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Full-Time

CCM – Personal Registered Nurse – RN – Case Manager – Work At Home Attention RegisteredNurses! Would you enjoy an opportunity to Work at Home? Humana wants YOU tojoin our growing team of Personal Registered Nurses. We have multiple openings for Personal...

Humana

WORK FROM HOME!

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CAREERBUILDER APPLY

Full-Time

CHRONIC CONDITIONS REGISTERED NURSE The Chronic Conditions Registered Nurse will telephonically identify and assess patient and family/caregiver needs and begin appropriate interventions. Provide compassionate telephonic care through team coordination. Pr...

Southfield, MI

CAREERBUILDER APPLY

Full-Time | Pay: $61k - $66k/year

UTILIZATION REVIEW / REGISTERED NURSE / SUPERVISOR The Utilization Review Nurse Supervisor will supervise the daily operations of the utilization management (UM) and high-risk case management functions and ensure appropriate usage of resources in order to...

Orlando, FL

Full-Time

Position: RN / LPN - MDS Nurse - Clinical Reimbursement Specialist Category: MDS Shift: -not applicable- Education Level: Associate's Degree Location Name: Hanover House Nursing & Rehabilitation Center MDS Nurse - RN or LPN Hanover House Nursing and Rehab...

Massillon, OH

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Full-Time

New Beginnings Case Manager – Registered Nurse – RN – CCM – Work AtHome Attention Registered Nurses! Would you enjoy an opportunity to Work atHome? Humana wants YOU to join our growing team of New Beginnings CaseManagers. We have multiple openings for...

Humana

WORK FROM HOME!

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4w
4 weeks ago

Full-Time

Utilization Management / Registered Nurse / Licensed Practical Nurse / Utilization Review Description: Under general supervision, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical informat...

Doral, FL

CAREERBUILDER APPLY

Full-Time | Pay: $105k - $115k/year

General Purpose/Scope: Compass Healthcare Consulting & Placement a full time Permanent Placement Agency is conducting a search for a Grievance and Appeals RN for our Client a growing Managed Long Term Care Plan (MLTC) located in New Hyde Park New York. Th...

New Hyde Park, NY

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2d
2 days ago

Seasonal/Temp

On behalf of our client, a large healthcare organization in Maryland, we are seeking multiple nurses to perform medical record audits for HEDIS quality measures. This is a temporary assignment until the project is completed with part-time and full-time ho...

Baltimore City, MD

CAREERBUILDER APPLY

Full-Time

(RN) Ambulatory Nurse Case Manager A growing Managed Care company in Los Angeles is looking for an Ambulatory Case Manager. The goal of this case manager is to effectively manage patients on an outpatient basis to assure the appropriate level of care is p...

Los Angeles, CA

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CAREERBUILDER APPLY

Full-Time

Are you a RN who values autonomy, setting your own schedule and likes to office remotely? Are you well organized, computer savvy, and appreciates a market driven salary with immediate benefits? Part of QUESTPRO’S exclusive clientele, this Select National...

North Tustin, CA

CAREERBUILDER APPLY

Full-Time

Questpro is currently partnering with a leading Third Party Administrator, who will be hiring a RN Workers’ Compensation Telephonic Case Manager to work “Onsite" at their office M-F full-time in Dallas TX. Main responsibilities will include but not limite...

Dallas, TX

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CAREERBUILDER APPLY

Full-Time | Pay: $155k - $200k/year

FORTUNE 500 MANAGED CARE ORGANIZATION Job description Promotes professional development through the application of principles of adult learning in broad-based program development. Leveraging expertise in KP's electronic medical record,KP HealthConnect (KP...

San Mateo, CA

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CAREERBUILDER APPLY

Seasonal/Temp

We are actively seeking full-time highly motivated Registered Nurses (RNs) with strong Utilization Review (UR) or Case Management (CM) experience. The Utilization Review Registered Nurses (RNs) will perform comprehensive reviews to determine medical neces...

San Diego, CA

CAREERBUILDER APPLY

Full-Time

Registered Nurse - RN MDS Coordinator Successful Long Term Care provider in the Parma, OH area is currently seeking a Registered Nurse interested in using his/her MDS knowledge in the position of RN MDS Coordinator. Qualified candidates must have a valid...

Confidential

Parma, OH

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CAREERBUILDER APPLY

Full-Time

RN Registered Nurse / Lead MDS Coordinator A Long Term Care facility in the Silver Spring, MD area is currently seeking a Registered Nurse interested in using his/her MDS knowledge in the position of RN Lead MDS Coordinator. Qualified candidates must have...

Confidential

Silver Spring, MD

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2d
2 days ago

Full-Time

NOW HIRING registered nurses for Utilization Review and Case Management in the Omaha area! RESPONSIBILITIES: Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and appr...

Omaha, NE

Full-Time

Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide. Anthem is one of the nation's leading health benefits companies and a Fortune Top 50 company. At Anthem, Inc., we are de...

Atlanta, GA

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Full-Time

Position: RN / LPN - MDS Nurse - Clinical Reimbursement Specialist Category: MDS Shift: Days Education Level: Associate's Degree Location Name: Greenbrier Health Center - 6455 Pearl Rd LPN or RN MDS Nurse Coordinator - Experience Required Greenbrier Healt...

Parma Heights, OH

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CAREERBUILDER APPLY

Full-Time | Pay: $85k - $110k/year

WORK FROM HOME Currently seeking an RN to perform Field Case Management services for Workers' Compensation claims in the Orange, CA area. The ideal candidate will possess a current unrestricted CA RN license with 1 year of case management experience. Resp...

North Tustin, CA

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CAREERBUILDER APPLY

Full-Time | Pay: $85k - $110k/year

Currently seeking an RN for a Case Management services role in the Sacramento, CA area. The ideal candidate will possess a current unrestricted CA RN license with Case Management experience. Responsibilities of the Nurse Case Manager - Workers Comp Resear...

Sacramento, CA

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CAREERBUILDER APPLY

Full-Time/Part-Time | Pay: $104k - $182k/year

Medix is looking for a computer savvy, primary care and/or preventative medicine focused Nurse Practitioner . This position is working with an esteemed global healthcare insurance company! The Nurse Practitioner job duties include: Perform health risk ass...

Tyler, TX

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CAREERBUILDER APPLY

Full-Time

WE ARE GROWING REGISTERED NURSES HIRING EVENT MARCH 14, 2017 9:00 A.M. TO 4:00 P.M. CASE MANAGERS CASE MANAGERS LTSS REMOTE RN TRANSITION OF CARE March 14, 2017-Appointment only 9-4 Job Summary Molina Healthcare Services (HCS) works with members, provider...

Columbus, OH

CAREERBUILDER APPLY

Full-Time | Pay: $120k - $160k/year

Utilization Management Director / Registered Nurse The Utilization Management Director will provide direction and oversight to ensure effective management of inpatient care, discharge planning, and prior authorizations. Optimize processes and workflows to...

Southfield, MI

4w
4 weeks ago

Contractor

HEDIS Abstractor- Nurse HEDIS Abstractor - Nurse SUMMARY: Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. If necess...

Columbus, OH

Full-Time

Position: RN / LPN - MDS Nurse - Clinical Reimbursement Specialist Category: MDS Shift: Days Education Level: Associate's Degree Location Name: Fayette Health & Rehabilitation Center RN / LPN - MDS Coordinator - Registered Nurse or Licensed Practical Nurs...

Baltimore, MD

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