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A regional healthcare organization is seeking a Level I Utilization Management Clinician to perform utilization review for medical or behavioral health requests. This fully remote position involves collaborating with healthcare teams and ensuring...

Entity: Owensboro Health Regional Hospital | Department: Virtual Care | Work Hours: 7P - 7:30A | Weekend Requirements: One | 0.9 FTE Job Summary: Provides direct nursing care in accordance with established policies,...

A healthcare organization is seeking a Recovery Audit Contractor (RAC) Coordinator (RN) to manage denial and recovery audit requests. This role involves coordinating approvals and denials and ensuring proper policy implementation. The ideal...

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Reporting To:...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions...

Telephonic Case Manager 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,...

Building Location: Building B - St Marys Medical Center Department: 1005100 NURSING ADMINISTRATION - EH SS Job Description: The System Nurse...

Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless patient flow. This role is challenged...

The overall purpose of the Wellness Nurse position is to provide Person-Centered Care consistent with accepted standards and expectations of Sunshine Retirement Living and state regulations. The Wellness Nurse's responsibilities include, but are not...

Pediatric Cancer Cellular Therapy (CCT) Research Nurse 2 (Hybrid) The Stanford Cancer Institute (SCI) is one of an elite number of National Cancer Institute-Designated Comprehensive Cancer Centers in the country, and is a...

A dynamic healthcare consulting firm is seeking a Medical Claims Reviewer to conduct medical reviews for End Stage Renal Disease patients. The role requires an active RN license and two years of clinical experience. Candidates should possess...

The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute?s (OSUCCC-James) mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The...

Utilization Review Case Manager The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts...

Care Advocate (RN) - Florida Papa is a new kind of care built on human connection. Across the country, health plans and employers look to Papa to provide vital social support by pairing older adults and families with Papa Pals, trained...

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and...

Telephonic Case Manager 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,...

A healthcare provider is seeking a Medicare UM Case Manager, RN, to perform utilization management activities for Medicare Advantage. This remote role focuses on reviewing authorizations for various services and requires an Associate's Degree in...

Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

Current Employees and Students: If you are currently employed or enrolled as a student at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Position...

Registered Nurse Explore opportunities with LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best,...

ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we...

Registered Nurse (Specialty Phone Triage) - Remote Opportunity Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with...

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 on government health care programs. Accountabilities include...

Summary Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes responsibility for the...

A national risk management provider is seeking a Telephonic Case Manager I - RN to coordinate resources and create personalized care plans for patients. This remote position requires a current RN license and involves assessing treatment plans and...