Utilization Management Clinician — Impactful Care Coordination
PacificSource
PacificSource is seeking an RN/case-management oriented professional to collaborate with physicians, nurses, social workers and other professionals in coordinating healthcare services for members. You will assess benefits and utilization, document care plans, and support discharge planning across inpatient, residential, and outpatient settings. Strong knowledge of medical and behavioral health processes is required. #J-18808-Ljbffr PacificSource
$70.95k - $106.42k
...for a way to make an impact and help people?Join PacificSource... ...quality, affordable care!PacificSource is an... ...fully develop and utilize each person’s talents... ...professionals to coordinate delivery of healthcare... .... Provide utilization management (UM) services which promote...SuggestedContract workWork at office- ...dedicated experienced Registered Nurse Case Manager 3 to join the Case Management team.... ..., implements and evaluates patient care plans and coordinates discharge planning across acute and... ...timely, appropriate care, manage utilization and payer authorization, and actively...Suggested
$85.82k - $113.4k
...face. As a Registered Nurse Care Coordinator within UVA Health's Stem Cell... ...collaboration, and managing complex treatment plans. Working... ...interaction has meaningful impact. Success in this position comes... ...some of the nation's leading clinicians, researchers, and healthcare...SuggestedFull timeTemporary workWork experience placementLocal areaRemote workRelocation packageMonday to FridayFlexible hours$85.82k - $113.4k
Make a meaningful impact on the lives of patients living with complex cardiovascular... ...expertise, patient advocacy, education, and care coordination as part of a collaborative team... ...refill requests and support medication management activities. Coordinate diagnostic testing...SuggestedTemporary workWork experience placementLocal areaRelocation packageMonday to FridayFlexible hours- ...Clinic is seeking a dedicated Registered Nurse Case Manager to join the Case Management Team in Northern... ...8:30am-5:00pm hours. The RN Case Manager will coordinate HIV prevention services, provide education, and navigate care pathways for patients while collaborating with...SuggestedFull timeDay shift
- UVA Health in Charlottesville, VA, seeks a Registered Nurse Care Coordinator to support patients with complex cardiovascular conditions across subspecialties such as Heart Failure and Structural Heart & Valve. You will collaborate with physicians, APPs, and MAs to coordinate...Monday to FridayWeekday work
- Sentara Health Plans is seeking an experienced Utilization Review Nurse (RN) for Imaging/Commercial with remote work eligibility.... ...prior authorization, inpatient and concurrent review, and coordination of care across benefits and contracts. A Virginia-compact or Virginia...Remote jobFlexible hoursWeekend work
- Registered Nurse (RN) Case Manager - Juniper Clinic VA,... ...provider of HIV/AIDS care. We are proud to offer... ...responsible for the coordination, implementation, and support... ...excess days, resource utilization, readmission rates,... ...and positively impact outcomes. Documents key...Full timeMonday to FridayFlexible hoursDay shift
- ...looking for a dedicated Clinical Logistics Coordinator - Bed Placement Registered Nurse (RN) to... ...: Assigns patients to the right care site while promoting positive outcomes related... ...staffing levels in key departments that may impact patient flow such as EVS, transport and...Full timeRemote workFlexible hoursNight shift
- Virginia Commonwealth University Health is seeking a Clinical Coordinator - OR for the Chesterfield Pavilion, which opens in 2027. The role focuses on streamlining patient flow and coordinating the nursing team during shifts in a fast-paced ambulatory surgical setting....Shift work
- Clinical Management Consultants is seeking a Pharmacy Manager for a 300+ bed hospital in Virginia... ...verification-dispensing-administration coordination across the network. Collaboration with... ...supports high-quality patient care. #J-18808-Ljbffr Clinical Management Consultants
- ...Healing Counseling Services (HOHCS) is hiring a Clinical Supervisor in Virginia to oversee QMHP staff, provide supervision, and coordinate care across a team of professionals. The role includes crisis response, service planning, documentation, and engagement with...
- Signify Health, part of CVS Health, is seeking a Full Time Clinician (Nurse Practitioner or Physician Assistant) to perform in-home health evaluations the majority of the time. You will travel within a defined coverage area, performing assessments, reviewing medications...Full time
- Signify Health is seeking in-home clinicians to join a national network dedicated to improving health outcomes. Each 45‑minute visit includes a medication and medical history review, a physical evaluation, and, if required by the health plan, additional diagnostic tests...
- Signify Health, part of CVS Health, seeks a Full-Time Clinician (NP or PA) to perform in-home health evaluations for members across participating... ...plans. The role emphasizes compassionate, patient-centered care in patients' homes. Visits typically last about 45 minutes,...Full time
- Ponos Care is a physician-led, value-based healthcare organization... ...through comprehensive care coordination, home-based and telehealth... ...related conditions. The RN Case Manager (TOC / Travel Infusion / RPM... ...readmissions and emergency department utilization while enhancing quality...Local areaImmediate startRemote work
$40 - $50 per hour
...illnesses in need of complex care. Committed to improving the... ...extraordinary team of pharmacists, clinicians, and business professionals... ...pharmacy quality control, management of pharmacy & nursing... ...ensure optimal patient care and coordination of treatment plans....Hourly payReliefWork at officeLocal areaImmediate start- Agape Care Group is seeking Regional Travel Registered Nurses to join our hospice team. You will evaluate patients, create care plans, and coordinate with families and the care team while traveling within your region, including overnight stays when required. You'll benefit...Night shift
- ...compassionate Registered Nurse to deliver high-quality, patient-centered care in our community-focused hospital. In this role, you will assess patients, administer medications, perform procedures, and coordinate care across specialties. You'll collaborate closely with...Daily paid
- ...Health in Virginia is seeking a capable Registered Nurse to deliver direct patient care within an interdisciplinary team. The role focuses on complex patient populations, coordinating care plans, and contributing to outcome improvements. The position emphasizes leadership...
$125k - $155.04k
...outcomes, and influence patient care beyond the bedside, this is... ...excellence, and create lasting impact across multiple ambulatory clinics... ...are absorbed into Nurse Manager or Assistant Nurse Manager roles... ...improvement role where you can fully utilize Clinical Nurse Leader...Temporary workWork experience placementRelocation packageFlexible hours$26 per hour
...provide comfort, dignity and exceptional care to those who need it most. We’ve been recognized... ...– Join a team led by experienced managers who are committed to customer service excellence... ...Culture of employees creating an IMPACT! Position Summary: The primary purpose of...Hourly payWeekly payDaily paidFull timeLocal areaImmediate startFlexible hoursShift work- ...operations, mentor staff, and collaborate with Nursing leadership to optimize patient care and safety. Responsibilities include responding to emergencies, driving quality improvements, and coordinating care with physicians and units. Strong supervisory background and ICU/ED...
- ...the supervision of a Registered Nurse. The LPN will perform assessments, administer treatments, and help clients and caregivers manage daily care in the home setting. The role requires at least one year of nursing experience, current CPR certification, and strong...
- ...Medical Center is seeking an experienced Manager of Inpatient Case Management to join our... ...excellence and collaborative patient care across disciplines. The role leads RNs,... ...support staff in discharge planning and care coordination, driving quality outcomes and adherence...
- ...affordability, and community impact. Situated in the... ..., our standard of care remains uncompromised.... ...performs MRI procedures utilizing MRI scanners and power... ...emergency situations and managing until appropriate LIP,... ...” functions such as coordinating work assignments, workflow...Contract workWork experience placementSummer workImmediate startShift workWeekend work
- ...Inpatient Psychiatric Unit. You will lead daily shift operations, coordinate patient assignments, mentor staff, and serve as a clinical... ...cases. The role emphasizes crisis intervention, patient-centered care, and collaboration with an interdisciplinary team to ensure safety...Shift work
- ...Internal Medicine trained—to lead our survivorship program. You will oversee care for patients transitioning from active treatment to long-term wellness, directing a team of NPs/PAs and coordinating multidisciplinary services in the Washington, DC metro area. As a...
- Children’s National Northern Virginia is seeking a registered nurse to provide patient care in a fast-paced setting at Fairfax, VA. The role emphasizes leadership, care coordination, and adherence to safety and family-centered care standards. Minimum BSN and one year RN...
$37.62 - $64.22 per hour
...building, bringing comprehensive, patient-centered outpatient care closer to residents in one of Virginia’s largest counties. Scheduled... ...in one of Virginia’s fastest‑growing communities. The Clinical Coordinator - OR job facilitates patient flow, coordinates activities and...Work experience placementWork at officeLocal areaShift work
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