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Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate...

Nurse Navigator Department: ECM Outpatient Care Management Location: Children's Health- Dallas Shift: Part-time working Monday, Wednesday, and every other Friday 8:00a to 4:30p or 8:30a to 5:00p. Job Type: Remote, but...

POSITION SUMMARYThe RN Certified Diabetes Care and Education Specialist has experience in diabetes care and education. The RN will contribute to developing, reviewing, and revising all diabetes education material. The RN promotes self-management...

Position SummaryThe Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes...

Job Description The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to...

Utilization Management Nurse Specialist Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients...

RN Case Manager HealthPartners is hiring an RN Case Manager. This position exists to provide support to patients, their families, and physicians in addressing medical and social concerns; educate and empower patients and families to make...

The Registered Nurse (RN) Clinical Educator educates staff to competence according to standards, regulations, and best practice using a variety of teaching methods.

Evidence-Based Practice Specialist/Nurse Scientist Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday - Friday, 7:30am to 4:30pm Salary Range: $116300 - 264600 Annually Employment...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to...

Job Title: Medical Claims Review Nurse Duration: 6 Months Location: Remote Payrate: $43.39/hr. on W2 Description 100% Remote (CANDIDATES MUST LIVE IN ONE OF THE PREFFERED 17 STATES (SC, MS, AZ,...

Scope: The Chronic Condition Case Manager will have direct responsibility for managing an individual caseload using Complex and Chronic Condition Management constructs. This individual is expected to accurately service and satisfy...

Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...

RN Care Manager We're growing - join our award winning culture as we serve members in your area! This is a float position primarily within Dodge County, potential travel up to 2 hours within the service region. The RN Care...

Clinical Systems Analyst II, RN - REMOTE Position Type Full Time Job Shift Day Education Level 4 Year Degree Travel Percentage Up to 50% Category Professional Services DSS, Inc. is a leading health information software development...

Case Management RN Location: Roseville, CA Onsite Flexibility: Remote Contract Details Position Type: Contract Contract Duration: 3 months Start: April 27, 2026 Pay Rate: $20.00 /...

Nurse Case Manager Our mission is to develop curative genome editing treatments that can positively transform the lives of people living with severe and life-threatening diseases. Beyond our science, we live our four core values:...

Direct Jobs seeks an Evidence-Based Practice Specialist/Nurse Scientist to enhance nursing practice and outcomes through evidence-based initiatives. This role is critical in mentoring nursing professionals and developing educational resources for...

Harris Health System is seeking a Utilization Management Review Nurse (UMRN) to assess the necessity and appropriateness of medical services. The UMRN utilizes clinical expertise to ensure care aligns with industry standards, works with healthcare...

Job Title Nurse Appeals-RN (California)Location & Remote Work Locations: Woodland Hills, CA and Costa Mesa, CA. This role is available for associates to work virtually full‑time, except for required in‑person training sessions.Responsibilities...

Schedule: The position is 100% Remote, and the candidates must reside in Southern California Description: The Grievance & Appeals Nurse is responsible for managing and coordinating member grievance and...

Care Manager (CM) RN The Care Manager (CM) RN will lead a multidisciplinary healthcare team in a primary care / telephonic setting, focusing on coaching and coordination of care for patients needing navigation, addressing nursing care...

Review Nurse This is a contract assignment that will start right away and end on April 30th 2024 Summary Description: The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare...

Care Manager—Registered Nurse 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...

Clinical Nurse Navigator (RN) Compensation: $80,000 - $85,000 annual salary, plus annual potential for bonus and merit increases Employment Type: Full-Time, Salaried, Exempt Reports to: Director of Oncology and Infusion...