Offres d'emploi

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

Overview 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 nationa

Become a part of our caring community Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against estab

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin

Become a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using se

Become a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using se

Become a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using se

Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.Who We Are Looking For Ev

Become a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using se

Become a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using se

Overview (Monday through Friday on site at Eureka, 2 to 3 afternoons on site at BroMenn pending census and need. )( Nursing RN>2yrs Case management Preferred) Assures appropriate admission decisions a

Registered Nurse (RN) - Utilization ManagementFT Day Shift (Hrs.: 8a-4:30p) - On-site Newark, DEChristianaCare Hospital in Newark, DE, is seeking a Utilization Management Nurse (RN) with experience wi

Description We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Join us as a Care Manager to play a vital, hands‑on role during a transformational t

Remote and must live in the United StatesJOB DESCRIPTIONJob Summary Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process des

Description At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge a

3 days ago Be among the first 25 applicantsThis is full-time remote, but candidates must reside in IL or TXContract: 12/22/2025 to 03/31/2026RN working in theinsuranceormanaged careindustry using medi

Company Overview At Harbor Health, we’re transforming healthcare in Texas through collaboration and innovation. We’re seeking passionate individuals to help us create a member-centered experience that

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

Complexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal

OverviewTitle:Clinical Review Nurse – Prior Authorization Review Location:Fully Remote(PST Time Zone - WA/OR Resident) Duration:12-Month (Potential for Extension) About the RoleWe are seeking an exper

Additional Information About the RoleJoin a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all uni

Additional Information About The Role Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all un

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.Full Time Social Services Albemarle, NC, US

Additional Information About the RoleJoin a stable work from home team. This is a great opportunity for a local remote position. Schedule PRN (As needed) Shifts will fall between Monday-Friday 8 a.m.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people fo