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RNCaseManager|Remote|Contract...

Medical Solutions is seeking a local contract nurse RN Case Management for a local contract nursing job in Santa Monica, California. Job Description & Requirements Specialty: Case Management Discipline:...

Elevance Health is seeking an experienced nurse to review complex cases for medical necessity, applying clinical guidelines and nursing judgment. The role involves collaboration with physicians, case managers, and Medical Directors to optimize...

Ansible Health Ansible Health is a virtual multi-speciality medical group that unites physicians, nurses, respiratory therapists, and tech experts from Columbia, Johns Hopkins, Google, Amazon, and other top institutions to revolutionize...

Paradigm is looking for a full-time Telephonic Case Manager to work remotely in the Eastern time zone. The role involves delivering remote medical case management for injured workers, coordinating care, and evaluating vocational outcomes with...

Description There's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive, supportive,...

JOB SUMMARY This is a full-time REMOTE position requiring weekend availability (Saturday and Sunday) in addition to three weekdays. Company Highmark Inc. Job Description This is a full-time REMOTE position...

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...

Description The Care Manager Registered Nurse (RN) serves as a key clinical member of the interdisciplinary care team as part of the Care at Home Solutions program. The Care Manager RN partners closely with the Medical...

Case Manager Registered Nurse (RN) Days Location: Los Angeles, CA We are seeking a Case Manager RN to join our team, focusing on patient care coordination and management. This role requires strong communication and multitasking...

Color is revolutionizing cancer care with the nation's first Virtual Cancer Clinic, delivering high-quality, physician-led multidisciplinary care across all 50 states. Our innovative, guideline-based approach spans cancer screening, risk...

ChenMed is seeking a Physician Reviewer for Utilization Management to oversee UM cases and coordinate care across markets. You will participate in daily calls with health plans and teams, advising colleagues and driving quality improvements in...

Job Description: Join a compassionate hospice team where your nursing expertise helps patients experience comfort, dignity, and quality of life in the place they call home. As a Hospice RN, you'll provide individualized, patient-centered care...

Discover Vanderbilt Health With eight hospitals and over 180 clinics, we are the region's largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South,...

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...

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,...

RN-Case Management Job Location: Downey, CA Schedule: 5x8 Days Start Date: 11/30/2026 Assignment Length: 13 weeks Job Type: Travel Minimum Requirements: State Licensure: A valid RN license...

About Company: Connect America and our family of brands, including Lifeline, have helped aging individuals and at-risk populations live safely and independently in their homes for more than 40 years. As North America's...

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise...

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...

Clinical Registered Nurse (RN) – Remote Full-Time | Remote | $100,000 + Comprehensive Benefits Package We are recruiting RNs for a growing, technology-enabled healthcare organization, expanding its remote clinical team.

Integra Partners is seeking an LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to review benefit and...

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health,...

Nurse (RN) - Case Manager Hours are as needed, Monday - Friday during business hours; you will work 4, 8 or 10-hour shifts as needed to fill gaps in staffing. Hours can also include weekends but not required. This position is remote.

We are looking for an MDS Coordinator to join our team! The MDS Coordinator completes MDS for all residents according to OBRA and PPS guidelines. Assists in providing a clean, safe, happy and healthy environment for residents by performing the...