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This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

SCAN Health Plan is seeking a Medical Management Specialist-RN (Temp) in Long Beach, CA. The role focuses on promoting appropriate inpatient and outpatient care, applying criteria, and coordinating complex cases within regulatory timelines.

Jobgether is seeking a Coding Consultant Outpatient – PRN based in the United States. This remote, part-time role focuses on accurate outpatient coding, review of documentation, and ensuring proper APC and reimbursement details. The...

Partner with us in making a positive change! Join a team where your work truly matters. We're proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in...

American Health Plans Franklin, TN 37067, USA Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for...

Hospice RN Case Manager Hospice of Western & Central Massachusetts is seeking a compassionate and experienced Hospice RN Case Manager to join our team! As a key member of our care team, you will provide exceptional hospice care to...

Hospice RN Case Manager Bring your nursing expertise to one of healthcare's most meaningful specialties. As a Hospice RN Case Manager, you'll provide skilled nursing care and compassionate support to patients and families during life's...

About the Role: The Home Health Field LVN/LPN plays a critical role in delivering high-quality nursing care to patients within their homes, ensuring comfort, safety, and effective management of health conditions. This...

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, innovate with purpose, hold...

Sentara Health in Roanoke, VA seeks an Integrated Case Manager, RN. This position is remote but requires in-person face-to-face assessments and travel to Roanoke and northern areas up to 60-90 minutes, roughly 50-75% of the week. The role...

Sedgwick Government Solutions is seeking a Field Nurse Case Manager (Remote) to support federal workers with occupational injuries from a home office. You will assess, coordinate care, and develop individualized case plans, while documenting...

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, innovate with purpose, hold...

LVN/LPN Case Manager Join our team as an LVN/LPN Case Manager and make a difference in the lives of patients while working remotely from California. What You'll Be Doing Manage work comp cases for patients...

RN Case Manager Telephone Advice Nurse Optum NV is seeking an RN Case Manager Telephone Advice Nurse to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.

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...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the...

Clinical Specialist Base Compensation Range $72,000 - $85,000 USD Competitive cash compensation, comprehensive health plans, generous PTO, future focused 401k match. POSITION SUMMARY The Clinical Specialist reports to...

Guidehealth is seeking an Utilization Management Registered Nurse to perform medical-necessity reviews and document findings for determinations. The role involves collaborating with medical leadership, reviewing cases for appropriate treatments,...

Nurse – LPN/LVN, Rehab – Per Diem / PRN – Pay up to $40/HR EVEREST REHAB HOSP SAN ANTONIO — San Antonio, TX ID: 1918677 | Shift: 07:00 PM – 07:00 AM | Pay: Up to $40/HR Shift Date: 2026-10-01 LPN/LVN –...

Cambia Health is hiring Remote Care Management Nurses to deliver case management, disease management, and care coordination from home across eligible Western states. You'll assess, plan, implement, coordinate, monitor and evaluate care for...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Spectrumforce Technologies, Inc. is seeking a Care Manager (RN) to support Medicaid members remotely in Florida. The role involves reviewing referrals, proactive outreach, and guiding members through care management, education, and coordinated...

Concentric is currently seeking candidates in Registered Nurse profession with focus in Registered Nurse (Case Manager) for a 13 week contract in the Los Angeles, CA area. Concentric is a premier staffing firm dedicated to matching outstanding...

Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

WNS Healthhelp in the United States is seeking an RN/LVN Team Lead to oversee utilization management and case coordination. You will balance review work with leadership duties, monitor staffing, and ensure regulatory compliance across programs.