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Department: Claims Administration & Adjusting Location: Home United States Compensation: $66,000 - $67,000 / year DescriptionOur Story Imagine being part of a team that's not just shaping the...

Supervisor Utilization Management The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management...

DaVita Peritoneal Dialysis RN DaVita is seeking an organized, self-directed RN to manage Peritoneal Dialysis (PD) patients. You'll educate patients and caregivers in-clinic, enabling them to perform dialysis independently at home. This...

Valeris is hiring a Patient Support Nurse to guide patients and caregivers through therapy, offering education, care coordination, and psychosocial support entirely via telephonic channels. The role emphasizes documenting interactions,...

Job Title: Nurse Practitioner (NP) Department: Clinical Services Reports to: Clinical Director Location: Remote (Licensed in one or more of the following...

RN Coordinator - Enhanced Care Management (ECM) POSITION SUMMARY MLK Community Healthcare is seeking a Registered Nurse (RN) Coordinator to be part of our MLKCH Enhanced Care Management program. The RN...

Nurse Practitioner (NP) Opportunity Are you a compassionate Nurse Practitioner (NP) looking to make a profound difference in the lives of patients and their families? Join us in providing the highest quality hospice care—where your...

Providing direct leadership and oversight to the UM nursing team, the full-time Utilization Management Nurse Supervisor will manage team performance, conduct performance evaluations, and ensure compliance with regulatory standards in a remote work...

Women's Health Nurse Practitioner (NP) / Physician Assistant (PA) Compensation: $80.00 - $85.00 per Hour Job Type: Full-Time | On-Site Language Requirement: Bilingual Fluent (English/Spanish) Location: Los Angeles...

RN Registered Nurse What We're Looking For: We are seeking to hire a self-motivated, efficient, responsible Registered Nurse for a large established company within the Medical-Skilled...

To support healthcare delivery, the full-time North Carolina Licensed Clinical Review Nurse will perform concurrent reviews to assess members' overall health, evaluate medical necessity, and contribute to discharge planning while working...

Mass General Brigham Health Plan Utilization Management Nurse Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our...

Manager, Appeals and Grievance Fully Remote • Any Location Remote US - Oklahoma City, OK 73102 Overview Position Type Full Time Job Shift Day Education Level 4 Year Degree Travel Percentage Occasional Category Nurse...

Benefits: Competitive salary Flexible schedule Paid time off Licensed Vocational Nurse (LVN) – Home Health (Field Nurse) (Fontana area, CA) Our agency's mission is to provide professional and paraprofessional...

Service Coordination Manager, RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

Advantagecaredtc is seeking a Registered Nurse (RN) or Licensed Practical Nurse (LPN) to support Chronic Care Management (CCM) and Advanced Primary Care Management (APCM) programs. The role involves ongoing care coordination, patient outreach,...

SCAN seeks a registered nurse to enhance frail seniors' ability to age in place by delivering person-centered care telephonically. You will develop plans of care and educate members to manage chronic conditions, reducing hospital visits and...

Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and utilization management? Join our team...

A reputable healthcare staffing firm in Oregon is seeking a care manager specializing in phone communication with patients across all ages. The role involves coordinating care services, educating patients on their health conditions, and conducting...

Teladoc Health is seeking a Nurse Care Coordinator to provide proactive utilization management for members with high-risk needs and complex medication needs. This role facilitates conversations between interdisciplinary care teams including...

Float Health is seeking a Recurring Care Specialist to coordinate nursing care with pharmacies, nurses, and patients, ensuring timely scheduling and clear communication for home visits. This fully remote role is based in the US, with shifts PST...

AmeriBen, a member of Elevance Health, is seeking a Telephonic RN Nurse Case Manager II to support members with complex needs. This role combines telephonic care management with on-site discharge planning when required, and offers flexible virtual...

A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...

RN - Mother Baby About the Position Specialty: RN – Mother Baby Experience: 1–2+ years in postpartum, newborn, or mother-baby nursing License: Active State or...

Nurse Practitioner (Baldwin Park) Baldwin Park Community Clinic - Baldwin Park, CA 91706 Overview Salary Range $137,692.00 - $172,120.00 Salary Position Type Full Time Description JOB...