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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...

HealthMap Solutions is seeking a Registered Nurse, Care Navigator/Case Manager to lead case management for kidney health, coordinating care and improving outcomes for a mixed caseload. You will document in Compass, perform health screenings,...

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Glendale Office Pay Range: $160,000 - $175,0000 This regional position supports communities throughout Southern California and requires regular travel to multiple sites. The ideal candidate will have...

Job Description The Clinical Documentation Integrity Specialist II(CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of provider-based...

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...

Job Summary and Responsibilities As our Utilization Review RN, you will meticulously review medical records to confirm appropriate admission status and continued hospitalization, utilizing established criteria and critical...

Utilization Management Nurse 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...

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...

Utilization Management Nurse 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...

Full-Time Case Manager(LPN/LVN)Are You Ready to lead in Healthcare? We are currently seeking a Full-Time Case Manager(LPN/LVN) to join our outstanding healthcare team!Salary Range: $83,203-$93,936 per yearWe are passionate about providing...

UnitedHealthcare is seeking a Maternal Registered Nurse Case Manager to coordinate care for Medicaid members who are pregnant or recently pregnant, including home and social assessments and education. This role supports medical, behavioral, and...

Rio Hondo Subacute and Nursing CenterMontebello, CA 90640, USATravel Required : NoDescription Are You Ready to lead in Healthcare? We are currently seeking a Full-Time Case Manager(LPN/LVN) to join our outstanding healthcare team!Salary Range:...

Humana is seeking a Telephonic Registered Nurse Care Manager to support patients transitioning into and out of Humana's home-based services. This remote role reports to the Manager, Care Management and focuses on post-acute levels of care,...

Job SummaryThis position is responsible for supervising and monitoring the care management staff; assuring clinical accuracy of content, web and non-web based; monitoring revisions to national standards of care and assuring they are reflected in...

Registered Nurse - Compliance Partner Salary: $110,000 to $120,000 annually, DOE. Location: This is a field-based position that requires regular travel to assigned facilities. Candidates must live within close proximity to a major airport...

RN Clinical Assessor - (Hybrid Remote - Cumberland/York, Maine) General information Date Friday, August 21, 2026 City Cumberland Center State ME Country United States Working...

Job Opportunity Our client is a private health management company devoted to providing an exceptional clinical team in the comfort, and privacy of a patient's own home. We are seeking dynamic, experienced, and compassionate Registered...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

Utilization Review RN - Remote Utilization Review RN - REMOTE position. This position is Part time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Join Our Caring Community The RN Care Navigator (Care Coach) assesses and evaluates member's needs and requirements to achieve and maintain optimal wellness state by guiding members and families toward and facilitate interaction with...

Self Fund Health Nurse Navigator Remote · Full time The Nurse Navigator is a remote WI-based RN who acts as the member's single point of contact through the healthcare system — coordinating care, advocating for patients, and steering...

Senior Clinical Admin Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the...

About the Job Job Description: All Care Home Health is currently seeking a Licensed Vocational Nurse (LVN) Care Coordinator to join our team supporting the Kaiser region. We...