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

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...

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...

Job Description Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a passion for the highest quality and patient happiness? Then...

Responsible for admissions, concurrent and/or retrospective reviews of all patients in accordance with the criteria, policies, and procedures approved by the Performance Improvement Committee, and consistent with Federal and State guidelines, PRO...

Registered Nurse (RN) | Case Manager Location: Glendale, CA Agency: United Health Care Staffing, Inc. Pay: $3,000 to $3,300 per week Shift...

Leading the RN-led Complex Care Management program, the contract-to-hire RN Case Management Director will oversee strategy, clinical workflows, and operational performance in a remote setting, ensuring adherence to NCQA standards and driving...

Field Nurse Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has...

Job Description Job ID: 26-78778 Position Type: Full time Location: Northern or Central Counties considered (Monmouth, Morris, Somerset, Union, Passaic, Bergen,...

Requisition number: 2370499 Job category: Nursing Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading...

RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization Management *SRMC Care Management *Full Time *Part Time Receive 17% Weekday Nights, 26% Weekend Nights and 15%...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Roze Room is a leading provider of Hospice and Palliative Care, celebrating 25 years of service to Southern California communities. Be the Nurse Who Makes Every Moment Matter. Full-Time Hospice RN Case Manager (RNCM) Field Based. San Gabriel Valley...

Utilization Review Specialist The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions of Participation with regard to Utilization Management. Perform Utilization Review according to CMS and commercial payor...

Utilization Review Nurse Health Plans - Case Management US:NM:Alamogordo | Utilization Management | Full Time This position has a remote option for those living close and will be able to come into the hospital as needed.

Field Nurse Case Manager - Glendale, CA Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every...

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...

Remote Clinical Review Nurses Urgent hiring for "Remote Clinical Review Nurses". Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary...

The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best...

Job Opportunity Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating...

Job Description Join Cedars-Sinai Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a Nurse Navigator to guide patient journeys within...

Prior Authorization RN - Contract Role Location Requirement: Candidate must reside in NJ, PA, NY, CT, or MD Work Model: WFH, but must be able...

Responsive recruiter Benefits: Mileage Reimbursement Referral Bonus Bonus based on performance Company parties Competitive salary Donation matching Employee discounts Flexible...

Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...