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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,...

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...

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:...

This position represents 4 openings. Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in...

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...

Description The Care Manager Registered Nurse (RN) serves as a key clinical member of the interdisciplinary care team as part of the Care at Home Solutions program. The Care Manager RN partners closely with the Medical...

Career At Lehigh Valley Health Network Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a...

Home Health 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 to plan and direct...

Travel RN Case Manager Job Type: Travel Profession: RN Specialty: Case Manager Shift Details: Shift 08:00 AM - 04:30 PM Job Order Details: Start Date 07/13/2026 End Date 10/12/2026 Duration 13 Week(s)...

Clinical Appeals Reviewer Responsible for the timely review and resolution of clinical appeals submitted by providers and members across all lines of business. Communicates appeal determinations in accordance with regulatory requirements...

Utilization Management Admissions Liaison RN II (Nights) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13180 Salary...

Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Case Manager RN based in United States. This role provides comprehensive case management...

The RN Case Manager manages a continuum of care from pre-admission through post-discharge for assigned patients. Assure that patients and families proceed efficiently throughout the course of hospitalization. Focus of the position is the...

Job Description Part-Time RN Case Manager - Home Health | Vestal/Binghamton | $5,000 Sign-On Bonus Bring your RN skills into a more flexible, relationship-driven home health role. Guthrie Home Care NY...

Santa Barbara Cottage Hospital is seeking an experienced RN/LPN to perform remote clinical reviews for appeal cases. You will review medical records, apply InterQual criteria, and prepare clinical determinations for physician review. The...

Details Client Name Adventist - Glendale Job Type Travel Offering Nursing Profession RN Specialty Case...

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...

Travel Rn Case Manager Job Type: Travel Profession: RN Specialty: Case Manager Shift Details: Shift 08:00 AM - 04:30 PM Job Order Details: Start Date 10/12/2026 End Date 01/11/2027 Duration 13 Week(s)...

Overview As a Case Management RN, you'll coordinate patient care, focusing on discharge planning and ensuring smooth transitions for patients. You'll work in a dynamic acute care environment, collaborating with multidisciplinary teams...

Case ManagerThe Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures the correct level of care: critical, telemetry, acute, observation, for all patients.

If you're a clinically driven RN or LPN with utilization management experience and a passion for making meaningful coverage decisions, this remote opportunity offers the chance to directly impact member care and outcomes. Join a collaborative team...