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About the Job ASSIGNMENT SUMMARY: The Registered Nurse (RN) will be responsible for coordinating, implementing and supervising all nursing and personal care services at the Adult Day Health Care Center. The...

Molina Healthcare is seeking a remote RN Care Manager with a preference for candidates in Washington State. The role operates on Pacific Standard Time hours and involves telephonic case management and transition-of-care functions for Medicare...

Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as an RN Appeals Analyst, you will research the substance of complex appeal or retrospective review...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Care Manager, RN - Remote In Training Allocation Med Office Full Time FL,...

Description Virtual coordination role to support front line clinical staff in care of patients receiving care in the home setting. Serve as an extension to front line staff in patient care logistics management including admission...

We're looking for a detail-oriented and motivated Remote Utilization Management Support Clerk to join New Paradigm Staffing, a growing healthcare staffing agency focused on remote administrative roles that support clinical...

Managed Medical Review Organization, Inc. is seeking an experienced RN to join our team in a remote, home-office capacity. The role emphasizes telephonic/customer service, accurate documentation, and clinical review of cases. Candidates...

Case Management Utilization Management Support Primary City/State: Virtual Arizona Category: Case Management Shift: Day Department: Case Management Remote Monday - Friday 7:30am - 4:00pm Great care starts with great people. (Like...

Details Client Name Dignity Health - Glendale Memorial Hospital and Health Center Job Type Travel Offering Nursing Profession...

Registered Nurse - Review Analyst | Remote | Contract Walker Healthforce is seeking a Registered Nurse - Review Analyst with 2-4 years of clinical experience to provide clinical utilization reviews, evaluate medical...

Case Manager RN 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,...

General Information Press space or enter keys to toggle section visibility Work Location: Santa Monica, CA, USA Work Schedule 4-day 10-hour shifts, 7:00am-5:30pm; may...

Job DescriptionJob DescriptionThe 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, you'll carry a...

Hospice Registered Nurse Case Manager Location: Central LA (need to be willing to commute) Lead with Compassion & Excellence in Hospice Care Are you an experienced Hospice RN who thrives in leadership and is passionate about...

Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Downey, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment...

Back RN/Managed Care Coordinator - Remote Healthcare Columbia , South Carolina Contract Hybrid Oct 12, 2026 Must live in the state of South Carolina. Must be able to work the first 4-6 weeks onsite in Columbia, then will go remote.

POSITION SUMMARY The Perioperative Clinical Educator is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the provision of educational services . Reporting to the Director of...

AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Manager for a travel nursing job in Pasadena, California. Job Description & Requirements Specialty: Manager Discipline: RN Start...

Pride Health is seeking an experienced Registered Nurse (RN) with Utilization Management experience to support clinical quality review and AI model development for prior authorization use cases. The ideal candidate will review records, apply...

See your work in a new light. At LUX Infusion, we're reimagining infusion care to be more human, supportive, and connected. Inspired by lux-meaning light - we guide patients, providers, and partners through...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

Provide a full range of nursing practice guided by the American Nursing Association's (ANA) Nursing Scope and Standards of Practice (2004) and dependent upon...

Trillium Health Resources is seeking a Compliance Nurse to perform clinical compliance reviews and evaluate claims to ensure adherence to regulatory and coverage requirements. The role applies clinical judgment to assess documentation, determine...

Ansible Health Ansible Health is a virtual multi-speciality medical group that unites physicians, nurses, respiratory therapists, and tech experts from Columbia, Johns Hopkins, Google, Amazon, and other top institutions to revolutionize...

Case Management Support To provide support and facilitate care for members who require case management. To work collaboratively with the Health Plan and Hospital Case Management Departments to facilitate services. To collaborate with the...