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CVS Health Corporation seeks an experienced RN Case Manager to work remotely from anywhere in the United States. You will handle telephonic case management for insured members, apply clinical guidelines, and coordinate care with a...

Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is good for people...

Optum Home & Community Care is seeking a Telephone Case Manager RN to provide telephonic case management and patient education from a remote home office. You will coordinate appointments, refer to internal resources, and ensure HIPAA-compliant...

Elevance Health is seeking a Nurse Case Manager I to provide care management for members with complex and chronic conditions. The role can be performed virtually with required in-person training sessions, and some on-site work may be needed in St.

WHO WE ARE: GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and...

OHARA, LLC is seeking a Field Based Nurse Case Manager (RN) to coordinate and facilitate case management for injured workers in the Des Moines, IA area. This full-time role combines field-based visits with telephonic case management to promote...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

Guidehealth, a data-powered healthcare company, is seeking a licensed RN Case Manager to work remotely from Wisconsin. You will collaborate with clients and members to promote wellness, navigate the health system, and manage case assignments from...

UW Hospital and Clinics seeks a Nurse Case Manager (RN) to join our multidisciplinary team; remote work options available with flexible shifts. The role emphasizes utilization management, patient status assessment and collaboration with care teams...

Ansible Government Solutions, LLC is recruiting multiple Remote Registered Nurse Case Managers to support the VA Office of Veterans Community Care. The role involves managing SEOC data, ensuring compliance, and reviewing provider and veteran...

Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

UnitedHealth Group's Optum Care at Home team is seeking a Telephonic RN Case Manager to provide high-quality, member-centered care for individuals with complex medical and social needs. This role conducts assessments, develops care plans, and...

Telephonic Case Manager (RN) Immediate need for a talented Telephonic Case Manager (RN). This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact...

Guidehealth is seeking a remote Care Manager who can blend clinical nursing expertise with holistic patient care. You will guide patients and families through complex health journeys, coordinate care across providers, and empower members with...

This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $140,000.00/yr - $170,000.00/yr Direct message the job poster from...

JOB DESCRIPTION This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes...

CVS Health is seeking an RN Case Manager to join Community Care. You will coordinate and advocate for patient care, collaborating with providers to address needs along the care continuum. Qualified candidates hold an active Compact RN...

Sentara Health in Richmond, VA is hiring an Integrated Case Manager, RN to coordinate patient care across the continuum. This remote-friendly, full-time role requires in-person assessments and travel to Winchester, Leesburg, Alexandria, and other...

A healthcare services provider in the United States is looking for a Nurse Liaison to coordinate care for injured workers. This remote, field-based role involves communicating medical information and facilitating treatments. Candidates must hold a...

Freeman Health System is hiring for a remote/hybrid position in Utilization Review and Case Management. The role focuses on assisting Emergency Department patients with their social and discharge needs. Candidates must be licensed RNs with strong...

Humana is seeking a Utilization Management Nurse to support the coordination, documentation and communication of medical services and benefit determinations. This role requires clinical nursing skills and independent decision-making. You...

Mercor connects elite creative and technical talent with leading AI research labs. A remote Utilisation Management leader role is available, requiring RN licensure and physician-advisor experience. Contract position with high-level...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Part Time Southborough, MA, US Salary Range: $38.00 To $40.00...

Elevance Health in Florida is seeking a Medical Management Nurse to review complex cases, apply nursing judgment, and determine medical necessity for services. This role combines remote work with required in-person training sessions and periodic...

Nurse Case Manager Position Type: Full-Time Contract Role Location: Work from home Work Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive) Schedule: Mon-Fri 8am-5pm EST...