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IKC RN Case Manager This DaVita IKC Nurse position is for the Washington region, and is a remote-based position. Job Description: Arrival: Typically starts from home, checking emails/dashboard for hospitalized or high-risk...

Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range:...

Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through...

Registered Nurse-Case Manager Job ID #2015445 | Share About this Role In your role as Case Manager, you can be the connection between exceptional care and the positive effect it has on every...

DescriptionThe Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides clinical and administrative leadership for a statewide prostate cancer treatment initiative. This role oversees clinical operations, supervises staff, and...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local to New England States for...

Grievances And Appeals Nurse Pride Health is hiring a Grievances and Appeals Nurse for a well-known client! (Remote Contract) Schedule: 5x8s Day shift Contract: 6 months Pay Rate: 40-45/hr Primary...

Nurse Investigator- Atlanta Conduct investigations (clinical mortality review) of deaths of individuals with developmental disability services. Interview witnesses, complainants, and persons of interest to obtain information...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

Denial Prevention Nurse Position at Northwell Health PART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected! Northwell is the largest not-for-profit health system in the Northeast, serving...

The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes...

Ssbv Clinical Claims Review 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...

Case Manager RN This Case Manager RN role is with the Costco Team and is fully remote; however, candidates must reside within 45 minutes (reasonable driving distance) from the local office located at 7034 Alamo Downs Pkwy, San Antonio, TX...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range:...

Become a part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration...

Description: Why Choose Greenstaff Medical US? Your Trusted Partner in Healthcare Staffing At Greenstaff Medical US, we're more than just a staffing agency - we're your career...

Clinical Denial Management Nurse Work remotely with a collaborative enterprise denials team focused on reimbursement accuracy and revenue recovery. Work Style: Remote Location Requirement: Must reside in an authorized state (FL,...

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, innovate with purpose, hold...

The ECM Case Manager will assume responsibilities for community outreach and engagement. This position will determine eligibility, complete enrollment assessments, and perform outreach to potential ECM members to offer an enhanced case management...

Job Title Utilizes a collaborative review process of benefits, minimally necessary clinical information and evidence-based clinical guidelines to formulate decisions regarding medical necessity, pre-existing conditions, benefits and/or...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Grievance & Appeals Nurse Specialist Join Us in this Amazing Opportunity We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Job Summary At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC...

Adecco Healthcare is working with our client in Beverly Hills, CA to hire a Registered Nurse Case Manager. This position is in-person/onsite. Please read below and apply for consideration.