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Confidential
A company is looking for a Transitions of Care Nurse (RN or LPN). Key Responsibilities Serve as the primary clinical resource for members discharging from inpatient acute medical facilities Coordinate and manage transitions of care for assigned...
Confidential
A company is looking for a Utilization Review Nurse - LPN (Remote). Key Responsibilities: Conduct concurrent and continued stay Utilization Management reviews, ensuring accurate data tracking, evaluation, and reporting Lead or participate...
Confidential
A company is looking for a Utilization Management Nurse (MLTC Focus) to perform clinical reviews for Managed Long-Term Care members. Key Responsibilities Conduct standard and expedited UM clinical reviews for inpatient, outpatient, and custodial...
Confidential
A company is looking for an RN Specialist Complex Case Manager. Key Responsibilities: Engage with members, families, and providers to manage complex medical cases and develop comprehensive care plans Conduct clinical assessments and collaborate...
Confidential
A company is looking for a Sr. Clinical Research Associate. Key Responsibilities Support site management activities including identification, qualification, and monitoring of clinical sites Conduct site monitoring visits to ensure compliance...
Confidential
A company is looking for a Medical Assistant / Case Management Processor. Key Responsibilities Perform initial triage of Case Management tasks and review member data for care plan implementation Make outbound calls and send follow-up emails to...
Confidential
A company is looking for a Clinical Program Manager to oversee its Clinical Therapy Program. Key Responsibilities Manage and supervise the clinical team, ensuring high-quality care and professional growth Develop and implement innovative...
