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Optum Case Manager RN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with...

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...

University of California - Los Angeles Health seeks a Senior Case Manager to coordinate care for international patients. You will review referrals, arrange MD-to-MD case reviews with physicians abroad, and educate patients and families about the...

CVS Health is seeking a Case Manager - Registered Nurse to collaborate with members, providers, and community partners to address comprehensive health care needs. This role is ideal for experienced nurses looking to make a significant impact on...

Sedgwick is seeking an RN Field Case Manager to coordinate care for injured workers, advocate for timely treatment, and support return-to-work, operating from a home-based office with frequent travel in Grand Rapids and Kalamazoo, MI. The...

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,...

Utilization Management Nurse Specialist RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary...

RN Case Manager Location: Washington-- Remote (CKD) (Would prefer the RN to be based in Seattle or surrounding cities) This is a primarily remote position requiring a dedicated home office and the ability to travel to meet business...

Regional Case Manager (RCM) Registered Nurse (RN) Are you ready to reset your case management career with a dynamic and growing healthcare company? If you're ready for the challenge, YOU could be the right fit for this position! Prestige...

Are You Ready to lead in Healthcare? We are currently seeking a Full-Time Case Manager(LPN/LVN) to join our outstanding healthcare team!Salary Range: $83,203-$93,936 per yearWe are passionate about providing high-quality care and fostering a...

Roze Room is a leading provider of Hospice and Palliative Care, celebrating 25 years of service to Southern California communities. What You'll Do Lead and coordinate individualized hospice care plans Provide skilled...

To support injured employees in their recovery, the full-time RN Telephonic Case Manager will work remotely, conducting clinical assessments, coordinating medical services, and advocating for effective treatment while leveraging their nursing...

RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time...

RN Case Manager | Registered Nurse Hardwick, MN $71,589 - $93,099 a year Full Time Job Summary: The RN Case Manager plays a vital role in promoting optimal social and emotional functioning while helping patients effectively...

Case Manager LVN Days Join our team in Los Angeles, CA, as a Case Manager LVN, focusing on patient care coordination and discharge planning. Position Details: Contract: 13 weeks, 40 hours/week, 9am-5:30pm, includes...

Registered Nurse - Case Manager Start date: ASAP Floating Expectation: No First Time Traveler: Yes but 1st time travelers must be screened Ratios: Days 1:25 Years of experience REQ: 2-year acute medical Care...

Telehealth Nurse Lynn Community Health Center (LCHC) is one of Massachusetts' largest community health centers, delivering comprehensive, high-quality, and affordable care to more than 46,000 patients each year. Located in the heart of...

Arkansas Blue Cross and Blue Shield seeks an Appeals Coordinator with a strong nursing background to review adverse benefit determinations within regulatory timeframes. You will apply medical guidelines and corporate policies, drawing on HCPCS/CPT...

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...

Renown Health is seeking a Utilization Management RN to apply medical necessity criteria for prospective and concurrent reviews. You will work with an interdisciplinary team to ensure medically necessary, cost-effective care at the appropriate...

This is a work from home position paying $26-$28/hr Job Description The Clinical Quality Assurance Coordinator is responsible for ensuring case reports are of the highest quality and integrity and in full compliance with client...

BlueCross BlueShield of South Carolina is hiring a Managed Care Coordinator II - Utilization Management. The role reviews clinical criteria to determine medical necessity and coordinates care management for members. The position is full...

Job Profile Summary Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's...

RN Case Manager Position Duties: DCP in an acute care setting Minimum Required Qualifications: 2-3 years' experience in an acute care setting; CA license Length of Assignment: 13 weeks Shift / Hours per Week: 08:30 AM...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...