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CVS Health in Sacramento, CA seeks a registered nurse to support Utilization Management in a 24/7 operation. This full-time role includes evaluating care options, applying clinical criteria, coordinating with providers, and promoting efficient use...

Capstone Behavioral Health, part of the Optum family of businesses, is seeking a remote Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our team in Omaha, NE. As a member of the...

Join Maple's Healthcare Team Maple's purpose is to meet the world's healthcare needs. We're Canada's leading on-demand healthcare platform, connecting patients with Canadian-licensed doctors, nurse practitioners and specialists. Today,...

Job Summary and Responsibilities As our CNA Patient Care Assistant (PCA), you will be a central figure on our patient care team, providing direct, compassionate, hands‑on support to patients and assisting nurses and other healthcare...

LVN MDS Nurse – Full-Time, Monday–Friday Days | $40–$48/hr | West Los Angeles | Oceana Healthcare Center Bring your MDS expertise to a 5-star Quality Measures team Are you an LVN with MDS experience who wants...

Utilization Review Registered Nurse Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns...

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. LVN Full Time Clerical Beverly Hills, CA, US 3 days ago Requisition...

Supervisor Utilization Management The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management...

Overview: Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Disability. We offer an exciting work environment, competitive compensation, and strong growth...

Your Role The Utilization Management Concurrent Review team reviews the inpatient stays for our members and correctly applies guidelines for nationally recognized levels of care. The Utilization Management Concurrent...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

About US: Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private & public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

RN Career Transition Opportunity – Nurse Case Manager Are you an RN seeking a rewarding career shift that uses your clinical skills and compassion — without the physical demands of bedside care? QuestPro has the exclusive...

About Company: Connect America and our family of brands, including Lifeline, have helped aging individuals and at-risk populations live safely and independently in their homes for more than 40 years. As North America's...

Case Mgmt Rn Location: Tallahassee, FL Weekly Rate: $1,862 - 1,971 Shift: Days, 8 hours Duration: 13 weeks Florida, the Sunshine State, lures healthcare travelers with its sun-kissed beaches and coastal bliss.

Job TitleFacilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS. Reviewing paper and electronic...

Center Nurse Executive The Center Nurse Executive (CNE) will oversee the day-to-day operations associated with nursing practice, direct patient care activities, clinical education, and the continuous improvement (Quality Assurance) of...

Summary The Registered Nurse demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assumes responsibility for the coordination of care...

School Nurse Position Lincolshire-Prarie View School District 103 is currently seeking to fill a vacancy for a School Nurse position. The role involves providing direct nursing services to students and staff in the school community,...

Interested in working for the Golden Isles' healthcare provider and employer of choice? Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything...

Virtual Care Registered Nurse We are seeking a licensed Registered Nurse to deliver virtual care to patients on behalf of one of our partner organizations. This role involves delivering remote patient care, symptom triage, health...

Schedule Available: 9:00 AM to 5:00 PM, Monday - Friday * With additional hours during evenings, weekends, and on-call; as needed. Benefits Include: Low patient-to-nurse...

Registered Nurse II - 95698 Northern Light Home Care and Hospice | US:ME:Presque Isle or Hybrid | Nursing- RN | Full Time Salary range- 32.65-50.11 USD Description The compensation range listed reflects the range...

Sanford Health Careers Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility:...