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JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Responsible for collaborating with healthcare providers and physicians for problem solving, prioritizing and facilitating patient care objectives, the coordination and...

Position Summary Help us elevate our patient care to a whole new level! Join our team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members.

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Case...

Job ID: 28177 *Description*There's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive,...

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...

CVS Health is seeking a remote RN Case Manager to support members across multiple states from anywhere in the United States. This full-time role includes telephonic collaboration with patients and care teams to coordinate benefits and care plans.

Job Summary Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical...

Elevance Health is seeking a Nurse Case Manager II (RN) to perform care management for members with complex needs. This fully telephonic role supports coordination of care across states with multi-state RN licensure required upon hire.

Case Manager Utilization RNWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the...

About This Role The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and continued stays, ensuring appropriate care levels and safe discharge plans. This role is ideal for those who thrive in a...

Optum is seeking a Telephonic RN Case Manager to coordinate medical management across the care continuum. You'll conduct assessments, plan, implement, monitor, and educate members, with a focus on safe, efficient, and patient-centered care.

CVS Health is seeking a dedicated Case Manager to coordinate and deliver comprehensive care for members, navigating medical needs and social determinants. You will partner with providers, patients, and families to plan care, monitor progress, and...

JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across...

Required Skills & Experience • Active RN license (Compact license required)\n• 2–4 years of clinical experience (neurology and/or endocrinology experience preferred)\n• Strong interest in chronic disease management across neuro and...

Anticipated End Date: 2026-11-11 Position Title: Nurse Case Manager II - California Job Description: Nurse Case Manager II CA Location: State of Californica...

Sedgwick is hiring an RN Telephonic Case Manager. This remote role supports injured workers by evaluating medical needs, coordinating care, and advocating for timely recovery and return to work. You will work with employers, providers, and...

Medical Solutions is seeking a local contract nurse RN Case Management for a local contract nursing job in Paramount, California. Job Description & Requirements Specialty: Case Management Discipline: RN ...

Job Description Responsible for collaborating with healthcare providers and physicians for problem solving, prioritizing and facilitating patient care objectives, the coordination and development of staff education, and...

Mission Statement The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel...

Rate: $52 USD per hour Description Mission Statement The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the...

Sedgwick is seeking an RN Telephonic Case Manager to coordinate medical recovery and return-to-work efforts. You will work remotely with injured workers, employers and providers to develop a care plan, communicate progress, and advocate for...

Crossbridge Hospice At Crossbridge Hospice, we believe a role is truly fulfilling when it aligns with your personal values, reflects your interests, leverages your strengths, and supports your professional growth. Our mission—people...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...

Community Care Case Manager We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...