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Position SummaryThe RN Utilization Management (RN UM) functions as a support liaison for a variety of UM functions which may include the e-TAR process, denials management, and the UM process. The RN UM coordinates care submission relating to the...

Wound Care Registered Nurse The Wound Care RN has experience with the situations in which they are ultimately expected to assume responsibility for the coordination of care focused on patient education, self-management, and customer...

We are seeking a Compassionate and Adult ADHD Experienced Provider to Join our Team at Mindful. Mindful is a digital health company that is making high-quality psychiatric chronic care management more accessible and affordable for patients. ...

DRG Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible.

Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate...

"Home Health RN - Flexible Schedule Make a Meaningful Impact in Patients' Homes" The Home Health Field Registered Nurse (RN) plays a critical role in delivering high-quality, patient-centered care within the comfort of patients' homes.

A Registed Nurse Care Manager (RNCTM) contributes to AHF by satisfying the AHF Core Measure of being Patient Centered, regulatory & contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on removing access to...

For further inquiries about this opportunity, please contact one of our Talent Specialist, Remy at (224) 394 4902 or Justeen at (224) 394 4903 Title: Occupational Health Nurse (Part-Time) - REMOTE Duration: 12...

Health Assistant – Lvn/Rn Performs general office and clerical duties requiring the ability to interpret and apply procedures and policies to assigned responsibilities. Clerical duties require the ability to perform light...

Position: #710299 Program: Case Management Department: Health Services Reports to: Manager, Nurse Case Management (LVN) Shift Differential Premium: Additional $1.75 per hour for hours worked between 6pm-6am...

Discharge Care Manager 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 with...

Job Description Now Hiring: RN Case Manager - Santa Monica, CA Job ID: JOB-413525 Weekly Pay Range: Contact us for Pay Information Weekly Pay...

Ambulatory Care Manager In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve...

ALOIS Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start...

Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer...

Bestica is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Mission Hills, California.Job Description & RequirementsSpecialty: Acute Care Case ManagementDiscipline: RNStart Date: 07/13/2026Duration: 13 weeks40 hours...

Clinical Liaison RN - PAH The Clinical Liaison RN - PAH is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of...

Job Description Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a passion for the highest quality and patient happiness? Then...

Job Description The registered nurse in Home Care Works under the supervision of the Associate Director and/or Lead RN to assist in all facets of the referral process (preadmission, admission, follow-up and discharge). The...

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...

Registered Nurse - Care Coordinator - 12 Hour DaysJob DescriptionThe Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator clinically assesses, plans,...

RN Triage Nurse (Full-Time) Anchor Health is looking for a compassionate RN Triage Nurse to join a strong supportive team of professionals that provide hospice/palliative care. Position Purpose: Under the general supervision...

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...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Public Health Nurse DEFINITION Under direction, to provide public health nursing services to individual clients and the community at large in connection with the prevention and control of disease or adverse health conditions; and to...