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A healthcare provider is seeking a Medicare UM Case Manager, RN, to perform utilization management activities for Medicare Advantage. This remote role focuses on reviewing authorizations for various services and requires an Associate's Degree in...

Where You'll Work From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20...

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...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

SUMMARY: Reports to the Director of Care Management or designee. Conducts surveillance over medical necessity of patient care records. In collaboration with the physician of record and the Utilization Review Committee physician ensures the...

POSITION SUMMARY: The Population Health Care Coordinator works in collaboration and partnership within an interdisciplinary team to manage chronic healthcare conditions for patients with two or more chronic conditions and...

Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

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

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...

Scope of Position The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institutes (OSUCCC-James) mission is to improve health in Ohio and across the world through innovation in research, education, and...

Job Description Position Summary: Provides remote, observational support for patients utilizing Remote Sitter camera monitoring. Works with other members of the patient care team to promote patient...

JOIN TEAM TRILOGY: At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of...

Job Description: NonCNA/NonSTNA Lincoln Village Columbus, OH PRN 7am or 7pm start Lincoln Village, located in Columbus, OH, is an...

Telephonic Case Manager Rn Medical/Oncology 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...

ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we...

Full-Time Rn Case Manager (Rn) Opportunity DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in Fresno, CA. As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will...

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...

Are you a Registered Nurse (RN) looking to move away from the bedside while still utilizing your clinical skills AT HOME? With Critical Care and ER experience? ExamWorks is looking for...

Details Client Name James Cancer Hospital and Solove Research Institute Job Type Travel Offering Nursing Profession RN...

A leading healthcare company is seeking a Care Manager to develop and facilitate care management activities primarily for members with physical needs. This remote role focuses on evaluating member needs, creating personalized care plans, and...

Company : Allegheny Health NetworkJob Description : This is a hybrid role, involving some in-person work. Candidates must live within 50 miles of the Greater Pittsburgh or Greater Erie...

Overview Outpatient Psych. 40 hours per week. Monday-Friday, 8am-5pm. Fully Remote. Strong psych experience preferred The Clinical Nurse is an engaged and credentialed member of the Professional Nursing...

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...

Introduction The Department of Corrections is focused on public safety through the custody and supervision of those in our care. Corrections employees have the opportunity to positively impact the lives of others through careers in a...

A public university health system in Santa Monica is hiring a skilled Clinical Nurse who will provide comprehensive nursing care across various phases. This position requires a BSN or MSN, with a preference for candidates having experience in...