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Providing coordination of care for SNP members, the full-time Registered Nurse Care Manager will establish and maintain care plans, collaborate with interdisciplinary teams, and ensure quality management of health services in a remote setting. Key responsibilities Conduct intake assessments and...

To support clinical decision-making, the full-time remote Pennsylvania Licensed Nurse Informatician will manage data integration and workflow analysis, implement clinical tools, and serve as the primary IT clinical end-user contact for nursing processes. Key responsibilities Coordinates data...

To support the management of Workers' Compensation medical cases involving cardiac conditions, the full-time Cardiac Telephonic Nurse Case Manager will utilize advanced clinical knowledge to evaluate treatment plans, monitor recovery progress, and collaborate with healthcare providers to ensure...

Analyzing prior authorization requests, the full-time New York Licensed Clinical Review Nurse will determine medical necessity and appropriate levels of care while working remotely during Eastern Time hours. Key responsibilities Perform medical necessity and clinical reviews of authorization...