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- 2 days ago
Hospice Triage RN
Moments Hospice · Remote · United States
The Moments Hospice Triage RN is a key member of the interdisciplinary team, providing after-hours clinical support to patients and families.
- 10 days ago
Manager, Utilization Management - Must have a MA RN License
CareSource · Remote · United States
Job Summary:The Manager, Utilization Management is responsible for the oversight of all utilization management activities ensuring consistency of services and achievement of utilization targets.
- 18 days ago
Compliance Manager (RN)
Habitat Health · Remote · United States
Habitat Health empowers older adults to experience more good days in their homes and communities.
- Sep 16
Diabetes Advanced Practice Provider (NP/PA)
Devoted Health · Remote · United States
Job Description A bit more about this role: This position represents an amazing opportunity for an endocrinology or diabetes specialized nurse practitioner or physician assistant (APP) with a big heart and entrepreneurial spirit.
- 4 days ago
Manager, Care Management, Behavioral Health
Humana · Remote · United States
Become a part of our caring community Why Humana?
- 5 days ago
RN Medical Reviewer II - Palmetto GBA
BlueCross BlueShield of South Carolina · Remote · United States
SummaryPerforms medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines.
- 17 days ago
Care Advice Line RN I
Privia Health · Remote · United States
Available Shift Hours: Weekday Coverage availability (Mon-Fri) Time: 4:00-11:00pm ESTOvernight Shifts availability: Saturday & MondayTime: 10:00pm-6:00am (Next Day)Weekend Coverage availability (Saturday & Sunday - 24hours) Weekend Shifts are flexible and may be scheduled in 6, 8, 10 OR 12 hour increments We are actively recruiting for an RN our remote Care Advice Line, (CAL RN1) to join our rapidly growing Population Health team.
- 12 days ago
RN Care Manager - Utilization Review
LCMC Health · Remote · United States
Your job is more than a jobYou overthink every care option and scenario because, as a Care Manager, you’re the hub of your patient's case management and care plan.
- 18 days ago
Clinical Operations Manager
Guideway Care · Remote · United States
About Guideway Care*Guideway Care is The Patient Activation Company™.
- 17 days ago
RN-Utilization Review (Remote Position - AZ Residents ONLY!)
Kingman Regional Medical Center · Remote · United States
Kingman Healthcare Incorporated (KHI)Staff Position Description Position Title: Utilization Review Nurse Position Code: RN-6027 Department: Case Management Safety Sensitive:☒ Yes ☐ No Reports to: Director of Case Management Exempt Status:☐ Yes ☒ No Position Purpose:All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.
- 18 days ago
Bilingual RN Case Manager, SNP - Must have California RN License (Non-Compact) R
Alignment Health · Remote · United States
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail.
- Aug 31
Senior Case Manager RN - Oncology
Highmark Health · Remote · United States
Company :Highmark Inc. Job Description : JOB SUMMARYThis job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes.
- 5 days ago
Associate Manager US Clinical Operations RN
Sagility · Remote · United States
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members.
- 10 days ago
Bilingual Spanish RN Case Manager | Medicare Special Needs Program (SNP) | Remot
Alignment Health · Remote · United States
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail.
- 5 days ago
RN Medical Reviewer II - Palmetto GBA
Palmetto GBA · Remote · United States
SummaryPerforms medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines.
- Aug 28
Part-Time Virtual Care Veterinary Technician - Teletriage
Modern Animal · Remote · United States
At Modern Animal, we’re on a mission to build the future of veterinary care, together.
- 12 days ago
RN Behavioral Health Concierge Care Manager
BlueCross BlueShield of South Carolina · Remote · United States
SummaryWe are currently hiring for an RN Behavioral Health Concierge Care Manager to join BlueCross BlueShield of South Carolina.
- 24 days ago
Health Coach (Contract)
Revero · Remote · Australia, Canada, Germany +
Revero is a personalized digital clinic for treating chronic health conditions such as autoimmune disease.
- 13 days ago
CDI Educator
WVU Medicine · Remote · United States
Welcome! We’re excited you’re considering an opportunity with us!
- Sep 19
Utilization Review Clinician - Behavioral Health
Centene Corporation · Remote · United States
Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse.
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