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

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...

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

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...

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,...

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...

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...

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...

Case Manager Utilization RNPrimary Location Baldwin Park, California Facility Name Baldwin Park Hospital Employee Status: Regular Schedule Part-time Scheduled Weekly Hours: 20 Shift Day Salary $68.95 - $84.38 / hour Job Number 1452761 Worker...

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...

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...

RN Field Assessor 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,...

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...

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...

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...

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...

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...

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...

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...

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...

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...

CVS Health is seeking an Integrated Care Management (ICM) Case Manager to develop proactive care plans that address identified issues. You will coordinate with members, providers, and community resources to improve wellness within...

Acentra Health in California is seeking a Nurse Case Manager to evaluate beneficiaries' needs, develop individualized care plans, and coordinate the healthcare team to ensure optimal client outcomes while adhering to payer requirements. 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...