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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...

Nursing Care Coordinator Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care.

JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but selected candidate must reside in the state of California. This position requires California RN Licensure. Candidates must...

Employment Type: Full time Shift: Night Shift Description: Position Summary: Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to...

Humana is seeking a skilled Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care such as SNF, Home Health, and DME. You will report to the Manager of Utilization...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

Call Center: Telecare Registered Nurse (RN) (REMOTE) Mesa AZ Trending Job Info Job Identification 22455 Job Category Registered Nurse Posting Date 08/20/2024, 07:37 PM Locations 20 E Thomas...

Select how often (in days) to receive an alert: Date: Sep 21, 2026 Location: Any city, KS, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of...

Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role involves developing and implementing...

A growing telehealth women's health program is seeking a Board-Certified Womens Health Nurse Practitioner (WHNP) to provide comprehensive virtual care focused on perimenopause, menopause, and midlife health. This fully remote role offers...

CVS Health is seeking a licensed RN Case Manager to work remotely across the United States, conducting telephonic case management for fully insured and self-insured clients with clinical judgment and collaboration with care teams. The role...

Amedisys is seeking an Intake/Referral Coordinator to join our home health and hospice team in Baton Rouge. You will be the first line of contact for customers, intake referrals, and scheduling evaluation visits. The role requires a high...

A virtual psychiatry practice in Missoula is seeking experienced Psychiatric Mental Health Nurse Practitioners (PMHNPs) for full-time W-2 roles. This position offers the ability to work 100% remotely, manage a diverse patient population, and...

To support a growing healthcare team, the full-time Remote RN Care Manager will manage an assigned patient panel, focusing on individual healthcare needs, collaborating with interdisciplinary teams, and advocating for patients while working...

BHU Intake Nurse Coordinator (RN)Job Title: BHU Intake Nurse Coordinator (RN) - Per Diem: 1 shift per week, weekend availability requiredBase Rate: $41.73- $61.3512 hr. shifts- paid overtime after 8 hours, resulting in an average rate of $48.69 -...

Humana is seeking a Care Manager, Telephonic Nurse 2 to assess and coordinate care for members in a telephonic environment. You will guide families toward appropriate resources and report to the Associate Director, Health Services Nursing.

Job Description Navigator RN - Breast Center at Providence Saint John's Health Center in Santa Monica, CA. This position is Full-time and will work 10-hour, Day shifts. Join Providence Saint John's...

Athens Administrators is seeking a Telephonic Nurse Case Manager to support our Managed Care Department. This full-time role is remote and can be located from multiple states; it operates 9am–5pm Pacific Time, Monday–Friday.

COPE Health Solutions is seeking a qualified Utilization Management Nurse (RN) to assess member needs, determine medical necessity and coordinate care across providers and care teams. This full-time, remote position reports to Medical Management...

Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

Job Description You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive...

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 Title Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes scientific evidence...

Job Title: Clinical Operations Manager - Virtual Care Management (RN) Location: Remote - United States Employment Type: FT Exempt Direct Reports:...

Job DescriptionRegistered Nurse (RN) Care Management Specialist Location: Remote- Onsite for Training (Must reside within 2 hours of Columbia, SC) Pay Rate: $30/hour ScheduleMonday through...