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

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

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...

Elevance Health, Inc. is seeking a Nurse Case Manager I (RN) to perform telephonic care management for members with complex and chronic care needs. The role supports assessment, development, implementation, coordination, monitoring and evaluation...

About This Role The RN Case Manager for Skilled Nursing Facilities (SNF) is responsible for coordinating and managing care for Medicare Advantage members in skilled nursing facilities. This role is ideal for those who excel in...

Elevation Health, Inc. is seeking a Nurse Case Manager II to manage complex care needs, assess and coordinate care plans, and collaborate with Medical Directors to optimize member outcomes. The role is primarily remote with periodic in-person...

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...

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...

UnitedHealth Group's Optum Care at Home is hiring a Telephonic RN Case Manager to serve as primary contact for members with complex needs, conducting telephonic assessments, creating care plans, coordinating transitions, and addressing barriers to...

LTSS RN 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 deeply,...

Elevance Health is seeking a Nurse Case Manager I (RN) to support members with complex and chronic care needs through telephonic care management. The role requires assessing, developing, coordinating, and evaluating care plans to optimize health...

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...

Acrisure is seeking a Telephonic Nurse Case Manager to support workers' compensation claims through clinical case management and coordination of care. This role collaborates with medical providers, employers, claims professionals, and injured...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal...

Sedgwick is seeking a Telephonic Case Manager (RN) to partner with injured workers, employers, and medical providers. The role focuses on developing a case management strategy to facilitate medical recovery and a successful return to work through...

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 deeply, innovate with purpose, hold...

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...

University of Massachusetts Medical School seeks a Nurse Reviewer II to provide administrative case management for the Community Case Management Program. You will coordinate long-term services, assess care needs, and collaborate with nursing...

Sedgwick is seeking an RN Field Case Manager to join our nationwide team in a remote, home-based role with occasional travel. You will work with injured workers and medical providers to coordinate care, advocate for treatment, and support timely...

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...

CorVel Corporation is hiring a skilled Registered Nurse for a Medical Case Manager role in Kentucky, with the Georgetown/Lexington area preferred. The position offers work from home and local travel, Monday–Friday business hours. The role...

Nurse (RN) - Case Manager Hours are as needed, Monday - Friday during business hours; you will work 4, 8 or 10-hour shifts as needed to fill gaps in staffing. Hours can also include weekends but not required. This position is remote.

Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote role based in the United States. You will conduct admission and concurrent reviews, assess medical necessity, and coordinate appeals to support patient care and...

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...

We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Bay Position Overview: Experienced Registered Nurse who provides skilled palliative and end of life...