• Utilization Management Reviewer

    AmeriHealth Caritas (Washington, DC)
    …Clinical Care Reviewer assesses the appropriateness of services, identifies care coordination opportunities, and ensures compliance with medical policies. ... Strong understanding of utilization review processes, including medical necessity criteria, care coordination , and regulatory compliance. + Demonstrated ability… more
    AmeriHealth Caritas (09/01/25)
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  • LVN II - Reproductive Medicine Center - 8-Hour…

    Cedars-Sinai (Los Angeles, CA)
    …member of the leadership division meetings. + Provides direct and indirect patient care services including coordination of care for fertility treatment ... academic leaders in the field is looking for a nurse leader to join our expert team. Interested in...of nursing experience in a specialty that involves the coordination of care required + At least… more
    Cedars-Sinai (08/13/25)
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  • Physician

    Childrens Hospital of The King's Daughters (Suffolk, VA)
    …+ Determines need for additional services including but not limited to nursing, care coordination , social services, health education, and referral for specialty ... Nansemond Pediatrics currently have three physicians and one nurse practitioner. Our administrative and clinical team consist...regular multidisciplinary clinical team meetings and assists in the coordination of care in a team-based setting.… more
    Childrens Hospital of The King's Daughters (07/24/25)
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  • Occupational Injury Safety Specialist II

    Baylor Scott & White Health (Temple, TX)
    …health-related issues, as needed. + Acts as a liaison between injured employees, Nurse Case Managers, and Claim Specialists. Provides care for injured employees ... The Occupational Injury Safety Specialist II, directed by the Safety Manager/ Director , uses education and experience to investigate employee incidents. They find… more
    Baylor Scott & White Health (08/14/25)
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  • Facility Administrator - Azura Outpatient Surgery

    Fresenius Medical Center (Olmito, TX)
    …RN license, supervision of nursing staff will be provided by a charge nurse / director of nursing. EDUCATION AND REQUIRED CREDENTIALS: + Bachelor's Degree; ... procedures meets applicable standards. Ensures provision of quality patient care and the role is responsible to the ASC...in Governing Body Meetings; included but not limited to coordination of meetings in compliance with Governing Body Bylaws,… more
    Fresenius Medical Center (09/13/25)
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  • Center Manager - Azura Outpatient Surgery

    Fresenius Medical Center (Olmito, TX)
    …RN license, supervision of nursing staff will be provided by a charge nurse / director of nursing. EDUCATION AND REQUIRED CREDENTIALS: . Bachelor's Degree ... procedures meets applicable standards. Ensures provision of quality patient care and the role is responsible to the ASC...in Governing Body Meetings; included but not limited to coordination of meetings in compliance with Governing Body Bylaws,… more
    Fresenius Medical Center (09/12/25)
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  • Workers Compensation Specialist

    Atlantic Health System (Morristown, NJ)
    …liaison between all Atlantic entities and our Workers' Comp Managed Care Partners/Workers' Comp insurance carriers. Principal Accountabilities: + The Workers' ... from visits and submits to the claims' adjusters and nurse case managers as required. + Fields medical records...coordinates and schedules all approved services. + Provides case coordination and oversight in order to streamline and expedite… more
    Atlantic Health System (09/24/25)
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  • RN Clinical Manager / Home Health

    BrightSpring Health Services (Crossville, TN)
    care and the organization + Holds case conferences to ensure oversight of care , coordination of services and that standards are met + Facilitates the ... leadership opportunity? Adoration Home Health is seeking a passionate, dedicated Home HealthRegistered Nurse Clinical Manager to join our team inCrossville , TN . In… more
    BrightSpring Health Services (09/20/25)
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  • Sup House (RN) PRN

    Community Health Systems (Durant, OK)
    care . Being a part of a system means access to shared clinical expertise, coordination of care and additional improved access to specialty care locally. ... **_RN PRN as a House Supervisor!_** We provide exceptional care for our patients and are looking for caring...rates and sign on bonus offered.** As a Registered Nurse at AllianceHealth Durant, you'll play a vital role… more
    Community Health Systems (09/20/25)
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  • RN Case Manager

    HCA Healthcare (Kansas City, MO)
    …will do in this role: + Responsible for utilization review, discharge planning and care coordination with the patient, patient's family, physician and health ... The RN Case Manager, under the supervision of the Director of Continuum of Care Department provides...resources. **What qualifications you will need:** + (RN) Registered Nurse + Registered Nurse Diploma Research Medical… more
    HCA Healthcare (09/19/25)
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