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Job Title: RN Maternity Case Manager WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. What is...

Registered Nurse (RN) Clinical Documentation Specialist Job Type: Remote FT | Days Your experience matters At Highpoint Health Sumner we are driven by a profound commitment to prioritize your...

Job Description Provides direct nursing care including assessments, care plan, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of patient care as well as coordinates the...

RN Utilization Review Job Title: RN Utilization Review Profession: Registered Nurse Specialty: Utilization Review Duration: 11 months Shift: Remote Position Hours per Shift: Full-time, Monday to Friday,...

Clinical Educator – Perioperative Services (PAT,OR/ASC/PACU/GI) – Expanded Provides comprehensive education leadership across PAT, OR, ASC, PACU, and GI services. Responsible for structured orientation programs, routine in-services,...

Responsibilities: How you'll change lives...

Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Primary Care - Watonga Monday-Friday, 40 hours per week *This is a hybrid remote...

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides...

Registered Nurse Interviews will be conducted for qualified candidates. Shifts are 12 hours per day ight. True rotating shifts may occur within the same week. Every other weekend is a requirement. Candidates must respond to offers with...

Wellmark is seeking a Case Management Nurse I to actively engage members through various channels, build individualized care plans, and coordinate services with providers and families. You will support chronic and complex health needs while...

Benefits: Bonus based on performance Employee discounts Wellness resources Training & development Wellness IV Nurse – Sales & Clinical Specialist Are You a Nurse Who Loves to Sell? We're looking for a...

CVS Health is seeking a remote Appeals Nurse Consultant to review and resolve clinical appeals with sound clinical judgment and regulatory knowledge. The role supports a remote team with standard Monday–Friday hours and occasional on-call.

Point32Health is seeking a Care Manager – Nursing Field (RN CM) to ensure timely care management across the continuum, including transitions of care, care coordination, and disease management. The nurse care manager will work with members,...

Burlingtonconvalescent is hiring Certified Nursing Assistants to join our skilled nursing team. We offer AM/PM/NOC shifts and FT/NOC positions.You will provide essential personal care to residents under licensed supervision and contribute to a...

*Job Summary and Responsibilities* As our surgical services nurse at Glendale Memorial Medical Center you will prepare patients for surgical procedures and assist in the operating room to ensure they receive excellent nursing when they are at...

Sr Utilization Management Nurse 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...

Position Summary The Clinical Educator - RN is responsible for the planning, design and implementation of education programs/services and professional development of assigned staff. Works closely with nursing directors...

Remote, USA Remote, GA Remote, MS Remote, NC Remote, TN Remote, AR Remote, TX Remote, KY Remote, AL Remote, IN Full time R260000007037 Compensation for this role is...

UnitedHealthcare is seeking an RN for LTSS Utilization Management, remotely in Florida. The role focuses on determining medical necessity for in-home LTSS services, resolving non-standard requests, and collaborating with Medical Director while...

McLendon Leadershi is seeking a Case Manager Nurse to coordinate patient care across hospital and community settings. The role focuses on optimizing utilization and seamless transitions, with emphasis on advocacy and care coordination for diverse...

Registered Nurse (RN) For Utilization Management Team We are seeking a Registered Nurse (RN) to join our Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews,...

Monovo is seeking a Remote Physiological Monitoring Nurse to join our dedicated team in delivering exceptional patient care. The nurse will monitor patient vital signs via RPM devices, educate patients, and collaborate with healthcare providers to...

NurseRemotely is seeking a licensed RN for a remote case management role with a Health Insurance client. You will design care plans, assess needs and coordinate services across various teams to ensure quality, cost-effective care.

Air Combat Effectiveness Consulting Group, LLC is looking for a Nursing Assistant in San Gabriel, California. As a Nursing Assistant, you will provide basic nursing care under the direction of nursing staff and ensure patient safety. Candidates...

Registered Nurse - VNA Home Care Nurse Join Our Team as a Home Health Registered Nurse (RN) - Make a Real Difference! Are you a compassionate and skilled nurse looking for a rewarding career outside of the hospital setting? Join our...