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JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but selected candidate must reside in the state of California. This position requires California RN Licensure. Candidates must...

Cunningham Children's Home in Illinois seeks a Nurse Case Manager to support residential programs with medical case management, screening, education, counseling, and medication management. The role involves coordinating with community providers...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

CVS Health is seeking a Case Manager, Registered Nurse, to deliver community-based care management. The role emphasizes compassionate communication and coordinating care for members in a remote GA setting, with a focus on outcomes and patient...

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...

Job Details Field Nurse Case Manager (Remote) 2026-1480 Bethesda, Maryland, United States Medical Case Management Full Time Description Overview Are you looking to make a difference by...

Medix is seeking a Remote Telephonic RN Case Manager to provide telephonic case management for chronically ill members within a C-SNP population. The role requires an active Compact State RN license or CA license and a strong commitment to patient...

Optum NY seeks an RN Case Manager to coordinate referrals for high‑risk members, educate patients on illnesses and treatments, and support care plans across the continuum. The role emphasizes strong clinical expertise and collaboration with...

Dimensional Health Care Associates, Inc. (DHCA) seeks an RN Case Manager/Delegating Nurse in Bowie, MD to manage client care and delegate tasks. The role includes travel to client homes, initial and periodic assessments, and coordination with...

CVS Health is seeking a remote RN Case Manager to support telephonic case management for fully and self-insured clients, applying clinical guidelines and care plans to optimize benefits and member outcomes. The role requires 5+ years as an RN,...

Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

Description: 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...

Guidehealth, a data-powered healthcare company, is seeking a licensed RN Case Manager to work remotely from Wisconsin. You will collaborate with clients and members to promote wellness, navigate the health system, and manage case assignments from...

1 day ago Be among the first 25 applicants At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading...

Case Manager Brighton Health Plan Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by Case Managers. The employee reports directly to the Supervisor, Case Management (LCSW). In addition, the role...

Santa Barbara Cottage Hospital is seeking a Telephonic Nurse Case Manager to assess and coordinate care for injured workers. Responsibilities include planning and implementing medical case management, ensuring timely communication with all...

To support injured workers remotely, the full-time Registered Nurse Case Manager will create case management strategies, perform clinical assessments via telephone, and advocate for effective medical treatment while collaborating with various...

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...

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...

Job Title: Registered Nurse (RN) Disease Manager Job Overview: The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or...

Ochsner Health, a leading not-for-profit healthcare provider in the Gulf South, seeks an experienced RN for a remote case management role. You will coordinate care by liaising with patients, caregivers, multidisciplinary teams, and payers to...

Your job is more than a job You overthink every care option and scenario because, as a Care Manager, you're the hub of your patient's case management and care plan. You assure quality through the continuum of care, collaborate with members...

Sedgwick is seeking a Telephonic Case Manager (RN) for a fully remote role in the United States. You will partner with injured workers, employers, and medical providers to develop case management strategies aimed at medical recovery and successful...

Elevance Health is seeking an experienced nurse to review complex cases for medical necessity, applying clinical guidelines and nursing judgment. The role involves collaboration with physicians, case managers, and Medical Directors to optimize...

CVS Health is seeking a compassionate Registered Nurse Case Manager to support members across Essex County and nearby areas. This is a remote role with up to 75% field travel, Monday–Friday 8:00 AM–5:00 PM EST, delivering high‑quality,...