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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...

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...

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...

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...

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...

Care Coordinator 2 (Field Care Manager 2) Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness...

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Case Management RN Location: Roseville, CA Onsite Flexibility: Remote Contract Details Position Type: Contract Contract Duration: 3 months Start: April 27, 2026 Pay Rate: $20.00 /...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

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...

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.

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...

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...

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...

Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13180 Salary Range:...

Outpatient Case Manager ( RN or LVN ) job at Regal Medical Group. Northridge, CA. Job Description The Case Manager Outpatient LVN is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on...

Bristol Hospice seeks an Admissions RN in Lakewood, CA 90712, who is responsible for building community relationships and facilitating hospice care access. The ideal candidate will possess an RN license in California and demonstrate effective...

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...

RN Case Manager Position Duties: DCP in an acute care setting- must be able to multi task and work efficiently. Must be open to floating to sister hospitals remotely from the facility as needed. Minimum Required Qualifications:...

Nurse Case Manager II Our client, an IT Services and Consulting company, is looking for a Nurse Case Manager II for their Wayne and Macomb Counties, MI location. Responsibilities: The Case Manager utilizes a...

Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate...

Overview Position eligible for remote work after in house orientation period. Orientation will be located at the Carle Methodist location in Peoria, IL. There will be in person meeting requirements at various times throughout...

Job Title: Government Programs RN Care Manager III Location: Fully Remote Eligibility: Candidates may work remotely from any U.S. state except NY, CA, HI, or AK Schedule:...

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.