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CVS Health is seeking an ICM Care Manager to assess, plan and coordinate patient care from a home-based setting with 25-50% travel within Passaic County, NJ. The role requires an active NJ RN license and a minimum of 3 years clinical experience,...

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...

Quality Liaison LVN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic...

About This Role The Case Management Specialist RN - Oncology works collaboratively with a panel of physicians to manage patients' specialized needs, focusing on assessment and development of care management plans. This role is ideal for...

Alliance Liaison If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where...

Clinical Nurse Professional Development Educator Advanced How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

Oasis Health Partners is seeking a Nursing QA Specialist to review and audit Home Health Agency visit notes for documentation consistency with the Plan of Care and Medicare quality guidelines in the United States. Responsibilities include...

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...

Hospitals on Incredible Health are actively hiring and accepting applications in the Los Angeles, CA area for the following position: Registered Nurse - Case Management Supervisor. Nurses with experience in any of the following areas are strongly...

Nurse Case Manager Position Type: Full-Time Contract Role Location: Work from home Work Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive) Schedule: Mon-Fri 8am-5pm EST...

Everlywell is a digital health company pioneering the next generation of biomarker intelligence-combining AI-powered technology with human insight to deliver personalized, actionable health answers. We transform complex biomarker data into...

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,...

Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service. We're growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South,...

Job Profile Summary 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...

Job Description: The RN Program Coordinator is a hospital or care site level leader who provides specialized clinical expertise, consultation, education, and research within their designated area or specialty focus that may impact many or most...

Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse, you'll play an important role in helping us offer customized, self-funded...

City/State Roanoke, VA Work Shift First (Days) Overview: Sentara Health Plans Roanoke is looking to hire a Care Coordinator- LPN. Sentara Health Plans is hiring a Remote Care...

Interventional Radiology RN This position is for an Interventional Radiology Registered Nurse. The role requires experience in an acute care setting. The ideal candidate must be able to work both day shifts and provide on-call coverage.

Telephonic Registered Nurse 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...

Site: Martha's Vineyard Hospital, Inc.Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support...

Job ID: 32462 *Description*There's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive,...

University of Miami Health System in South Florida seeks a Nurse Navigator to triage new patient appointments, coordinate scheduling, and guide patients through the cancer care continuum. You will educate patients, identify barriers to...

Physician Care Coordination Consultants (PC3) is seeking an Appeals Nurse Manager to lead the clinical appeals function within a remote healthcare revenue cycle environment. You\'ll oversee a team of Appeals Nurses, establish standardized...

Registered Nurse - EP Lab Clinic EP RN Position. This position highly prefers EP RN experience as well as device management experience. Clinic RN role supports EP Device Division, utilizing MURJ for remote reports and alerts. Supports...