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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...

A leading healthcare organization is seeking a Utilization Management Nurse RN to review clinical data and support patient care from a remote setting. This role requires critical thinking and clinical expertise to ensure proper hospital admissions...

Position Summary The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available...

Introduction Are you a current DDS employee seeking your next opportunity? If this sounds like you, we encourage you to apply! The State of Connecticut, Department of Developmental Services (DDS) has...

Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS at our CP-NORTH HILLS HEALTH CENTER facility. This job is ON - SITE. FTE: 0.400000 Standard...

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...

A leading healthcare organization in Indiana is seeking a full-time RN-Case Manager to coordinate patient care transitions from hospital to home. The successful candidate will work closely with a multidisciplinary team, ensuring effective...

A prominent healthcare organization is seeking a dedicated RN Rehabilitation Nurse to work at St. Mary Medical Center in Long Beach, CA. This full-time position involves restoring patients health and providing essential education and care to...

A healthcare organization in Atlanta, Georgia is seeking a Registered Nurse (RN) to create care plans and perform evaluations for clients. Responsibilities include reviewing charts, ensuring quality care, and communicating with various...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

Description The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare...

Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass...

Dept: Quality and Provider Ed ****Looking for a registered nurse in the Grand Rapids or northern Michigan (lower peninsula) area. Most work will be remote from home and/or traveling, however, there are occasions contractor will need to...

A healthcare company is seeking an RN Case Manager to deliver timely and appropriate care for its members. This full-time, work-from-home position involves developing, coordinating, and monitoring treatment plans while ensuring compliance with...

A leading healthcare provider is seeking a Care Management Nurse to establish and maintain efficient patient care processes. This remote position requires a valid Texas RN license and experience in patient care nursing. The role involves assessing...

A state health department is seeking a Registered Nurse to supervise clinical reviews and manage Medicaid utilization. Responsibilities include overseeing a substantial hospital utilization contract, conducting medical record reviews, and ensuring...

Christie Clinic's department of Value-Based Care is seeking a full-time RN at the University clinic in Champaign from Monday-Friday 8:00am-5:00pm. with no night or weekend requirements. This position will allow for remote work following the...

Patient Care Assistant Requirements High School Diploma or GED required. Experience with a 12 Step Program or comparable experience preferred. Must be able...

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,...

This position is available fully remote in Washington state. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All...

A multi-specialty medical group is seeking a Clinical Support Manager (temporary) to oversee workflow and process improvements remotely. This role requires strong clinical knowledge in acute care settings and experience with utilization review.

A leading healthcare provider in Virginia Beach is hiring a full-time Senior Inpatient Case Manager Registered Nurse. The role requires a Registered Nurse license and three years of related experience in acute care. Responsibilities include...

Overview This is a 3?month temporary contract position for a Prior Authorization RN. About us: Fallon Health is a company that cares. We prioritize our membersalways making sure they get the care they need and deserve.

Job Summary: This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions, and must have their own...

Nursing Facility Service Coordinator - Kutztown area - Remote Join to apply for the Nursing Facility Service Coordinator - Kutztown area - Remote role at Amcord Care Inc. Job Overview The...