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RN Coordinator Utilization Management The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. This position reviews applicable...

Care Manager LPN LVN – Remote Candidates residing in Oregon are encouraged to apply. The purpose of this position is to provide care coordination services to Providence Health Plan (PHP) members. Care coordination services include...

Care Manager, Registered Nurse (RN) Wellcove has been recognized as the nation's leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care...

The Columbus Organization is hiring a Clinical Intake Specialist-LPN to act as the primary contact for individuals with complex care needs. You will conduct initial visits, perform needs assessments, and coordinate care with the Case Manager to...

Build What Matters Most-Families, Futures, and Your Career Enjoy meaningful work while contributing to an organization that changes lives every day. US Fertility, the nation's leading partnership of...

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...

Clinical Guide A bit about this role: As a Clinical Guide on our Outpatient Utilization Management team, you'll have the opportunity to make a difference in the lives of our members. You'll be responsible for clinical review of...

Telephonic Nurse Case Manager Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with...

ExamWorks is seeking a self-driven RN or LPN to join as Clinical Quality Assurance Coordinator. You will ensure peer review reports meet high-quality standards, align with client instructions, and cite current medical references. The role...

Trauma Nurse ClinicianSt. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

100% REMOTE PAY: $47-$52/hr REQUIRED: Must have current RN licensingPost market medical device experience in either medical assessment, complaint handling, post market reporting –...

Triage Nurse LPN or RN (Part Time/Weekends) Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.

Utilization Management Nurse Join us in our mission to transform healthcare! NirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...

Nurse (RN or LPN) Opportunity in Espanola, NM Since 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy. With a focus on...

UnitedHealth Group seeks a Registered Nurse, Case Manager to perform telephonic nursing assessments, develop care plans, and coordinate care and benefits for patients. This role supports remote work and aims to improve patient outcomes from a...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

MES Solutions is seeking a self-driven RN or LPN to join our team as a Clinical Quality Assurance Coordinator. This fully remote role focuses on QA of Peer Review case reports, ensuring accuracy, evidence-based rationales, and alignment with...

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology...

A virtual healthcare company is seeking a compassionate RN or LPN to provide nursing care to mental health patients in a telemedicine setting across various states. This is a full-time position with a pay range of $60,000 - $90,000 and benefits...

Family/Adult Nurse Practitioner – Telehealth A leading healthcare organization is seeking an experienced Family or Adult Nurse Practitioner to provide virtual primary and urgent care to adult patients receiving home and community-based...

The Licensed Vocational Nurse is responsible for providing direct or indirect nursing care to patients who present with urgent, emergent, or potential health problems; utilizes knowledge of basic nursing principles, practices and ethics, and...

Board-Certified PMHNPs Needed Seeking Board-Certified PMHNPs to deliver virtual psychiatric evaluations and medication management. Benefit from total schedule control, guaranteed patient volume, and dedicated back-office support so you...

Affect is transforming behavioral health care by delivering 100% virtual treatment through a smartphone app and a dedicated care team. As a PMHNP, you will lead member care alongside counselors, therapists, peer support specialists, and case...

Nurse Position At Akari Care Akari Care is a trusted provider of personalised nursing and residential care within local communities across England and Wales. We offer up to £1500 welcome bonus (subject to T&Cs) for all nurses joining our...