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Registered Nurse - Duals Program Utilization Management Join a dynamic team in a brand new 2026 program dedicated to managing the Duals line of business, combining Medicare and Medicaid benefits into a single comprehensive service. This...

Nurse Abstractor The Suicide Mortality Review (SMR) Program, within the Arizona Department of Health Services' Office of Fatality Review, conducts multidisciplinary reviews of suicide deaths to identify system gaps, risk factors, and...

Registered Nurse (RN) for Utilization Management Team We are seeking a Registered Nurse (RN) to join our Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews,...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

Overview The Clinical Manager is responsible and accountable for the quality of staff and functions during their shift. Directly supervises and communicates with all staff along with the Department Director. Assists the...

Location Address: 2925 Chicago AveLoading DockMinneapolis, MN 55407-1321 Date Posted: August 26, 2026 Department: 16008746 Information Systems Optimization Solutions Shift: Day (United States of...

Utilization Review Nurse, 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...

Description The Care Manager Registered Nurse (RN) serves as a key clinical member of the interdisciplinary care team as part of the Care at Home Solutions program. The Care Manager RN partners closely with the Medical...

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...

Registered Nurse The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community...

Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning...

RN - Utilization Management ID 2026-25367 Category Registered Nurse specialties - Case Manager Facility Nationwide - California Job Description Spectrum Healthcare Resources has...

Parenteral Services Clinical RN Specialist The Parenteral Services Clinical RN Specialist provides clinical support to the Parenteral Services team through advanced nursing expertise, education, care coordination, and operational...

RN Clinical Coordinator Home Health Attention all RN Home Health Clinical Coordinators! You Your new Journey awaits!!! Come share our passion, mission and vision tor extraordinary community-based services around the Hampton Roads. Lake...

Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Utilization Management Admissions Liaison RN II (Nights) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13180 Salary...

Admissions RN Bristol Hospice Greater LA, CA - Lakewood, CA 90712 Overview Salary Range $55.00 - $58.00 Hourly Position Type PRN Hourly Job Shift Any Description Do you enjoy being at the beginning of the...

Title: Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (FT conversion) Job Description This position will be remote but candidate must reside in tri-state area to be eligible for potential conversion.

Job Description The Clinical Documentation Integrity Specialist II(CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of provider-based...

Part C Grievance & Appeals Nurse Become a part of our caring community The Part C Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical nursing skills to support the coordination, documentation and...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Where You'll Work CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and...

RN Review Analyst | Remote | Contract Walker Healthforce is seeking an RN Review Analyst with 2-4 years of clinical experience to perform clinical reviews and help ensure...

The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The Care Manager...