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Registered Nurse | Utilization Management Appeals Nurse | Remote | Contract

Remote

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6d ago

Utilization Management Appeals Nurse | 3 years | Remote | Contract Walker Healthforce is seeking a Utilization Management Appeals Nurse with 3 years of experience to support a healthcare client based out of New Jersey. This is a 6-month contract opportunity. START DATE: ASAP WORKER TYPE: W2 CORE REQUIREMENTS:Minimum of 3 years clinical experience.3 years experience in the health care delivery system/industry.Must have effective verbal and written communication skills and demonstrate the abilit

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Contract

Depends on Experience

Care Manager - Behavioral Health

Remote

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6d ago

Job Title: Care Manager - Behavioral HealthLocation: California (must reside and be licensed in California)Schedule: Monday Friday, 8:00 5:00 pm Job Overview:We are seeking experienced Care Managers with a behavioral health focus to join a growing team supporting mental health and substance abuse programs. You will monitor inpatient and outpatient services, conduct concurrent reviews, and ensure medical necessity and quality of care for members. This role will also engage in crisis intervention,

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Full-time

$30 - $40

Care Manager - Health Plan

Remote

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6d ago

Job Title: Care Manager - Health PlanLocation: Remote (CST hours)Schedule: Monday Friday, 8:00 5:00 pm CST Job Overview:This position focuses on comprehensive care management, including assessment, care planning, and coordination of services for members with moderate to high behavioral health needs. The Care Manager will oversee the delivery of person-centered care plans, monitor outcomes, and collaborate with internal and external resources to ensure quality, cost-effective services. Key Respon

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Full-time

$30 - $40

CARE UMR Senior Data Analyst - Remote in New York or New Jersey

Remote or New York, New York

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Today

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 for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The CARE Sr. Data Analyst is responsible for supporting clinical report analysis and creation and deli

Full-time

USD 89,800.00 - 160,600.00 per year

Agile Product Owner Senior Advisor

Remote

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Today

Role Summary: This role is for an Agile Product Owner within the Clinical IT Product Management team. This position will specifically be filling a Product Owner role within Agile/Scrum and the Scaled Agile Framework (SaFe) delivery process for primarily support of the UM/CM applications and any supporting or extension applications. This position will support up to 3 scrum teams. The Product Owner will be tasked with working with our business partners to understand and prioritize scope, engage i

Full-time

USD 113,000.00 - 188,400.00 per year

Data Visualization Lead

Remote

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Today

Become a part of our caring community and help us put health first Are you passionate about transforming complex data into actionable insights that drive strategic decisions? Do you thrive at the intersection of technology, analytics, and leadership? Join Humana's innovative Visual Insights and Automation team within Pharmacy Analytics and Consulting as a Data Visualization Lead. In this role, you will consult with a variety of business partners and stakeholders, leading the development of inter

Full-time

USD 106,900.00 - 147,000.00 per year

Clinical Data Governance/Informatics Lead - Cigna Healthcare - Hybrid

Remote or Bloomfield, Connecticut

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Today

Role Summary: Effective execution of good data governance principles and practices minimizes risk and ensures the data is available and fit for purpose. As part of The Cigna Group's Enterprise Clinical & Health Organization (ECHO), the Clinical Data Governance Lead is responsible for overseeing the integrity, quality, and governance of clinical data critical to ECHO operations, programs, and strategies. The ideal candidate should have a strong health care payer, clinical operations, and/or clini

Full-time

USD 111,800.00 - 186,400.00 per year

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