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Job Summary The Nurse Specialist is responsible for utilizing their nursing knowledge and clinical judgement in reviewing all client employee examinations, testing, and questionnaires, in consultation withWorkCarePhysicians, ensuring compliance...

GQR Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Woodland Hills, California. Job Description & RequirementsSpecialty:...

Care Career is seeking a travel nurse RN Care Manager for a travel nursing job in Burbank, California. Job Description & RequirementsSpecialty: Care...

Inova Schar Cancer Institute is seeking a qualified Registered Nurse for a remote PRN position. The role supports oncology clinics with a flexible M-F schedule and no night shifts or on-call hours. Remote eligibility is limited to specific states,...

Sentara Health is hiring an Integrated Case Manager, RN. This remote role requires travel to Roanoke, VA for in-person assessments and periodic member visits. You will manage care plans, coordinate services, and collaborate with medical directors...

JOB DESCRIPTIONWe are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance Abuse...

Centene Corp. is seeking a remote RN to perform prior authorization reviews in New York. You will assess medical necessity, collaborate with providers and the authorization team, and help ensure timely, appropriate care for members. The...

Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers...

Job Summary The Nurse Specialist is responsible for utilizing their nursing knowledge and clinical judgement in reviewing all client employee examinations, testing, and questionnaires, in consultation withWorkCarePhysicians, ensuring compliance...

HCS 247 is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...

Sedgwick is seeking an RN Telephonic Case Manager to support injured workers remotely. You will partner with workers, employers, and medical providers to develop care plans that promote medical recovery and a successful return to work. The...

Manage patient messages through the telehealth platform and address routine clinical questions within scope.Escalate complex medical concerns to providers and coordinate timely follow-ups.Maintain accurate documentation and follow established...

Intermountain Health is seeking an RN Utilization Review Care Management I for remote work. The role focuses on screenings, assessments, and evaluations to ensure cost-effective, high-quality care while coordinating with patients, families,...

Sentara Health is hiring a Remote Utilization Review Registered Nurse to perform prior authorization and utilization review for inpatient and outpatient services. Candidates must reside in Virginia and hold an active Virginia RN license. As...

Hi. We're Hummingbird. We're elevating patient access so patients can get healthcare how, when, and where they need it. We partner with healthcare systems to transform how patients access care, enabling their providers to focus on what...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care...

Case Management Utilization RNSalary: $68.95 - $84.38 / hourLocation: Los Angeles, California, Los Angeles Medical CenterEmployee Status: RegularSchedule: Part-time, 32 hours per week, Day shiftJob Summary:Works collaboratively with an MD to...

CareHarmony is hiring a Licensed Practical Nurse (LPN) in Oklahoma City to join their team in delivering value-based care management. The role involves conducting health assessments, coordinating resources for chronic care, and educating patients.

CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays,...

The University of Texas Southwestern Medical Center in Dallas seeks a Nurse Manager for Care at Home Clinical Services, overseeing Remote Patient Monitoring and Home Infusion Services. The role requires strategic leadership, regulatory expertise,...

Position Purpose: Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care.

Omega Healthcare in the United States is seeking an experienced RN with UR/UM leadership to drive utilization management programs. You will mentor staff, coordinate workflows, and partner with physicians and hospital leadership to optimize patient...

Cambia Health is seeking an Utilization Management Nurse to work remotely within Oregon, Washington, Idaho or Utah. The role focuses on prospective, concurrent and retrospective reviews to ensure medical necessity and cost-effective care, applying...

Case Manager RNParamount, CA$2425 /Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur8H Days13 Weeks40Long Term Acute Care Hospital165Proprietary SoftwareRequirementsAt least 2+ years'...

Forthright CM is seeking a self-motivated Registered Nurse (RN) for an in-person per diem role in California. The position allows remote work locally with travel and a flexible schedule. A company laptop is provided to support a hybrid/remote...