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RN Utilization Mgmt Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management,...

To support healthcare revenue solutions, the full-time Remote Clinical Review Nurse will analyze denied insurance claims, draft persuasive appeal letters, and collaborate with legal teams to optimize patient care revenue without direct patient...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Salary: See Position Description Location : North Central Community Health Center - St Louis County, MO, MO Job Type: Full-Time Remote Employment: Flexible/Hybrid...

Telephonic Case Manager RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

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Description The Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides clinical andadministrative leadership for a statewide prostate cancer treatment initiative. This role oversees clinical...

Nurse Case Manager I Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports...

Inglewood Clinical is part of the Irvine Clinical Research site network, the largest of its kind on the West Coast. With 5 research centers in California, we are leaders in the search for new treatments in neurology, psychiatry, and obesity...

DescriptionTake on a key leadership role within an award-winning health care system. Advance world-class nursing care in a state-of-the-art setting for the most vulnerable of patients. Expand your professional potential in a close-knit,...

Nursing Position Nursing functions include but are not limited to First Aid, CPR, administration of medications, specialized healthcare procedures and techniques, signs and symptoms of child abuse, infection control procedures, hazardous...

Overview This is a short-term assignment. What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and...

Job Description Job Description Date posted: March 9, 2026 Pay: $62,000.00 - $65,000.00 per year Job description: POSITION SUMMARY: Perform duties that require knowledge, skills, and abilities as a licensed professional Nurse (LPN). Assists the...

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...

Team Lead For Specialty Programs Acts as team lead for specialty programs, medical review, utilization management, and case management areas by providing assistance and support to unit supervisor/manager by giving...

Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) -...

Case Management Nurse, Senior The Children's Services Program (CSP) team provides identification, referrals, and care management for all Medi-Cal members under 21 years old and collaborates within Promise Clinical Team. The Case...

Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families...

Benefits:401(k)401(k) matchingDental insuranceEmployee discountsHealth insuranceVision insuranceBuilding Stronger CommunitiesAt Joyous Ventures, we are committed to providing immediate support to individuals and families experiencinghomelessness...

Precertification Specialist The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. Interprets patient medical records and...

Health Advocates Network is currently seeking a Licensed Vocational Nurse to work at a facility in Downey, California. These are registry positions with our company. Pay Rate: $30 /...

PURPOSE OF THIS POSITION The Registration/Medical Records Clerk is responsible for patient registration, secretarial and clerical duties in the surgical center and maintaining the center's medical records according to established guidelines and...

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Description You Must Reside In Colorado for This Fully Remote Position. Location: UCHealth UCHlth Admin 2450 Peoria, US:CO:Aurora Department: UCHlth Patient Line RN Triage Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days...

Prior Authorization Temp Nurse Case Manager, RN Job Location: Northridge, CA Contract Assignment: 4-Month Contract Quick On-Boarding/Placement Process Career Stepping Stone from Bedside Nursing to Case Management...