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UnitedHealth Group is seeking a Registered Nurse in the Weslaco, TX area to assess, plan, and implement person-centered care strategies while coordinating with providers and community resources. Remote work flexibility is available within the...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal...

Roze Room is a leading provider of Hospice and Palliative Care, celebrating over 25 years of service to Southern California communities Be the Nurse Who Makes Every Moment...

Paradigm is seeking a full-time Telephonic Case Manager to provide remote clinical case management for injured individuals. You will coordinate medical services, evaluate progress, and explore vocational options with workers, employers, and...

CorVel Corporation is seeking a Field Case Manager (RN) in the Memphis, TN area to oversee medical case management for workers' compensation with a strong emphasis on in-person and telephonic coordination. This role supports patients, families,...

Job Summary: The Registered Nurse - Case Manager provides skilled nursing care with a focus on care coordination and discharge planning in an acute care setting. This role requires at least 2 years of acute medical care...

Concurrent Utilization Review (UR) Nurse The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members...

Monterey Park Hospital seeks a Case Manager for the Utilization Review Department. This is a full-time, 8-hour day shift role from Saturday through Wednesday, reporting to the Chief Operating Officer.The Case Manager will coordinate Continuum of...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to...

RN Case Manager - Position Highlights 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...

Registered Nurse - Utilization Management I The Registered Nurse - Utilization Management I is responsible for supporting specific utilization management (UM) program functions within the Clinical Operations department. UM program...

LTSS Service Coordinator – RN Clinician (Case Manager) Hiring in the following counties: Richland, Franklin, Muskegum, Guernsey, Noble, Washington, Morgan. Location: This field-based role enables associates to primarily operate...

Job Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...

Case Manager RN Travel Assignment Meda Health is looking for a Case Manager RN to work a travel assignment in an acute care hospital setting. Must have at least two years of experience, state licensure and BLS (at minimum). Competitive...

Clinical Case Manager Utilizes clinical expertise, discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy. Responsible for assuring medical...

Join Gainwell 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...

OUR MISSION We exist to create a more connected, compassionate, and confident experience for people with cancer and those who care for them. We make it easier to get answers, access high-quality care quickly, and feel...

Our client is looking to add a Registered Nurse to their team. Job Details: Location: Burbank, California Duration: 13 Weeks Start Date: 11/02/2026 Shift: 5x8 Days...

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

Staff Builders 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...

Job Category: Executive Leadership, Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our...

Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...

Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication with providers to enhance...

Behavioral Health Clinical Reviewer Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical...

Registered Nurse – Case Manager Day shift, 5x8-hour schedule from 08:00 to 16:30. Start date: ASAP. Typically requires one full weekend per 4 weeks, subject to department needs. CA state license required; pending license...