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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...

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...

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...

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)...

A leading staffing company is seeking a remote Case Manager RN to coordinate care for a diverse health plan population. Applicants must hold an active nursing license in Michigan and have at least three years of clinical experience, alongside...

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. Experienced Fertility Nurse - Remote - 9:00am - 5:00pm EST Full Time...

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...

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...

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...

Guidehealth in the United States seeks an experienced RN Case Manager to work remotely with Illinois licensure. You will oversee member management, promote wellness, and support cost-effective care within a value-based care framework.

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...

Job Description 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...

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...

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...

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...

OverviewJobs for Humanity is partnering with CEDARS‑SINAI to build an inclusive and just employment ecosystem. We prioritize individuals from diverse communities including Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard...

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...

RN Case Manager – Pre-Access (Per Diem) Valley Presbyterian Hospital Ensure the Right Care, at the Right Time, in the Right Setting At Valley Presbyterian Hospital, our Case Management team...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

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

Actalent is Hiring a Remote RN Case Manager!! Must Have Pediatric Acute Experience! Job Description The Pediatric Case Manager - Population Health & Concierge Care Coordination (Care Coordinator,...

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.

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.

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)...

AltaMed Inpatient Case ManagerIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed – it's nurtured, celebrated, and promoted,...