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Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

Harris Health System, Inc. is seeking a Nurse Manager to oversee the operational management of clinics and delivery of care. This role involves managing quality, human resources, and financial aspects of the clinics while collaborating with...

Inpatient Care Management 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 Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

OverviewPosition Type: Full timeJob Title: Care Review Clinician ILocation: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle),...

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. Accountabilities include...

Job Details Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Dallas, TX, USA Medical Case Management Full Time Description Overview Are you looking to make a difference by providing...

US Army Reserve – Psychological Health Program Nurse Case Manager (RN) The US Army Reserve Psychological Health Program (PHP) provides comprehensive behavioral health support to Reserve Soldiers and their families nationwide. As a Nurse...

RN Case Management Alhambra, CA About Seen Health At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen...

RN Clinical Nurse The RN Clinical Nurse provides patient-centered, specialized, evidence-based nursing care across the continuum through an interprofessional approach to treatment, research, education, and advocacy. Contributes to the...

Description Telephonic Nurse Case Manager (1099 Remote - NJ RN License Required) We are currently seeking an experienced Telephonic Nurse Case Manager (RN) to support workers'...

Registered Nurse - Case Management Duration:13 Weeks Start:03/10/2025 Job Type: Travel Minimum Guaranteed Hours: 40 Jobs Notes: Day Shift, inpatient RN CM Acute hospital experience,...

Community Care Case Manager 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...

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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...

Job Title RN Case Manager, Telehealth (RN) Company Archimedes Overview The RN Case Manager, Telehealth (RN) will focus on improving members' health and wellness via tele-pharmacy. In addition, the RN will...

Travel RN Case Manager Join the Medical Talent Team! Join our dynamic team and embark on a rewarding journey with us! We are Joint Commission certified and known for our commitment to excellence and ethical practices in the...

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:...

Job Summary As a Clinical Services Manager - RN Telephonic Case Management, you will ensure optimum recovery on every claim while establishing trust, providing education, delivering information, and care. You will provide case direction to...

RN - Case Manager Travel Profession: RN Specialty: Case Manager Shift Details: Shift 10H Days Job Order Details: Start Date 07/18/2026 End Date 10/17/2026 Duration 13 Week(s) Client Details: City Los Angeles State CA...

General Information Press space or enter keys to toggle section visibility Work Location: Santa Monica, CA, USA Onsite or Remote Fully On-Site Work...

Community Hospital of Huntington ParkHuntington Park, CA 90255, USADescriptionJob Summary:Under the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement,...

Nurse Case Manager I Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports...

Summary: Uniti Med is looking for a Registered Nurse (RN) in Los Angeles, California. This assignment lasts 13 weeks and is scheduled to start on 08-11-2026. Benefits: ...

Job Description Hospice RN Case Manager (Evening Shift) - Up to $25,000 Sign-On Bonus If you're an RN looking to step away from high-stress hospital shifts and into a role where you...