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Pay Range - $38/hr. to $40/hr. on W2 Description Responsible for performing care coordination duties using established guidelines to ensure the appropriate level of care and facilitate transition across the continuum of care for specialty...

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...

HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare, AHCCCS, Self-pay, and other payer guidelines. The...

Power Personnel in Los Angeles, CA is seeking a compassionate Licensed Vocational Nurse (LVN) to join a collaborative care team. You will administer medications, monitor patients, and support diagnostic procedures under physicians and RNs.This...

Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...

Overview HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-based primary care...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

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 care quality, affordability,...

Inland Empire Health Plan is seeking a Claims Review Nurse, LVN to perform timely medical reviews of facility and professional claims. You will identify improvements in the UM/Claims interface and support clinical determinations under supervision,...

Medical Management And Health Education Program Coordinator Fully Remote JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs.

Alora Supports Missouri LLC is seeking a Regional Manager RN to provide clinical oversight and operational leadership across the Southern Missouri region. The role blends hands-on nursing responsibilities with strategic management, requiring a...

Acentra Health is seeking a Clinical Manager (RN) to provide clinical and operational leadership for CA UIS Care Coordination and Case Management programs, ensuring quality outcomes and contract performance. This remote California role supports...

UnitedHealth Group seeks a Registered Nurse, Case Manager to perform telephonic nursing assessments, develop care plans, and coordinate care and benefits for patients. This role supports remote work and aims to improve patient outcomes from a...

Namely is looking for Nurse Care Managers based in California to join their Care and Case Management team. The role involves guiding members through complex healthcare situations and developing cohesive care plans. The ideal candidate will...

Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other...

This is a work from home position paying $26-$28/hr Job Description The Clinical Quality Assurance Coordinator is responsible for ensuring case reports are of the highest quality and integrity and in full compliance with client...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

CVS Health is seeking an experienced Registered Nurse to support 24/7 Utilization Management, reviewing cases, assessing medical necessity, and coordinating care from a remote home office. Candidates must hold an active RN license and have at...

Utilization Management (UM) Nurse Supervisor The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and...

Job Title Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner...

Personify Health Rn Um Team Lead Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care...

Quality of Care Investigative Nurse - Arizona Remote Join the Arizona Division of Developmental Disabilities' Quality Management team and help protect the health, safety, and well-being of individuals receiving...

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...

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...

Parenteral Services Clinical RN Specialist The Parenteral Services Clinical RN Specialist provides clinical support to the Parenteral Services team through advanced nursing expertise, education, care coordination, and operational...