• Appeals Nurse Consultant - Fully Remote

    CVS Health (Columbus, OH)
    …is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH ... support cost-effective quality care for members. Administers review and resolution of clinical complaints and appeals. Interprets data obtained from clinical more
    CVS Health (09/20/25)
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  • Acute Cardiac Charge Nurse

    HCA Healthcare (Charleston, SC)
    …work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Trident Medical Center! ... **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers...designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing… more
    HCA Healthcare (09/19/25)
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  • Charge Nurse RN Geriatric Psych

    HCA Healthcare (West Palm Beach, FL)
    …or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida JFK North ... Hospital! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers...designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing… more
    HCA Healthcare (09/11/25)
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  • FSER Emergency Room Registered Nurse

    HCA Healthcare (San Antonio, TX)
    …work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Methodist ER Converse! ... **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers...designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing… more
    HCA Healthcare (08/08/25)
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  • Charge Nurse RN Med Surg Tele

    HCA Healthcare (West Palm Beach, FL)
    …or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida JFK North ... Hospital! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers...designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing… more
    HCA Healthcare (07/14/25)
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  • Registered Nurse - Utilization Review RN…

    Beth Israel Lahey Health (Boston, MA)
    …as a Registered Nurse (RN), Massachusetts + Three years of recent clinical or utilization management experience _Preferred:_ + Bachelor's degree in nursing ... fields. + Competence in standardized medical necessity criteria + Three years of recent case management or utilization management experience + ACM, CCM, or… more
    Beth Israel Lahey Health (09/10/25)
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  • Sr. Occupational Health Nurse

    Abbott (Santa Clara, CA)
    …and injured employees to reach maximum health and productivity. Functions as a clinical case manager and coordinates an individual client's health care services ... outcomes. * Identifies client goals, objectives, and actions in a comprehensive case management plan and implements interventions to achieve desired outcomes… more
    Abbott (09/06/25)
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  • Professional Staff Nurse - Home Health…

    UPMC (Seven Fields, PA)
    …will work to find the best team for YOU! Responsibilities: + Coordinate case management activities within an interdisciplinary healthcare team to ensure timely ... UPMC Home Health is hiring a full-time Registered Nurse (RN) for the Beaver, Rochester, Freedom and...Health Aides, to support care delivery. + Participate in case conferences, team meetings, and other collaborative forums to… more
    UPMC (09/16/25)
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  • Nurse Liaison

    Fairview Health Services (Princeton, MN)
    …plan in a legible, thorough, timely and clinically appropriate manner. + Provides case management and coordinates the treatment planning process in collaboration ... as an interdisciplinary team member. Responsible, as assigned, for the management of caseload. **Job Expectations:** Works collaboratively with the physician and… more
    Fairview Health Services (09/18/25)
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  • Revenue Integrity - Nurse Auditor

    Trinity Health (Ann Arbor, MI)
    …regulations, healthcare financing and managed care. Knowledge of and experience in case management and utilization management . Outpatient CDI experience ... Patient Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related audits, and identifies… more
    Trinity Health (07/11/25)
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