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Humana is seeking a Utilization Management Nurse to support coordination, documentation, and communication of medical services and benefit determinations. This role suits experienced nurses who can work independently and make critical patient-care...

Seasoned Recruitment is seeking licensed Psychiatric-Mental Health Nurse Practitioners (PMHNPs) to perform online clinical assessments and direct psychotropic medication management. Enjoy autonomy over your schedule and strong administrative...

Pay Range - $38/hr. to $40/hr. on W2 Description Responsible for performing care coordination duties using established guidelines to ensure the appropriate level of care and facilitate transition across the continuum of care for specialty...

Saint Luke's Hospital of Kansas City in the United States is seeking an experienced Registered Nurse for our Primary Care Shoal Creek location. The role features a Monday through Friday schedule, 8:00 am to 4:30 pm, with no nights, weekends, or...

Job Requirements Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need...

Avardis Health Management is seeking a PRN RN Case Manager to lead patient care journeys from a home-based setting, with the flexibility of remote work. You will collaborate with a high-energy team to improve outcomes, access to care, and cost...

To support a dynamic team, the full-time Clinical Quality Assurance Coordinator will ensure the quality and integrity of peer review case reports while working remotely, adhering to client agreements and regulatory standards.Key...

Inpatient Case Management Service Registered Nurse VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire an experienced Registered Nurse to work in our Inpatient Case Management Service. Incumbent is expected to function...

Location Designation: Fully Remote Business Unit Overview Group Benefit Solutions delivers comprehensive insurance and absence management solutions for mid-size and large companies. Our work fosters...

Cabell Huntington Hospital is seeking a casual, as needed Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and...

Sagility LLC is looking for an Associate Manager for US Clinical Operations RN. In this role, you will oversee shift operations, manage a team, and ensure the highest standard of patient care and service delivery. Ideal candidates should...

Immediate need for a talented RN Case Manager. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact...

Psychiatric Registered Nurse This Psychiatric Registered Nurse position is located at Bradley Hospital in Riverside, RI on the CADD Inpatient Unit. This day position is full-time at 36 hours per week. Utilizing the nursing process,...

UCI Health Utilization Management Position UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a...

Job Title Employment Type: Full time Shift: Rotating Shift Description: This is a remote position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

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Telephonic Nurse Case Manager (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

Case Manager The Case Manager manages an individual caseload using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of services,...

Quality of Care Investigative Nurse - Arizona Remote Join the Arizona Division of Developmental Disabilities' Quality Management team and help protect the health, safety, and well-being of individuals receiving...

Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health,...

Job Title Clinical Nurse Consultant Job Description Position Summary The Clinical Nurse Consultant provides relevant training and consultation on ICU Medical's clinical products/software and clinical services...

Georgetown University comprises two unique campuses in the nation's capital. With the Hilltop Campus located in the heart of the historic Georgetown neighborhood, and the Capitol Campus, just minutes from the U.S. Capitol and U.S. Supreme Court,...