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Full-time Company Description WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Sedgwick Claims Management Services Ltd in New Jersey invites applications for a Field Case Manager covering the South Jersey region. You will collaborate with injured workers, employers and medical providers to plan medical recovery and a safe...

Job Summary Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical...

Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Paramount, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 11/30/2026 Duration: 13 weeks 40...

Molina Healthcare is seeking a remote RN Care Manager to support Washington State Medicare members via telephonic case management and care coordination. While remote, PST hours apply and candidates in WA state are preferred. No travel, no...

AmTrust Financial Services seeks a Telephonic Medical Case Manager (RN) to deliver comprehensive telephonic case management and drive appropriate return-to-work outcomes. You will collaborate with injured employees, providers, and adjusters to...

The Ohio State University is seeking a Clinical Financial Case Manager - RN to join our Revenue Cycle Clinical Support team in a remote capacity. The role focuses on securing pre-authorizations, preventing denials, and appealing denials with...

Elevance Health is seeking a Nurse Case Manager II to oversee care management for members with complex and chronic care needs, assessing and coordinating care plans telephonically or on-site, including discharge planning. The role requires...

Offres d'emploi Crawford - Mondiales is seeking an RN Case Manager for the South Los Angeles County region. The role is remote with local field travel and offers a competitive salary, with quarterly bonus opportunities and resources such as free...

Centene Corp. in California seeks a remote nurse reviewer to handle medical necessity grievances, appeals and denials. The role requires CA RN/LPN/LVN licensure and 2+ years of clinical nursing experience, with NCQA and InterQual knowledge...

TriHealth is seeking a Utilization Nurse to evaluate medical necessity and ensure care is delivered at the appropriate level in collaboration with physicians, care management, and payers. The role requires RN licensure, 3–4 years of...

UnitedHealth Group is seeking an experienced Behavioral Integration Nurse Case Manager to act as the clinical liaison between OptumCare/Care Delivery and the clinical network. The role focuses on assessing, coordinating, and evaluating care plans...

Alignment Health is seeking a compassionate Registered Nurse for a fully remote Telephonic RN Case Manager role serving SNP members from home. You will conduct telephonic care management, assess needs, and develop care plans while coordinating...

Medical Solutions is seeking a local contract nurse RN Case Management for a local contract nursing job in Burbank, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 26 weeks40 hours per weekShift: 8 hours,...

Sagility seeks an experienced Registered Nurse to join as a Senior Care Specialist in a work‑from‑home capacity. This seasonal role (ending June 2027) focuses on telephonic care, health coaching, and care coordination for members with chronic...

Registered Nurse (RN) | Case Manager Location: Los Angeles, CA Agency: Stability Healthcare Pay: $2,440 per week Shift Information: Days...

Case Manager The Case Manager manages an individual caseload using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of services,...

Crawford & Company is seeking an RN with a passion for case management to join our team in a remote, part-time capacity with local field travel. Candidates must be based in the United States and meet California area location requirements; travel...

Telephonic Nurse Case Manager Davies Claims North America is seeking an experienced Telephonic Nurse Case Manager to join our team. You will be responsible for the management and independent decision making on medical claims. You will...

Case Manager RN Paramount, CA $2425 /Weekly Gross* *Estimated pay package. Does not include taxes, insurance, or other deductions that may occur Start Date 11/2/2026 Shift 8H Days (8:00 AM-4:30...

Senior Care Specialist (Registered Nurse) – Work From Home About Sagility Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw...

Amphibious Medics seeks an experienced RN to lead our Nurse Case Management function. This hands-on clinical and operational leadership role oversees three Case Officers, ensuring standards, quality, and timely return-to-work across multiple...

WPS Health Solutions in Madison, Wisconsin, is seeking a Case Management RN to coordinate care for members with complex health needs. You will develop and monitor member-centric plans to improve quality and cost-efficiency, and educate members and...

Description Job Title Nurse Case Manager 2 Location Remote - OK Position Description The Case Manager utilizes a collaborative process of...

Medicare and Medicaid managed care plans helping members stay independent.Supports Elderplan's SNP line of business.Responsibilities:Advocate for patients during care transitions.Collaborate with discharge planners and case managers via...