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

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

FlexCare Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Arcadia, 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...

The Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to pace...

The Ambulatory Case Manager, RN is responsible for providing comprehensive care coordination and case management services to members, ensuring seamless...

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...

Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is good for people...

TEKsystems in Texas (remote) is seeking an experienced Registered Nurse to transition from bedside care into care coordination, member advocacy, and improved health outcomes. This fully remote role supports high-risk populations while balancing...

JOB DESCRIPTION Opportunity in Southern California for an experienced Managed Care Leader to join our health plan in California. Candidates must have a minimum of 7 years of healthcare experience, 3 of those should be with a...

The Lead, RN Case Manager is an experienced RN Case Manager who provides clinical and operational support to the Care Management leadership team. In addition to performing the full scope of an RN Case Manager, the Lead is...

Working as a Nurse Case Manager at Cunningham Childrens Home means youll be part of team that is dedicated to supporting youth in critical need of emotional, psychological, and physical care. Located in Urbana, IL, Cunningham Children's Home is a...

Empowering families for optimal wellness, the full-time Texas Licensed Nurse Case Manager will work remotely to assess member needs, develop individualized care plans, and coordinate necessary medical services for high-risk populations in a...

Company : Highmark Health Job Description : Job Summary This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses...

National Care Advisors is seeking a full-time Nurse Case Manager based in Oakland, California. This role focuses on providing case management services for special needs clients while collaborating with family caregivers and professionals.

UnitedHealth Group is seeking a Telephonic RN Case Manager to oversee clinical operations and medical management across the continuum of care. You will assess, plan, implement, coordinate, monitor, and evaluate care in a high-volume,...

Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

Wellmark is seeking a Case Management Nurse I to support members with chronic and complex health care needs. You will develop individualized care plans and collaborate with members, families, providers, and community resources to coordinate care.

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...

Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare service utilization. The role requires clinical expertise and collaboration with providers to...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

A leading health service provider in Kentucky is seeking experienced Registered Nurses for the Field Care Manager role. Nurses will conduct non-clinical, in-home assessments and manage their own schedules. The position offers a competitive salary,...

UnitedHealth Group is seeking aRegistered Nurse in the United States for utilization review and case management. The role supports inpatient care decisions, discharge planning, and collaboration with clinical leadership to ensure high-quality...

Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role involves developing and implementing...

Medlogix, LLC is seeking a Field Case Nurse Manager (RN/LPN) to work from home with travel to claimants' physician appointments or homes in the Northern New Jersey area. You will coordinate care with providers and insurance carriers while ensuring...