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description: RN, Nurse LeadProvides unit-based leadership working collaboratively with the Nurse Manager, Director, Physicians, and staff. Supervises and directs the activities of various levels of assigned nursing and ancillary...

Job Opportunity Our client is a private health management company devoted to providing an exceptional clinical team in the comfort, and privacy of a patient's own home. We are seeking dynamic, experienced, and compassionate Registered...

Description Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise...

Nurse Educator Program ManagerNote: We are seeking a highly motivated, skilled and experienced nurse educator for an'sweat equity' ownership position in a new allied health ursing program in Redondo Beach. This is a once-in-a-lifetime opportunity...

Description Appeals RN in Case Management - REMOTE position. This position is Per Diem and will work 8- hour, Day shifts. The Care Management Recovery Advocate (CMRA) is responsible for providing...

Inpatient Wound Care Staff Nurse RN Opportunity An exceptional opportunity awaits an Inpatient Wound Care Staff Nurse RN at a respected Southern California hospital-where clinical excellence meets purpose. The Inpatient Wound Care...

Lead RN Reviewer Cohere's Service Operations team is responsible for ensuring that our healthcare partners are supported throughout their lifecycle of using the platform. The Lead RN Reviewer in Service Operations position is a crucial...

The Ambulatory Case Manager, LVN is responsible for providing comprehensive care coordination and case management services to members,...

Complex Care Registered Nurse (RN) Join a purpose-driven team in downtown Los Angeles as a Complex Care Registered Nurse (RN) supporting the PACE Program. We're seeking a dedicated nurse who is committed to providing compassionate,...

Hours: FT, Mon-Fri 8:30-5p Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of...

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 - 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...

Overview Virtual RN Interview Days Dates: Aug 17 - 21 Location: Virtual (by appointment) Night shifts only Ready to make a...

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,...

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...

To support a growing healthcare team, the full-time Remote RN Care Manager will manage an assigned patient panel, focusing on individual healthcare needs, collaborating with interdisciplinary teams, and advocating for patients while working...

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...

Virtual Pre-Admit RN Partnering for a stronger, healthier world. At CommonSpirit Health, we believe in the healing power of humanity. We invite you to explore our specialty areas and pursue a career in humankindness.

Job Details Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish...

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

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...

Elevance Health in Denver, CO seeks a Wellness Nurse Consultant to develop and manage health programs for federal employees under the Federal Employee Program. The role is field-based with travel to client sites and occasional home-office work,...

The Leading Provider of Integrated Occupational Medicine Services CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. Our...

Humana Inc. in the United States is seeking a Part C G&A Nurse (Utilization Management Nurse 2) to support case preparation, review medical documentation and coordinate appeal determinations. This remote, full-time role requires an RN with...

CNA Position at Long Beach VAMC Life in Long Beach is so much sweeter... The community Long Beach, California Long Beach is a waterfront playground located right in the heart of Southern California. Here you can experience it all:...