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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...

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...

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...

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.

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...

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 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,...

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...

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

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...

CVS Health is seeking a Registered Nurse to lead case management for Medicare members in a remote, full-time role. You will coordinate care across providers, insurers, and community resources to improve wellness and timely return to baseline.

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 ...

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...

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...

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.

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...

Details Client Name CSMN- Inpatient Specialty Program Crisis Response Job Type Travel Offering Nursing Profession Registered...

Job Summary: Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing...

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...

LTSS Service Coordinator – RN Clinician (RN Case Manager) Eastern Ohio Hiring in the following counties: Richland Franklin Muskegum Guernsey Noble Washington Morgan...

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.

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...

Requisition number: 2396596 Job category: Nursing Optum UT is seeking a Skilled Nursing Facility (SNF) Case Manager to join our team in Draper, UT. Optum is a clinician-led care organization...