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Supports the values of service excellence, teamwork, and integrity while managing patient care. Acts as a liaison among patients, caregivers, multidisciplinary teams, and payers. Qualifications: Requires a...

Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the bedside while still making a massive impact on patient care? We are seeking a dedicated Utilization Review Nurse to join our...

Registered Nurse Primary Care 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...

RN Case Manager This position involves managing case management for an inpatient general medicine unit. The RN will be responsible for clinical discharge planning and utilization management. The nurse will need to demonstrate competency...

RN Coordinator Utilization Management The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. This position reviews applicable...

Discharge Nurse II, RN Arcadia Office - Arcadia, CA 91007; Huntington Beach Office - Huntington Beach, CA 92647 Overview Salary Range $81,500.00 - $100,000.00 Salary Position Type Full Time Description This...

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise...

Details Client Name Providence St Joseph Medical Center - Burbank Job Type Travel Offering Nursing Profession RN...

$2529.60/week - Job Summary: Seeking an experienced acute care case manager registered nurse to coordinate patient care within a hospital setting. This role involves collaborating with healthcare teams to ensure comprehensive patient management...

Winter Bill Rate Increase The winter bill rate increase will be effective from October 4, 2026, through February 27, 2027. After February 27, 2027, the bill rate will automatically return to the standard rate. Please note that cancellations due to...

Utilization Management Nurse We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Clinical Documentation Integrity Specialist II The Clinical Documentation Integrity Specialist II (CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness...

Job Title: Clinical Quality Assurance Nurse Pay: see below Registered Nurse - $28.50/hr (Non-negotiable) LPN/LVN- $26.50/hr (non-negotiable) Regular Schedule after...

Supportive Housing Case Manager (Ages 18–25)The Supportive Housing Case Manager (Ages 18–25) supports young adults in securing and keeping stable housing while building life skills and independence. Using a positive, youth-centered approach,...

Clinical Guide A bit about this role: As a Clinical Guide on our Outpatient Utilization Management team, you'll have the opportunity to make a difference in the lives of our members. You'll be responsible for clinical review of...

Registered Nurse - Case Manager @ UCLA Health Santa Monica Medical Center Shift Details: 5 Day Shifts X 8 Hrs Job Order Details: Start Date 11/02/2026 End Date 02/01/2027 Duration 13 Week(s) Location: Santa Monica, CA ...

Outpatient Case Manager (RN/LVN) Recruiting on behalf of a leading healthcare organization in Southern California About the Opportunity Vivo HealthStaff is proud to partner with our client, a...

Managing patients' specialized needs remotely, the full-time Nurse Care Manager will take ownership of patients with complex chronic conditions, collaborating with healthcare providers to develop comprehensive nursing care plans aimed at...

Salary : $107,352.48 - $160,692.96 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: PH5230F-EA Department: PUBLIC HEALTH...

Job Title: Registered Nurse - Care Management (Day Schedule) Location: 100% Remote - United States Employment Type: Full-Time W2 Hourly Compensation: $40 per...

Randstad USA is seeking a hybrid RN Case Manager in the greater Arlington, VA area. This role blends home-based and field work, covering Falls Church, Annandale, Springfield, Arlington, Alexandria; mileage reimbursed. The ideal candidate...

UnitedHealth Group is seeking a Telephonic RN Case Manager to act as the primary contact for members with complex medical and social needs. You will conduct telephonic assessments, create person‑centered care plans, and coordinate services...

Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Glendale, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

Registered Nurse The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community...