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RN Case Manager – Home Health Toledo, OH | Competitive Pay $52-55/HR | Full-Time Join our team in Toledo, OH, a vibrant city known for its rich history and welcoming community. We're seeking a compassionate RN Case Manager to...

A healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...

A national risk management provider is seeking a remote Utilization Review Case Manager. This role involves gathering clinical information, certifying medical necessity, and managing stakeholder communications. Ideal candidates will have a nursing...

At CVS Health, were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nations leading health solutions company, we reach millions...

Description Company Overview: For over 30 years, The IMA Group has been dedicated to enhancing the livelihood and productivity of individuals and organizations navigating challenging periods of health, work...

ChenMed is seeking a Registered Nurse (RN) Home Health Case Management for a nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Case...

Reports to RN Manager. Assess the health status of members as within the scope of licensure and with the frequency established in the model of care. Establish goals to meet identified health care needs. Plan, implement and evaluate responses to the...

Binding Minds is seeking a local contract nurse RN OR Circulate for a local contract nursing job in Westerville, Ohio. Job Description & RequirementsSpecialty: OR...

Overview Contract role - 8/8/23-12/31/23, with possible extension Pay rate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC Basic function: This position is responsible for discharge care...

A healthcare solutions company seeks a Medical Field Case Manager for a full-time role in Fort Lauderdale, FL. The candidate will manage cases to help injured individuals return to work, collaborating closely with physicians and employers.

Remote Utilization Management Nurse Job Description As a Utilization Management Nurse for Post Acute care, you will be responsible for reviewing and documenting prior authorization and concurrent...

Employer Industry: Healthcare Services Why consider this job opportunity Opportunity for career advancement and growth within the organization Work remotely, with flexibility in scheduling Engage in...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

A healthcare service provider is looking for a Medical Field Case Manager in Fort Lauderdale, Florida. This full-time role requires URAC Certification and involves regular local travel for patient appointments. You will create treatment plans and...

Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small start-up...

Caring. Connecting. Growing Together. 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...

Description Location:...

A nonprofit senior care organization is seeking an experienced RN for remote after-hours support in Edina, MN. Responsibilities include triaging emergency calls and coordinating care with clinical staff, hospitals, and families. Essential...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

A compassionate healthcare organization is seeking a Registered Nurse Case Manager to provide hospice care. This role involves planning and directing patient care, completing assessments, and developing care plans in collaboration with patients...

Clinical Claims Review At UnitedHealthcare, we are 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 better.

A healthcare organization is seeking a Utilization Manager Registered Nurse to join their team in Massachusetts. The role involves conducting clinical reviews for service authorizations and ensuring compliance with regulatory standards. Candidates...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Remote Registered Nurse (RN) Case Manager Join to apply for the Remote Registered Nurse (RN) Case Manager role at PharmaCord. Important Notice Due to an increase in hiring scams, please be aware that if you...

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...