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Medical Claim Review Nurse The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit...

Who is Nest Health? As the first value-based care provider built for families, Nest is on a mission to make comprehensive medical, behavioral, and social care radically accessible to America's highest risk families. Founded...

A healthcare organization is seeking an Operations Leadership Support Specialist to provide support for new acquisition sites and educate employees on processes and policies. The successful candidate will have an unrestricted RN license, CPR...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff...

Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral. Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed,...

A leading health solutions company seeks an Associate Manager for Clinical Health Service in Hartford, CT. The role involves overseeing healthcare management services, implementing clinical policies, and ensuring compliance with standards.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job...

Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

We're unique. You should be, too. We're changing lives every day. For both our patients and our...

Pre-Access Utilization Management Registered Nurse Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for...

Join to apply for the Remote Care Manager - RN role at Elevance Health Shift: Option of 5 8-hour shifts OR 4 10-hour shifts per week Location: Candidates in Texas, Tennessee, and Kansas preferred; PST,...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and...

Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...

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...

At CVS Health, were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nations leading health solutions company, we reach millions of...

Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

A healthcare organization is seeking a Registered Nurse - Triage to provide virtual support to Assisted Living site staff during off-hours in Edina, MN. The role involves a casual/on-call schedule with day, evening, and night shifts as needed.

IDD Behavioral Health Nurse Full Time No Weekends A Great Opportunity At ViaQuest Psychiatric & Behavioral Solutions we offer unique and individualized care to children, adolescents,...

Description RN - Quality Assurance located at Providence Willamette Falls Medical Center (primary location) and Providence Milwaukie Hospital (secondary location), with occasional travel to Providence Newberg Medical Center. The position is...

You don't just clock in at a job. You walk in the door to a work family who wants to make the day count. We truly believe our employees and residents are a family that comes together to enjoy the good things in life, including one another. When...

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 Associates can grow...

Job Title: Nurse Liaison I - UM & QR Locations: Remote Role, IL 60563 Job Duration: 6 Months+ contract (possibility of extension) Schedule: Monday - Friday,...

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...

Registered Nurse Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping...

A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and...