization Management 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,...

Job TitleFacilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS. Reviewing paper and electronic...

Optum NY, (formerly Optum Tri-State NY) is seeking an OB/GYN Generalist to join our team inPoughkeepsie, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team,...

Thank you for considering a career at Conduit Health Partners! Scheduled Weekly Hours: 36 Work Shift: All Work Shifts (United States of America) The RN Transfer Center...

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation...

Telephonic Nurse Case Manager Davies Claims North America is seeking an experienced Telephonic Nurse Case Manager to join our team. You will be responsible for the management and independent decision making on medical claims. You will...

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...

NK Consultancy LLC in California is seeking a Registered Nurse (RN) Field Case Manager for Workers' Compensation. This field-based role coordinates medical care and advocates for injured workers, helping them safely navigate recovery and return to...

Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home This is an excellent opportunity for an experienced Registered Nurse who wants to transition from direct patient care into a...

Licensed Vocational Nurse (LVN) – Los Angeles, CA Local Pay: $31.50/hour - (W2) Join our team and make a meaningful impact by delivering exceptional care in a professional healthcare setting. We're looking for a dedicated and compassionate...

Telemedicine Nurse – Primary Care Location: 100% remote (anywhere in Canada, subject to your licensing) Employment Type: Full-time (32h+), part-time (21h+), part-time (up to 16h), or exclusive weekend position Practice...

About the job Remote | Registered Nurse - $60-$70/hour We are sharing a specialised remote consulting opportunity for experienced Registered Nurses with strong expertise in inpatient clinical care, nursing documentation, medical record...

Strategic clinical advisor to Solventum teams and healthcare customers.Drive best practices and advanced education.Key Responsibilities:Lead priority customer engagements and clinical consultations.Partner with sales leadership to educate and...

8 Hours POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care.

Specialized Care ManagementWorks collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and...

Company Overview: About Function & Ezra Function Health was founded with a singular focus: empower you to live 100 healthy years. We're doing that by using the best available...

NCW Staffing is looking for a Case Manager RN's to work for a hospital in Downey, CA! Case Manager RN Details: Number of Positions: 8 Shift: AM Shift available Shift Length: 13 weeks Start...

Field Nurse Case Manager As a 501(c)(3) nonprofit organization, NTSOC prioritizes client-centered care without the influence of profit-driven interests. Our mission is to serve families in southern Colorado by supporting children and...

Nurse Specialist - Ambulatory Triage The University of Miami/UHealth Department of Neurological Surgery has an exciting opportunity for a remote full time Nurse Specialist - Ambulatory Triage. The Nurse Specialist assesses a healthcare...

Sanford Health Careers Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility:...

Telephonic Occupational Health Nurse CareOnSite, a division of Tang & Company which provides occupational medical services nationwide, is seeking dedicated and experienced Telephonic Occupational Health Nurses for excellent full-time...

Summary The Registered Nurse demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assumes responsibility for the coordination of care...

SCAN Health Plan is hiring a registered nurse for clinical review of medical claims and post-service appeals. You will analyze pre/post payments, perform audits, and apply CMS guidelines to determine medical necessity and appropriate care.

Job Description Connecticut Children's Center for Care Coordination (The Center) is dedicated to the integration of care coordination through the delivery of innovative programs, providing technical assistance, disseminating...