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Life at aptihealth aptihealthis a fast-growing health tech company transforming behavioral healthcare. Our digital platform and affiliated medicalgroupmake it easier for people to access high-quality care when and where they need it.You'lljoin 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...

A leading case management firm is looking for a passionate RN to provide effective case management services. This remote position in Tallahassee involves evaluating medical cases, facilitating return to work solutions, and maintaining contact with...

HealthMap Solutions is seeking a Registered Nurse, Care Navigator/Case Manager to lead case management for kidney health, coordinating care and improving outcomes for a mixed caseload. You will document in Compass, perform health screenings,...

A healthcare services provider in Cleveland, Ohio, is seeking a Case Manager Nurse Advocate. This position offers remote work flexibility and requires an active nursing license and a Bachelor of Science in Nursing (BSN). The ideal candidate will...

NurseRemotely is seeking a registered nurse for a remote, field-based case management role. The position coordinates care among the Injured Worker, the Insured, and the Carrier to facilitate treatment and return to work, with regional travel up to...

A leading staffing company is seeking a remote Case Manager RN to coordinate care for a diverse health plan population. Applicants must hold an active nursing license in Michigan and have at least three years of clinical experience, alongside...

Job Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the...

UnitedHealth Group is seeking a Care Coordinator to apply clinical knowledge in coordinating care for medically complex members. The role involves telephonic and in-person assessments, care planning, and collaboration with Case Management,...

To assist injured workers in receiving timely and appropriate medical care, the full-time Remote RN Telephonic Case Manager will assess, plan, implement, and coordinate care while working Monday through Friday from 8:30 am to 5:30 pm local...

A prominent healthcare company is seeking a Case Management Nurse to conduct comprehensive assessments and develop care plans for beneficiaries. The ideal candidate will have 5+ years of clinical RN experience and a current RN license.

PriMedical, Inc. is seeking a Field Case Manager to ensure injured workers receive the care they need and return to work safely. This home-based position coordinates with providers, monitors progress, and develops individualized care plans...

Cambia Health Solutions is seeking a Remote Care Management Nurse to provide comprehensive clinical care management, including case management, for members in Idaho and surrounding states. Candidates must be Registered Nurses with a minimum of 3...

Oscar Health is hiring a Case Manager to join our Complex Case Management team. You will collaborate with Oscar teams to deliver high-quality care and improve member health outcomes, educating members, evaluating SDOH, and connecting individuals...

Berkley Medical Management Solutions (BMMS) is hiring a Telephonic Nurse Case Manager to coordinate medical case management and facilitate timely return-to-work for injured workers in the United States. The role involves close communication with...

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...

aptihealth is seeking a Registered Nurse Case Manager to support both patients and providers across the care continuum. In this key role, you will assess patient needs and coordinate care while ensuring compliance with regulatory requirements.

Employment Type: Full time Shift: Night Shift Description: Position Summary: Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to...

CVS Health is seeking a Registered Nurse for a full-time remote telehealth role focused on case management for vulnerable members facing complex medical, behavioral, and social challenges. You will assess, plan, implement, and coordinate care to...

COPE Health Solutions is seeking a qualified Utilization Management Nurse (RN) to assess member needs, determine medical necessity and coordinate care across providers and care teams. This full-time, remote position reports to Medical Management...

Forthright Case Management Llc is seeking a self-motivated Registered Nurse (RN) for a per diem, hybrid role based in Albuquerque, NM. You will coordinate medical care for injured employees and collaborate with the treatment team, insurers, and...

nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure...

PIH Health Downey Hospital is seeking an RN Case Manager to guide patients from pre-admission through post-discharge, ensuring smooth transitions and appropriate utilization of hospital services.You will focus on maximizing reimbursement from...

University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and...

Humana Inc. is seeking a Telephonic Behavioral Health Nurse Care Manager based in Oklahoma. The role focuses on assessing enrollees, guiding families to appropriate resources, and coordinating with an interdisciplinary team to ensure holistic,...