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A company is looking for a Care Manager, LPN (Eastern Time Zone).Key ResponsibilitiesDeliver telephonic care management for patients enrolled in Value-Based Care ProgramsDevelop patient-centered care plans and educate patients and caregivers on...

A company is looking for a Clinical Audit Specialist - Utilization Management.Key ResponsibilitiesConduct retrospective and targeted audits of medical necessity determinationsAnalyze audit findings to identify trends and systemic issues in...

A company is looking for a Nurse Care Manager - MST.Key ResponsibilitiesManage the overall care management of an assigned patient panel, utilizing nursing expertise and value-based care operationsEstablish trusting relationships with patients and...

A company is looking for a Utilization Management Nurse Consultant (Remote).Key ResponsibilitiesApply critical thinking and evidence-based clinical criteria to evaluate outpatient and inpatient services requiring precertification and concurrent...

RN Clinical Consultant, a full-time remote position, provides clinical expertise in reviewing disability claims, assessing medical conditions, and collaborating with healthcare providers to enhance treatment outcomes.Key ResponsibilitiesReview and...