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Behavioral Health Registered Nurse (RN) Location: Geopod - Valley South and Glendale, Pasadena, and including Glendale, Pasadena, and Burbank, Olive View, Sylmar, Deer Lake Highlands, Calabasas, Laurel Canyon and surrounding areas...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

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...

Registered Nurse Reports to: Nurse Manager FLSA Status: Non-Exempt Summary: CNY Fertility is a renowned fertility center offering advanced treatments like IVF, IUI, and egg freezing. With a patient-centered approach and...

Devoted Health Services, Inc. is seeking an experienced registered nurse to perform comprehensive clinical reviews across pre-service, concurrent, and post-service cases within a fast-paced Utilization Management environment. You will...

Join Us at our Virtual Job Fair to learn more about this position! Wednesday, October 7th | 12pm - 2pm EDT Register here: UHC Community & State Massachusetts Virtual Job Fair At UnitedHealthcare, we're simplifying the health care experience,...

Compassus is seeking a Hospice RN Clinical Coordinator to oversee administrative and management functions in the absence of the Director of Clinical Services. May carry caseload and ensure compliance with state and federal regulations. Remote role...

RN Case Manager The RN Case Manager will work a 4x10 schedule from 07:00 to 17:30. Candidates must have a minimum of 2 years of case management experience. Pediatric experience is strongly preferred. First-time travelers are welcome,...

ExamWorks is seeking a Clinical Quality Assurance Coordinator to join our remote team. The role focuses on ensuring peer review reports meet quality standards, regulatory requirements, and client specifications. The position supports nurses...

Position Summary: As an advocate for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet an individual's health needs, using clinical and...

Nurse Consultant Polaris Group, the SNF Clinical branch of Assembly Health, is seeking a dynamic, client-focused Nurse Consultant. We are looking for a clinically trained professional who stays current on federal and state regulations,...

Remote Nursing Role Shift: Mid 5x8-Hour (15:00 - 23:00) / Day 5x8-Hour (12:00 - 08:30) Remote Role (facility will provide all equipment needed. Traveler will need to have high speed internet & private office space) This role does not...

Position SummaryThe Case Manager is a Registered Nurse who provides case management, education and outreach services telephonically to Medicare members in the Chronic Case Management Program. This position requires licensure as a Registered Nurse...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Clinical Care RPM LVN - Remote Contact Center Full Time Technical US 5...

Find your calling at Mercy! Provides professional nursing care to patients within the medical practice in support of, and as directed by, the physicians. Assists the physician in the treatment of patients and completes related...

UW Health in Wisconsin seeks a Telehealth Nursing Assistant (CNA/NA) to support remote care for critical patients within the eICU network. The role includes admitting, transferring and discharging patients via the eCareManager and ensuring...

Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...

Telehealth Registered Nurse Community health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is...

Logistics Health Incorporated (LHI) within the Optum family is hiring for remote Physician Assistant or Nurse Practitioner roles to deliver high-quality virtual medical care for DoD/government service programs. The PA/NP assesses patients...

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

About IntusCare IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay...

Remote Village Triage Nurse Responsible for the delivery of patient care through the nursing process of assessment, nursing diagnosis, planning, implementation and evaluation. The Registered Nurse in this role is responsible for promptly...

Registered Nurse – Virtual Care (Full-Time Remote) United States Job Title: Registered Nurse – Virtual Care (Remote) Location: 100% Remote - United States Employment Type:Full-Time W2...

IQVIA LLC seeks a Flex Nurse Educator to deliver remote patient education and in-field support for territory vacancies. This non-clinical role empowers patients to manage disease and adherence while maintaining high educational standards.

Job Title Day to Day Responsibilities Research and design treatment/care plans to promote quality of care, cost-effective health care services based on medical necessity complying with contract for each appropriate plan type.