Job Title: Part-Time (Pay-Per-Click Model) Tele-RN Case Manager Academic Background: Multi-State RN Licensure Required Experience: 3+ Years Case Management Experience in the Inpatient & ED Setting Required 3+ Years Experience in Interqual and Mcg Required Must be Qualified
At MCG, we lead the healthcare community to deliver patient-focused care. We have a mission-driven team of talented physicians and technical experts developing our evidence-based content and innovating our products to accelerate improvements in healthcare. If you
At MCG, we lead the healthcare community to deliver patient-focused care. We have a mission-driven team of talented physicians and technical experts developing our evidence-based content and innovating our products to accelerate improvements in healthcare. If you
Anticipated End Date:2026-10-02 Position Title:Medical Director- Florida Medicare Job Description: Medical Director- Florida Medicare Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This
Opportunity Overview: The RN Reviewer position is a crucial role in our organization — in this role you are responsible for performing a full range of activities that will positively impact the organization and contribute to
Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well
Quality Assurance Manager, Clinical Systems -This position is responsible for providing leadership oversight in the correct and effective use of decision tools used for utilization management activities including staff training. The position is responsible for managing
Become a part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires
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. It takes an entire team of passionate and caring people, united
Opportunity Overview: We are seeking a technology-savvy clinical leader with strong Utilization Management (UM) expertise to join Cohere Health as the Clinical Integrity Director. Reporting to the Vice President of Clinical Integrity, this role is a
Become a part of our caring community The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at
Company Description Mission Critical Group (MCG) is an end-to-end power systems and solutions provider that accelerates time-to-power and delivers scalable, resilient infrastructure for mission critical environments. By integrating engineering, manufacturing, modular deployment, and lifecycle services under one platform,
At Trend Health Partners, a tech-enabled payment integrity company, our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the
Are you a problem solver, born leader of complex projects, and service oriented? If so, you could be our next Product Service Manager with Manitowoc Cranes. As a Field Service Engineer, you will be responsible for
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists
OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful consideration. That’s why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member
Department Name: Prior Authorization Work Shift: Day Job Category:Clinical Care The future is full of possibilities. At Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to
Department Name: Prior Authorization Work Shift: Day Job Category:Clinical Care Better Than Ever for Nurses. At Banner Health, advanced technology and nursing come together to achieve the best patient care possible. We’re making the biggest investment
Anticipated End Date:2026-10-07 Position Title:Utilization Management Representative II Job Description: Utilization Management Representative II Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes