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Imagine a career at one of the nation's most advanced health networks.Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally

About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standar

Date Posted:2026-03-24Country:United States of AmericaLocation:Florida - RemoteWHY JOIN FCSAt Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in t

OverviewSite: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers

The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization and a

Utilization Management RN - Behavioral Health (OR Licensed)Position Responsibilities SpecificDetermine appropriateness of services through the application and evaluation of medical guidelines, benefit

Job Title: Utilization Management RN (Remote) | Baltimore, MD | $85K+Fully remote opportunity. Fast interview process.Location:Baltimore, MD (Remote – must reside in Maryland or hold compact license)J

OverviewPosition SummaryThe Clinical Specialist reports to the Assistant Manager, Medical Management and provides clinical decision-making support and community resource coordination in support of Com

Santa Barbara Cottage Hospital is seeking a Clinical Audit Specialist - Utilization Management to conduct audits ensuring compliance with medical necessity criteria. This role requires expertise in ev

RemoteJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:Capital Rx , a public benefit corporation delivering

About NYC Health + HospitalsMetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of produ

Job Responsibilities Core ResponsibilitiesChronic Disease ManagementDeliver ongoing care, support, and health education to participants with chronic illnesses including COPD, Diabetes, Heart Failure,

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We’re more than just a team; we're a close-knit community. Our shared commitment t

Regional Sales Professional (Criminal Case Management) About the role: Our client is on the search for a driven, ambitious, and results-oriented Regional Sales Professional to join their rapid growing

We’re financing the future of energy. Crux is the capital platform for the clean economy. We modernize capital raising and deployment for clean energy and critical infrastructure with solutions across

Operations Enablement Manager (Disputes Management) Remote CanadaAffirm is reinventing credit to make it more honest and friendly, giving consumers the flexibility to buy now and pay later without any

Oscar Insurance Corporation (Oscar Health, Inc.) is seeking a full-time Remote Case Management Nurse. In this role, you will educate members on health outcomes, assist with care transitions, and colla

Jacoby & Meyers is seeking a dedicated Case Manager to join our fully remote team. The ideal candidate should have excellent organizational skills and be able to communicate effectively in both Englis

Relationship Management Manager – Employer Services (Remote)Full-timeEmployee Status: RegularPay Range: $90,000 - $150,000Role Type: HomeJob Posting - Salary Range: See Pay RangeDepartment: Sales & Bu

Customer Relationship Management Manager We are seeking an experienced Sr. Manager of CRM to join a fast paced, women's fashion organization on the DTC team. With a significant fleet of B&M and a thri

Sr. Manager, Consulting - Asset Management & Investment Location: Remote - USType: Full-time, PermanentPlease note:This posting represents a pipeline role for upcoming consulting projects. We’re alway

This job is fully remote.Clear and excellent English communication skills, technology skills, and organization skills, required. ResponsibilitiesThe Educational Case Manager is integral to the success

We’re supercharging the clean economyCrux is the capital markets platform changing the way clean energy and manufacturing projects are financed in the U.S. Crux’s platform, market intelligence, and ex

JOB DESCRIPTION The Senior Manager, Healthcare IT Consulting provides clients healthcare consulting services by assessing the client’s business needs, recommending and implementing technology, systems

Join our team and accelerate your career.Life insurance is a complex and consequential purchase that impacts hundreds of millions of Americans. With our powerful and integrated digital tools, expert s