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JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

Registered Nurse (RN) Sales Executive (FL) At Residex, we've reimagined senior care management from the ground up. We are seeking a dynamic Sales Executive in Florida to drive growth for Residex with our comprehensive EHR/eMAR/Staff...

Acute Care Case Manager This is a 13-week contract position. Day shift, 5 days a week from 08:00 AM to 04:30 PM, with weekend coverage required every other weekend. The Acute Care Case Manager plays a crucial role in the...

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

Medical Case Manager Provides medical management to workers compensation injured employees, performing case management through telephonic and in-person contact with injured workers and medical providers. Coordinates with employers and...

Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most appropriate level of care...

EK Health is seeking a Telephonic Nurse Case Manager (RN) for our Case Management Team. The role involves assessing, planning, coordinating and evaluating service options to help injured workers receive cost-effective medical care and expeditious...

We are hiring an Appeals & Grievance Nurse Analyst at BCBST! In this role, you will review and process appeals submitted by members and providers, ensuring timely and accurate resolution in compliance with CMS, Medicare, and TennCare...

Utilization Review Case ManagerUnder general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the...

Join Silverado Hospice LA Silverado Hospice LA covering our Torrance and surrounding areas and be part of a nationally recognized team ranked in the top 10 nationwide by Fortune Magazine's Best Workplaces in Aging Services™. Since 1997,...

RN - Case Manager Travel Profession RN Specialty Case Manager Shift Details Shift 8H Days Job Order Details Start Date 10/12/2026 End Date 01/11/2027 Duration 13 Week(s) Client Details City Torrance State CA...

Join to apply for the Case Manager (LVN or RN) role at Astrana HealthLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Compensation: $31.00 - $45.00 / hourDepartment: HS - ICMAstrana is looking for a RN/LVN Case Manager and we are...

aptihealth is seeking a Registered Nurse Case Manager to support both patients and providers across the care continuum. In this key role, you will assess patient needs and coordinate care while ensuring compliance with regulatory requirements.

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...

Remote-Care Management Coordinator RN needed for a contract (3 months) opportunity with Yoh's client located in Philadelphia or surrounding PA area. This is s work from home position.

RN - Case Manager Travel Profession: RN Specialty: Case Manager Weekly Pay: $2,135 Shift Details: Shift 8H Days Job Order Details: Start Date 10/05/2026 End Date 01/04/2027 Duration 13 Week(s) Client Details:...

Req #655 Job Description Summary 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...

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...

An RN Case Manager is a registered nurse who coordinates and oversees patient care to ensure quality outcomes, cost-effective treatment, and seamless transitions across healthcare settings. They assess patient needs, develop and implement...

RN - Case Manager Excel is seeking highly skilled healthcare professionals for travel assignments across the United States. As a Travel Healthcare Professional, you will have the opportunity to work in diverse healthcare settings,...

Utilization Management Nurse Join us in our mission to transform healthcare! NirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work...

Apply Now Certification: Registered Nurse Specialty: Case Manager Location: Los Angeles, California Jobs Available: 1 Job Type:...

UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based...

Job Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the...