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A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

Details of the RN - Case Management (CCM) opening in Burbank, CA: Anticipated Start Date: 11/16/2026 Anticipated Pay Range: $2117.02 - $2444.90 Work Setting: Acute Care Hospital Anticipated Duration of...

Location This is a hybrid role. Applicants must be able to commute to or travel to Mitchell and Dougherty counties, GA, when required. About Us The Columbus Organization is a nationally...

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...

Nurse Care Manager We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading...

Sentara Health is seeking an Integrated Case Manager (RN) to provide telephonic assessments and in-person care planning for members in Roanoke and surrounding areas. The role involves travel up to 60-90 minutes weekly to see members, with 50-75%...

Supervisor Utilization Management The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management...

Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...

Discharge Care Manager Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Full-Time Hospice RN Case Manager Position Summary We are seeking a compassionate and experienced Hospice Registered Nurse (RN) Case...

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...

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.

Mass General Brigham Health Plan Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we...

RN, Case Manager Care Career is looking for Case Manager RN's to fulfill an assignment in Glendale, California. Benefits Medical, Dental, Vision, and 401K within the first month Maximum allowable IRS travel...

Details Client Name PIH Health Downey Hospital Job Type Travel Offering Nursing Profession RN Specialty...

RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...

Care Coordinator RN - Case Management Profession: RN (Registered Nurse) Specialty: Case Management Duration: 13 weeks Shift: 8H Days Hours per Shift: 8 hours Experience: Minimum 2 years License: CA RN License Certifications: BLS, ACLS...

Case Management Nurse II Under supportive supervision, the Case Management Nurse II position supports the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of...

Nurse Case ManagerUnder the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies and...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

Utilization Management Nurse Consultant (RN) 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...

Details Client Name Providence Saint Joseph Medical Center Job Type Travel Offering Nursing Profession Registered Nurse...

IV Infusion Specialist Assessment Nurse The IV Infusion Specialist Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires...

The Columbus Organization is hiring a Clinical Intake Specialist-LPN to act as the primary contact for individuals with complex care needs. You will conduct initial visits, perform needs assessments, and coordinate care with the Case Manager to...

Case Manager II (RN or LVN)The Case Manager II is an experienced clinical case management professional responsible for independently managing a complex caseload across acute inpatient and post-acute settings. The role integrates concurrent...