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Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is...

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...

Telephonic Nurse Case Manager As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.

Triage Registered Nurse CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. Our programs are designed to align with each client's...

APPLICATION INSTRUCTIONS: CURRENT PENN STATE EMPLOYEE (faculty, staff, technical service, or student), please login to Workday to complete the internal application process. Please do not apply here, apply...

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,...

RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time...

Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse, you'll play an important role in helping us offer customized, self-funded...

We are hiring an Appeals & Grievance Nurse Analyst at BCBST! In this role, you will review and process appeals submitted by members and providers, ensuring timely and accurate resolution in compliance with CMS, Medicare, and TennCare...

Clinical Appeals Nurse (RN) | Remote | Contract Walker Healthforce is seeking a Clinical Appeals Nurse (RN) with 2+ years of clinical nursing experience to provide clinical review and...

Case Management Consultant Provides excellent patient care by assisting in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse,...

Job Requirements Virtual Nurse- Centralized Nursing Services Spartanburg Regional Healthcare System is implementing an onsite Virtual Nursing Program utilizing virtual care equipment and technology.

Guidehealth is seeking a remote-based Care Manager (RN) to guide patients and families through complex health journeys. You will blend clinical expertise with holistic care, addressing medical, behavioral, and social needs while coordinating...

Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...

PRN Registered Nurse (RN) Spoon River Home Health is looking for a compassionate and dependable Registered Nurse (RN) to join our team on a PRN basis, providing skilled nursing visits to patients in Peoria and Tazewell counties.

Nurse - Clinical Review Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies agreed upon with the client and any applicable governing body. Facilitates...

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...

Job Description Client Summary: Healthcare technology company helping large hospital systems discharge complex patients faster, reduce length of stay, and free acute bed capacity Embeds expert case...

The ECM Case Manager will assume responsibilities for community outreach and engagement. This position will determine eligibility, complete enrollment assessments, and perform outreach to potential ECM members to offer an enhanced case management...

RN Reviewer (Workers' Compensation Utilization Review) iMPROve Health is seeking an RN Reviewer (Workers' Compensation Utilization Review) to serve as an independent contractor (1099) performing independent external medical reviews...

Genex Service LLC in El Monte, CA hires a Medical Field Case Manager to coordinate in-person patient appointments, collaborate with treating physicians and employers, and develop treatment plans aimed at quick, safe return-to-work. The role...

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,...

Title: QIC Part A Nurse Consultant Location: Remote Duration: 6 months Shift time: Hours; 8:30 am - 5:00 pm EST (Monday - Friday) Pay rate: 30.00/hr Job Description Essential Duties and...

RN - Case Manager Shift: 8H Days Start Date: 10/12/2026 End Date: 01/10/2027 Duration: 13 Week(s) Location: Glendale, CA Weekly Pay is estimated and does not include taxes, insurance, or other deductions...

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...