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

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, 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...

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...

Sedgwick is seeking an RN Field Case Manager to work face to face with injured workers and medical providers, supporting advocacy, expedient treatment, and return-to-work efforts. The role blends remote work with necessary in-person interactions...

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...

CVS Health is seeking a Case Manager Registered Nurse to operate in the field across Monmouth and Ocean Counties, NJ. This remote role requires 25–50% travel to meet members in their communities while maintaining standard 8:00am–5:00pm hours.

CVS Health is seeking a remote RN Case Manager to support American Health Holding (AHH), a division within CVS Health, across the United States. This full-time role involves telephonic case management, applying clinical guidelines, coordinating...

Nurse Case Manager II Telephonic Nurse Case Manager II Anticipated Job Posting End Date: 10/30/2026. Location: This role enables associates to work virtually full-time, with the exception of required in-person training...

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 that is changing the way clinicians work and live. As a member of the Optum Care Delivery...

Molina Healthcare of California is hiring a Transition of Care Coach LVN/LPN. This role is remote; however, candidates must have a valid and unrestricted California LVN/LPN licensure. The hours will be Monday through Friday...

CVS Health is seeking a Remote RN Case Manager in North Carolina to guide members through their healthcare journey with telephonic assessments and personalized care plans. This full-time remote role offers weekday schedules and a chance to impact...

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...

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...

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...

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...

Anticipated End Date: 2026-11-11 Position Title: Nurse Case Manager II - California Job Description: Nurse Case Manager II CA Location: State of Californica...

CVS Health is seeking a Community Care Case Manager to coordinate case management for high-need members across the care continuum. The role involves assessment, planning, advocacy, and collaboration with providers, insurers, and employers to...

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 Managed Care...

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...

The Center for Development and Disability (CDD) at the University of New Mexico seeks a Nurse Manager to lead the statewide Medically Fragile RN Case Management program from a remote satellite office. You will supervise Nurse Case Managers,...

About This Role As a Clinical Grievances Nurse, you will review incoming retrospective cases to determine if appropriate care was given and ensure members' immediate needs are addressed. This role is ideal for those who can work PST hours...

Harris Health is seeking a Referral Center Clinical Coordinator to coordinate case management, assess patient needs, plan care, and facilitate services across the network. This role supports a collaborative interdisciplinary approach to improve...

OHARA, LLC is seeking a Telephonic Nurse Case Manager to coordinate services for injured workers toward pre-injury status. This full-time, remote role supports patients from Sioux Falls, SD, and surrounding areas, emphasizing timely,...

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...