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Los Angeles LGBT Center in California is seeking a Care Manager to oversee medical care management and support services, ensuring compliance with industry standards. This full-time role involves collaboration with healthcare professionals and...

Integrated Case Manager, RN Sentara Health in Harrisonburg, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Harrisonburg and surrounding areas as travel is...

" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

Case Manager RNParamount, CA$2280 / Weekly Gross (Estimated pay package. Does not include taxes, insurance, or other deductions that may occur)Shift: 8 Hours per Day (8:00 AM - 4:30 PM)Length: 13 WeeksWeekly Hours: 40Facility Type: Long Term Acute...

Utilization Management Position Provide health care services regarding admissions, case management, discharge planning and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent...

Job Type Full-time Description About Us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you-comprehensive services with the program...

Care Manager - Registered 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...

Job Opportunity Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating...

Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced...

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RN Case Manager Top national healthcare company is hiring a RN Case Manager to work remotely. Ideally living in North Carolina or South Carolina. Responsibilities include serving as a team member on a multidisciplinary team, coordinating...

Appeals and Grievances Nurse Specialist RN IIJob Category: ClinicalLocation: Los Angeles, CA, US, 90017Position Type: Full TimeRequisition ID: 13049Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)Job SummaryThe Appeals and...

Registered Nurse – Utilization Review (Remote) Contract Length: 13 Weeks (Extension Possible) Facility: Providence Medical Center Location: 4101 Torrance Blvd, Torrance, CA 90503 Shift: Days – 5x8-Hour (08:00 AM – 04:30 PM)...

OSU Case Manager This is a remote job opportunity (hourly pay only). Shift: 08:00-16:30. Accepts first time traveler. Require certifications: active RN licensure to practice in Ohio (can be compact). BLS. 2 years of experience required.

Case Manager RN Fully Remote • Any Location Remote US Overview Position Type: Full Time Job Shift: Day Education Level: High School or Equivalent Travel Percentage: None Category: Nurse Description...

About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and...

Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)...

Job Title The position is work from home with field visits. Job Purpose This position is responsible for conducting medical management and health education programs for customers on government health care programs.

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Nomad Health, the modern healthcare staffing company, seeks an experienced [object Object] Registered Nurse for this rewarding temporary assignment opportunity. Join Nomad's growing team of healthcare professionals. Nomad offers Registered Nurses...

Case Manager 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 colleagues who care deeply,...

Assessment of the status of nursing needs of assigned patients and overall management of the patients care plan. Complete initial patient assessment upon admission, including appropriate patient history. Selects appropriate nursing diagnosis.

Utilization Review Specialist The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in...

Nurse Case Manager Lead Telephonic Nurse Case Manager Lead Sign on Bonus: $3000. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing...

Utilization Review Nurse Health Plans - Case Management US:NM:Alamogordo | Utilization Management | Full Time This position has a remote option for those living close and will be able to come into the hospital as needed.