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HonorHealth is seeking an experienced Utilization Review RN Specialist for a remote-capable role serving the greater Phoenix area. The position focuses on reviewing medical necessity and coordinating reviews for diverse payers, ensuring...

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...

Molina Healthcare is hiring a remote RN Care Manager. Preference for candidates in Washington State. This role will be working Pacific Standard Time hours. This role supports Medicare members through telephonic case management and...

Elevance Health is seeking a Nurse Case Manager I to perform care management for members with complex and chronic needs, assessing, developing, coordinating, and evaluating care plans across the continuum. Telephonic and on-site duties may include...

Medix is seeking a Remote Telephonic RN Case Manager to provide telephonic case management for chronically ill members within a C-SNP population. The role requires an active Compact State RN license or CA license and a strong commitment to patient...

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...

CVS Health is hiring a Remote Case Manager RN to support the Costco Team from home. You will assess member needs, develop care plans, coordinate resources, and collaborate with multidisciplinary teams to improve health outcomes. This role...

Revive Therapeutic Services seeks a Nurse Case Manager to oversee patient care plans and coordinate services for individuals facing health challenges. You will collaborate with patients, families, and providers to ensure effective care delivery.

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...

Virginia Mason Franciscan Health seeks an LPN Case Coordinator to coordinate patient care under physician/ARNP guidance. You will guide intake, diagnosis, treatment, and discharge, ensuring referrals reach the right specialist and coordinating...

Ascension is seeking a remote Case Management RN to review admissions and service requests for medical necessity, coordinate discharge planning, and assist staff with coding, documentation, precertification, reimbursement and denials/appeals. The...

Cambia Health is hiring Remote Care Management Nurses to deliver case management, disease management, and care coordination from home across eligible Western states. You'll assess, plan, implement, coordinate, monitor and evaluate care for...

OverviewStart your day from a home office!2-3 assessments per day! About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care...

Job Title: Registered Nurse (RN) Disease Manager Job Overview: The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or...

Iconma Portal is seeking a Registered Nurse-Review Analyst for a remote position with a Health Insurance client. You will conduct prospective, concurrent, and retrospective reviews across inpatient, outpatient, ambulatory, and ancillary services...

A leading healthcare staffing firm in Florida seeks a dedicated RN for telephonic care management. The ideal candidate will have over 2 years of clinical nursing experience in an acute care setting and proficiency in case management.

Opus Medical is seeking a Nurse Liaison to coordinate care and communicate key medical information among the Injured Worker, Insured, and Carrier. This remote, field-based role involves regular local travel, ensuring successful rehabilitation and...

A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...

Position Type: Full Time Department: Patient Programs Work Location: Canada Work Arrangement: Remote Work Hours: Monday to Friday - 8 hour rotating shifts between 8am - 8pm...

Summit Consulting seeks a skilled Registered Nurse with strong case management and managed care experience to review and optimize workers' compensation claims. The role involves auditing medical bills, advising on cost-control procedures, and...

Working remotely in a full-time capacity, the RN Telephonic Case Manager will manage treatment plans for injured or disabled individuals, collaborating with healthcare providers and employers to facilitate effective recovery and return to work.Key...

argenx is seeking a Nurse Case Manager Lead in the United States to oversee a regional team educating patients and caregivers as part of the Patient Support Program. You will provide leadership, coaching, and ensure timely, compliant support...

Our Story Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier...

Elevance Health is seeking a Nurse Case Manager I (US) to perform care management for members with complex needs. The role can be remote full-time with required in-person training and occasional site visits, centered in Latham, NY. The...

AmTrust Financial Services, Inc. is seeking a Telephonic Medical Case Manager, RN, to provide comprehensive telephonic case management and drive a medically appropriate return to work for injured employees. This remote role supports PA and...