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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...

Job Description: Job Title: Clinical Quality Reviewer RN (Quality of Care Review) Duration: 9+ Months (Potential Extension and Conversion to FTE) Location: Remote - CA Work Schedule: Monday - Friday | 8:00 AM - 4:30 PM / 5:00 PM...

Actalent is Hiring a Team of UM/Appeals LPNs // Fully Remote!! Job Description The Appeals Clinical Reviewer serves as an Appeals Utilization Review Nurse responsible for reviewing and evaluating...

Shift Schedule: Per Diem (Hourly as Needed) false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 Position Purpose: The Clinic Nurse will participate as a member of a team providing nursing...

The Supportive Housing Case Manager (Ages 18–25) supports young adults in securing and keeping stable housing while building life skills and independence. Using a positive, youth-centered approach, you'll carry a small caseload (12–18...

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...

CareHarmony's Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...

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...

Inspire Health Alliance is seeking a Registered Nurse, Case Manager in Montebello, CA. The RN Case Manager will coordinate care and provide support for patients with chronic diseases, collaborating with various healthcare professionals.Qualified...

Nurse 3 Job Number: 364864 Category: Administrative Description: Job Title: Nurse 3 Location: Redondo Beach, CA Zip Code: 90278 Pay Rate: Up to $65.09/hr. Schedule: 9x80 A Start Date:...

Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...

Job Description The registered nurse in Home Care Works under the supervision of the Associate Director and/or Lead RN to assist in all facets of the referral process (preadmission, admission, follow-up and discharge). The...

Responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically...

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Hours: FT, Mon-Fri 8:30-5p Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of...

Schedule: 40 hours per week; 8:00AM - 5:00PM PT/ 11:00AM - 8:00PM ET; Required to work rotating weekends, as scheduled by Lap of Love Classification: Full Time - Exempt Reports To:...

Position: #710299 Program: Case Management Department: Health Services Reports to: Manager, Nurse Case Management (LVN) Shift Differential Premium: Additional $1.75 per hour for hours worked between 6pm-6am...

About the RoleThe Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to pace the care for outcomes while meeting core measures within the...

We're looking for California Based Nurse Care Managers for our Care and Case Management team, who resides in California and holds a CA RN license; have experience working with a health plan, health navigator or third-party administrator (TPA). Are...

Trustaff is seeking a travel nurse RN Case Management for a travel nursing job in Marina Del Rey, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 08/10/2026 Duration: 13 weeks 40 hours per week Shift:...

Baylor University Medical Center, part of Baylor Scott & White Health, seeks a Registered Nurse for the Unit PRN role. This position involves coordinating patient care using the nursing process, assessing patients, and implementing individualized...

Location Address: 2925 Chicago AveLoading DockMinneapolis, MN 55407-1321 Date Posted: July 15, 2026 Department: 16008746 Information Systems Optimization Solutions Shift: Day (United States of...

California Based Nurse Care Managers We're looking for California Based Nurse Care Managers for our Care and Case Management team. You should reside in California and hold a CA RN license. You need experience working with a health plan,...

Part-Time RN Case Manager (Franklin, IN and surrounding area) Position: Part-Time Registered Nurse Case Manager Department: Guardian Health Reports To: Director of Nursing Status: Part-time Hours: Part-Time; schedule...

Bilingual Case Manager-LPN Salary Range $24.00 - $26.00 Hourly Travel Percentage Negligible Category Health Care Bilingual LPN Case Manager (English/Spanish) LA Case Management XstremeMD is seeking a bilingual...