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Highmark Inc. is seeking a full-time remote Health Care Case Management professional. Responsibilities include reviewing care plans, ensuring regulatory compliance, and identifying opportunities for Health Coaching and case management...

WellSky is seeking a registered nurse to conduct telephonic patient evaluations for multiple payer programs, working on Pacific Time hours. The role emphasizes remote care coordination, schedule management, and collaborative protocol development.

Details Client Name Providence Saint Joseph Medical Center - Burbank Job Type Travel Offering Nursing Profession RN...

Utilization Management Nurse I, RN Huntington Beach Office - Huntington Beach, CA 92647; Arcadia Office - Arcadia, CA 91007 Overview Salary Range $72,758.00 - $89,128.00 Salary/year Position Type Full Time...

Baptist Health is seeking a Revenue Integrity RN to join our team in a remote role requiring residency in KY or IN. You will review payor medical necessity for services, obtain predeterminations and respond to denials or audits to recover revenue...

Cambia Health Solutions, Inc. is hiring a Utilization Management Nurse who will conduct reviews to ensure medical necessity and cost-effective outcomes. Working from home within the states of Oregon, Washington, Idaho or Utah, you will...

Registered Nurse (RN) - Case Management (CM) Location: 501 South Buena Vista Street, Burbank, CA, 91505 Work type: Travel Contract Estimated pay: $2550 per week (estimated) Shift: Days Start date: 11-02-2026...

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

Responsibilities Registered Nurse (RN) - PRN/Not Remote PRN Rivendell Behavioral Health Servicesis an 80-bed full-service behavioral healthcare acute care facility located in Benton,...

Job Title Employment Type: Full time Shift: Rotating Shift Description: This is a remote position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301...

Shearwater Health Registered Nurse, Utilization Review At Shearwater Health, we know that better patient outcomes are never achieved alone – especially when there aren't enough hands to deliver care. That's why we've built something...

Description: Nurses – are you looking for a change? Want to work no nights, and no holidays? Check out Hines & Associates! * Experience in both medical and behavioral health and/or substance use disorder settings is required. * ABOUT US: Hines...

The Registered Nurse is responsible for overseeing the health, wellness, and psychiatric stability of patients receiving Full-Service Partnership (FSP) and broader outpatient behavioral health services. The position is primarily...

External Case Manager - Inpatient Rehab (RN, PT, OT, SLP)Cal Rehab, a joint venture with Select Medical, UCLA, and Cedars SinaiFull‑time (Mon‑Fri 8 am‑5 pm, plus rotating weekends) in Los Angeles, CA.Base salary $80,000–$115,000...

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...

Arkansas Blue Cross Blue Shield is seeking an experienced Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and various inpatient/outpatient cases. This role ensures medical necessity aligns with...

Purpose Provide nursing care to patients/families by utilizing the nursing process via the telephone for all patients. Provide nursing care to patients/families by utilizing the nursing process via the telephone for all patients.

Hiring multiple RNs in various locations Care that meets patients where they are. Nursing that meets you where you thrive. UVA Health's Continuum Home Health team is redefining what high-level nursing looks like outside the hospital walls. We are...

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...

Elevance Health, Inc. is seeking a Medical Management Nurse to evaluate the most complex cases, using nursing judgment and holistic assessment to determine medical necessity. The role collaborates with providers and Medical Directors to...

Clinical Eligibility & Intake Nurse Part Time/1099 Contractor Fully Remote Monday-Friday; 3-5 hours per day / 15-20 hours per week*; schedule must overlap intake hours** Clinical Operations Reporting to:...

Aetna is seeking a Field Case Manager in Los Angeles, CA, responsible for assessing injured employees to facilitate their timely return to work. This full-time position supports medical and vocational needs through collaboration with patients,...

SCAN seeks a registered nurse to enhance frail seniors' ability to age in place by delivering person-centered care telephonically. You will develop plans of care and educate members to manage chronic conditions, reducing hospital visits and...

Excellus BCBS in Rochester, NY is seeking a Case Management professional to lead and coordinate member care across a multi-disciplinary team. You will apply CMSA/NCQA standards, assess needs, educate members, develop comprehensive care plans, and...