Now hiring for a Top Healthcare company located near the Waukegan, IL whom are in need of an experienced Medical Review Nurse - Adverse Events to become a part of the team, for an onsite position.T...

Now hiring for a Top Healthcare company located near the in Waukegan, IL whom are in need of an experienced Medical Review Nurse - Adverse Events to become a part of the team, for an onsite positio...

As a Utilization Review Nurse, you will be responsible for assessing, planning, implementing and coordinating all case management activities as well as evaluating the medical needs of the member to...

Clinical Review Nurse needed for a contract opportunity with Yoh’s client located in Alameda, CA! Top Skills Should You Possess: Previous experience Appeals & Grievances What You’ll Be Doing: C...

Drafts corrective action plan (CAP) requests and educational letters for Medical Director to be sent to providers based on quality findings. Presents CAP responses to Medical Director and/or PRC. C...

Manage medical management review cases identified for utilization management, including review and interpretation of medical records and clinical updates Prepare cases for physician review Performi...

Are you ready for an exciting new opportunity with a Fortune 50 healthcare plan? Healthcare Support is currently accepting applications to join a value-driven managed care organization for a Remote...

Now hiring for a Top Healthcare / Managed Care company in McAllen, TX whom are in need of an experienced Care Manager RN to become a part of the team, for an onsite position. Please apply directly ...

Tower Health is a strong, regional, integrated healthcare provider/payer system that offers leading-edge, compassionate healthcare and wellness services to a population of 2.5 million people. Toget...

Complies with all standard operating procedures, and all departmental and organizational policies. Meets and exceeds minimum benchmark established for the role. Develops relationships with physicia...

Description: Our client is currently seeking a Quality Review RN in Monterey Park, CA!! This job will have the following responsibilities: Investigates and reviews potential quality of care issue (...

Prepares and follows case for subsequent multi-level reviews as needed. This may include a specialty reviewer, Peer Review Committee (PRC) or Credentialing Committee. Drafts corrective action pla...

· The two major functions of the Post-Acute Care Case Manager (PACCM) are to ensure the customer is at the appropriate level of care, and to initiate and follow through in the discharge planning pr...

The Emergency Department Case Manager / Utilization Review Nurse collaborates with all members of the Emergency Department/Clinical Resource Management (CRM) team to review and coordinate the admis...

Utilizing a collaborative process, the case manager will assess, plan, implement, coordinate, monitor, evaluate and advocate the options and services required to meet an individual's health needs, ...

Registered Nurse uses approved screening criteria (Milliman/Interqual/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for tha...

Occupational Health Registered Nurse needed for full-time contract work opportunity with Yoh’s client located in the Browns Summit, NC Top Skills You Should Possess: Registered Nurse Occupational H...

Description: The Judge Group is currently seeking a Utilization Review Registered Nurse in the Berwyn, PA area. This position will be in support of a dedicated healthcare professional staff with on...

This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to members and assist those members experiencing the burde...

Now hiring for a Top Healthcare / Managed Care company in McAllen, TX whom are in need of an experienced Care Manager RN to become a part of the team, for an onsite position. Please apply directly ...

Now hiring a full time Registered Nurse Case Manger for a Major Health Plan / Managed Care company located in the Tempe, AZ area. With this position at this time it will start as REMOTE but it will...

In collaboration with the patient/family, social workers, physicians and interdisciplinary team, the RN case manager ensures patient progression through the continuum of care in an efficient and co...

Are you an experienced RN / Registered Nurse Care Coordinator looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly...

Role : Occupational Health Nurse RN Location: Savannah, GA 31407 Duration: 11 Months Contract Job Description: RN in state of employment Principle Duties and Responsibilities: Det...

Requires a graduate from an accredited school of nursing and holding current state Registered Nurse (RN) license. Compact state licensure is preferred. Additional state licensure to meet contractua...