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Belle, LLC is hiring a full-time, remote Telephonic Nurse Case Manager to improve clinical outcomes and care coordination for members. You will review in-home visit documentation, conduct telephonic case management, track referrals to health and...

Manager Of Rn Utilization Management It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Lead a team dedicated to delivering high-quality, cost-effective patient care. As the...

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard...

Private Health Management is seeking a Nurse Advisor to guide clients through complex healthcare journeys, educating and advocating for high‑quality care. You'll coordinate care, support families, and collaborate with clinical and operations...

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.

Peraton is seeking a Nurse Reviewer to join the SafeGuard Services (SGS) team. The role involves medical record reviews, applying clinical judgment to payment decisions, and researching claims data to uncover fraud, waste, and abuse.

Job Description School Nurse / Licensed Vocational Nurse (LVN) or Registered Nurse (RN) Hourly Rate: $28.00 - $34.00 per hour Location: Los Angeles,...

Registered Nurse (RN) – Remote Care Management & Coordination Location: remote Job type: Contract Job Summary: The Registered Nurse (RN) plays a critical role in delivering remote patient support, care management, and care...

La Palma Intercommunity Hospital in Los Angeles, CA, is hiring a Licensed Vocational Nurse or Licensed Psychiatric Technician for night shifts. You will provide direct and indirect patient care under the supervision of a Registered Nurse and...

Guidehealth in the United States seeks an experienced RN Case Manager to work remotely with Illinois licensure. You will oversee member management, promote wellness, and support cost-effective care within a value-based care framework.

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Licensed Vocational NurseLocation: Playa Vista, CASchedule: 4x10-hour rotating day shifts (Mon–Fri: 11:30 AM–10:00 PM | Sat–Sun: 8:30 AM–7:00 PM)Contract Length: 13 WeeksWeekend Requirement: Every other weekendRequirements:Active...

Telephonic Case Manager We are seeking a full-time, benefitted Telephonic Case Manager with compact RN license to work Monday – Friday in Eastern time zone. As a Telephonic Case Manager (TCM), you will provide remote medical case...

Workers' Compensation Care Coordinator Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors and...

Job Description Job Description Hiring Certified Nurse Aides (CNAs) for Skilled Nursing Facilities At Flagstar Nursing, we are dedicated to connecting passionate Certified Nurse Aides (CNAs) with opportunities that align with their lifestyle and...

Job Description Required Education: • High School Diploma or Equivalent Required License/Certification: • Active, unrestricted RN license in the state of Oklahoma Preferred License/Certification: • Case Management Certification (CCM)...

OverviewLicensed Vocational Nurse (LVN) needed for premier nursing facility.Our Mission : We are professionals committed to serving others, nurturing life, and promoting an individual's ability to thrive.Position SummaryProvides and oversees...

Are you passionate about serving seniors? Do you want to be part of team that strives to create experiences that celebrate our seniors? Clearwater Mayo Blvd is a premier luxury senior living community in Phoenix, AZ and is looking for...

St. Luke's University Health Network is seeking a Registered Nurse, Virtual Nursing to partner with bedside caregivers and provide technology-enabled clinical support across the inpatient setting. The role uses virtual care platforms, Epic,...

Build relationships with patients based on trust and motivational communication techniques.Triage vital signs and collaborate with care teams to set patient-centric health goals.Responsibilities:Manage physiological markers and patient messaging...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

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.Nurse, Licensed Vocational Regular Full Time Technicians Los Angeles, CA, USSalary Range:...

Case Management Nurse The Case Management Nurse delivers comprehensive, client-centered case management services across the continuum of care, ensuring that each individual receives the most appropriate level and type of health, medical,...

Registered Nurse (RN) - Downey,CA Local Pay: $52.65/hour (W2) Join our team and make a meaningful impact by delivering exceptional care in a professional healthcare setting.

BlueCross BlueShield of South Carolina is seeking a Medical Reviewer to evaluate medical records for medical necessity and manage utilization of professional, inpatient, and outpatient services. You will document decisions using clinical...