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"nurse utilization management i or ll california preferred remote ps33862 alhambra" in "None"

RN Senior Clinical Quality Consultant Compact Lics Telecommute (Alhambra)

UnitedHealth Group Alhambra California United States
(No Timezone Provided)

Opportunities at WellMed , part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient...

Utilization Management Nurse 2 (Remote

Humana Indianapolis Indiana United States
(No Timezone Provided)

About this job Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and ...

Care Manager II (RN) - Remote Available

Envolve Pharmacy Solutions None null United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

RN Case Manager PHM Telecommute Greater Texas (Alhambra)

UnitedHealth Group Alhambra California United States
(No Timezone Provided)

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-...

Nurse Practitioner Manager in Richmond, VA (Hybrid REMOTE)

DaVita Kidney Care Richmond Virginia United States
(No Timezone Provided)

DaVita is looking for a Full-Time Nurse Practitioner (NP) Manager to join our Integrated Care team. The Nurse Practitioner Manager leads and manages our Integrated Kidney Care Nurse Practitioners remotely. Must live in Richmond, VA area. *MUST LIVE LOCALLY. Work from home and regional trave...

Nurse Practitioner/Physician Assistant, TEMPORARY (Must have active CA License) *REMOTE* (Alhambra)

Alignment Healthcare Alhambra California United States
(No Timezone Provided)

* TEMPORARY REMOTE Nurse Practitioner/Physician Assistant** MUST HAVE ACTIVE California state Nurse Practitioner or Physician Assistant license*Schedule: Monday-Friday, 8am to 5pm (PT)Duration: 4/22/24 to 12/31/24Benefits: Medical, Dental and VisionOverview of the Role:The Alignment Jump Start Asses...

Remote UR Manager

MedPartners Saginaw Michigan United States
(No Timezone Provided)

Description POSITION SUMMARY: Responsibilities include but are not limited to: Concurrent and retroactive chart review, performed for medical necessity as well as for effectiveness and appropriateness of admission, length of stay, and utilization of hospital resources. Knowledge of state an...

Medical Director, Utilization Management - Remote

UnitedHealth Group Tampa Florida United States
(No Timezone Provided)

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 connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

Medical Director, Utilization Management - Remote

UnitedHealth Group Jacksonville Florida United States
(No Timezone Provided)

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 connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

Concurrent Review Nurse I- $7,500 Sign-On Bonus Remote available

Envolve Pharmacy Solutions Baton Rouge Louisiana United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ** ...

Medical Director, Utilization Management - Remote (Missouri)

UnitedHealth Group Independence Missouri United States
(No Timezone Provided)

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 connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

Medical Director, Utilization Management - Remote (Missouri)

UnitedHealth Group Columbia Missouri United States
(No Timezone Provided)

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 connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

Medical Director, Utilization Management - Remote (Missouri)

UnitedHealth Group Springfield Missouri United States
(No Timezone Provided)

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 connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

Medical Director, Utilization Management - Remote (Missouri)

UnitedHealth Group Lees Summit Missouri United States
(No Timezone Provided)

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 connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

Temporary Remote UM Care Manager (RN)

Home Nursing Agency Pittsburgh Pennsylvania United States
(No Timezone Provided)

Description Are you a registered nurse with a background in utilization management? Are you interested in the opportunity to work from home? UPMC Health Plan is looking for you! We are hiring temporary full-time Utilization Management Care Managers to support the Utilization Management Clinic...

SAP FICO Analyst (Remote) (Alhambra)

Stella-Jones Alhambra California United States
(No Timezone Provided)

Note: This is a remote, home-based position (with occasional travel in the US and Canada) and our selected candidate will reside in the Pacific time zone.Company OverviewStella-Jones is North America's leading producer of industrial pressure-treated wood products. Responding to the vital infrastruct...

Utilization Review Nurse (Remote)

Oscar Health None Arizona United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Utilization/Clinical Review Nurse to join our Clinical team.  Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need you...

Utilization Review Nurse (Remote)

Oscar Health Dallas Texas United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Utilization/Clinical Review Nurse to join our Clinical team.  Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need you...

RN Senior Clinical Quality Consultant Compact Lics Telecommute (Alhambra)

CareerBuilder Alhambra California United States
(No Timezone Provided)

Opportunities at WellMed , part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient...

Care Manager I (RN) - Remote Available

SilverSummit Healthplan Virginia City Nevada United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Positi...

Utilization Review Nurse - Remote

Mercy Springfield Missouri United States
(No Timezone Provided)

The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to Mercy Care Management. This includes the validation, assimilation, and integration of information derived from projects, focus studies, in network and out of network pr...

Medical Director, Utilization Management - Remote

UnitedHealth Group Indianapolis Indiana United States
(No Timezone Provided)

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 connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

Medical Director, Utilization Management - Remote

UnitedHealth Group Nashville Tennessee United States
(No Timezone Provided)

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 connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

Medical Director, Utilization Management - Remote

UnitedHealth Group Raleigh North Carolina United States
(No Timezone Provided)

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 connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

RN Senior Clinical Quality Consultant Compact Lics Telecommute (Alhambra)

Optum Alhambra California United States
(No Timezone Provided)

Opportunities at WellMed , part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient...

Behavioral Health Care Manager - Remote Available

Fidelis Care Bedford New Hampshire United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Care Manager I (RN)- $7,500 Sign-On Bonus Remote Available

Centene Lafayette Louisiana United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ** ...

Care Manager I (RN or LCSW) --Remote Available

Fidelis Care Charlotte North Carolina United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Associate Principal - CEQA Planning (Fully Remote, Ownership-Track!) (Alhambra)

CareerBuilder Alhambra California United States
(No Timezone Provided)

Meridian Consultants is a small and growing environmental planning firm that handles large and unique projects usually available only to larger firms - they tackle master planning, infill, all varieties of transit/transportation, infrastructure, education, large-scale development and many others. Th...

Associate Principal - CEQA Planning (Fully Remote, Ownership-Track!) (Alhambra)

JDH Professional Recruiting Alhambra California United States
(No Timezone Provided)

Meridian Consultants is a small and growing environmental planning firm that handles large and unique projects usually available only to larger firms - they tackle master planning, infill, all varieties of transit/transportation, infrastructure, education, large-scale development and many others. Th...

Prior Authorization Nurse II - Remote Available

Centene San Diego California United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Prior Authorization Nurse II - Remote Available

Centene El Centro California United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Transitional Care Nurse Case Manager - Telephonic/Non-Remote (Call-In Rotator)

The Queen's Medical Center Honolulu Hawaii United States
(No Timezone Provided)

Responsibilities I. JOB SUMMARY/RESPONSIBILITIES:• Provides clinical consultation as a Registered Nurse (RN) to patients upon discharge through the Transitional Case Management Program (TCMP).• Key responsibilities include, but are not limited to, assessment and development of transitional care plan...

Concurrent Review Nurse II - Remote Available

Centene Fresno California United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.   ...

Concurrent Review Nurse II - Remote Available

Centene Los Angeles California United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.   ...

Concurrent Review Nurse II - Remote Available

Centene Los Angeles California United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.   ...

Concurrent Review Nurse --Remote Available

Fidelis Care Charlotte North Carolina United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.   ...

RN Case Manager - Telecommute - 2006217

UnitedHealth Group Albuquerque New Mexico United States
(No Timezone Provided)

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Nurse Case Manager II (NCM) is responsible for patient case management for longi...

Case Manager / Utilization Review RN Remote

Interim HealthCare - Indianapolis, IN Indianapolis Indiana United States
(No Timezone Provided)

Currently seeking a qualified RN to staff a remote position for Utilization Review in Indianapolis.Must be Indiana Resident.It is a 3 month position, hours being Monday-Friday 8A-5P EST.High speed internet connection is required, along with the ability to connect to a router.Pay is $35/hour.Benefits...

*RN Care Manager Float - Work from Home Flexible (Alhambra)

Lakeland Care Alhambra California United States
(No Timezone Provided)

Job Type Full-timeDescriptionCulture Highlights! Flexible work environment - work from where it's most convenient, home or office. Flexible work model - flex your time to blend work and life to fit various lifestyles/needs. Monday through Friday schedule. 9 paid holidays, and 3 additional floating h...

Nurse Liaison - Post Acute Care (Remote-Brooklyn, NY) Sign-on Bonus!

CareCentrix San Diego California United States
(No Timezone Provided)

Are you an experienced Registered Nurse with a passion for shaping the future of healthcare? As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned cas...

Retail Production Assistant - Remote (Alhambra)

sproutwholesale.com Alhambra California United States
(No Timezone Provided)

**Retail Production Assistant - Remote**at Sprout Mortgage El dorado Hills, California Sprout Mortgage seeks to hire a Retail Production Assistant that is driven to make an immediate impact. Our Production Assistant position requires dedication to strive for success by providing support of the daily...

RN, Care Manager (Utilization Review), Remote, Per Diem

Glendale Adventist Medical Center Bakersfield California United States
(No Timezone Provided)

Essential Functions: Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care. Ensures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services...

Web Technical Lead, Spring Boot, Angular.js, DevOps - Work From Home (Alhambra)

Parallel Partners Alhambra California United States
(No Timezone Provided)

Web Technical Lead, Spring Boot, Angular.js, DevOps - Work From Home The Web Technical Lead opportunity is 100% Remote, and we are looking for multiple Web Technical Leads for this position! Qualifications: - Bachelor's degree preferably in Computer Science, Information technology, Computer Engineer...

Registered Nurse Atrium Health At Home Union

Atrium Health Navicent Fairfax South Carolina United States
(No Timezone Provided)

Job Summary Serves a case management role, responsible for an assigned group of patients, typically geographically related and accountable for the oversight and overall management of the post-acute services in the home setting. Provides direct patient care and supervision of LPNs and HHAs in accorda...

Registered Nurse Atrium Health At Home Blue Ridge

Atrium Health Navicent Morganton North Carolina United States
(No Timezone Provided)

Job Summary Serves a case management role, responsible for an assigned group of patients, typically geographically related and accountable for the oversight and overall management of the post-acute services in the home setting. Provides direct patient care and supervision of LPNs and HHAs in accorda...

Utilization Review/RN - Remote

integrated resources Corvallis Oregon United States
(No Timezone Provided)

Job Name:Utilization Review/RN - remoteFacility Address: 815 NW 9th St Corvallis, OR 97330Job Description: JOB SUMMARY/PURPOSE Reviews, assesses, and evaluates clinical information used to support Utilization Management (UM) decisions based on established clinical criteria and applies intermediate...

Utilization Review RN (Remote - Compact/AZ RN License)

Change Healthcare None Washington United States
(No Timezone Provided)

The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...

Utilization Review RN (Remote - Compact/AZ RN License)

Change Healthcare Kansas City Kansas United States
(No Timezone Provided)

The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...

Utilization Review RN (Remote - Compact/AZ RN License)

Change Healthcare None South Dakota United States
(No Timezone Provided)

The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...