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1 day ago Be among the first 25 applicants At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading...

Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare service utilization. The role requires clinical expertise and collaboration with providers to...

Wellmark is seeking a Case Management Nurse I to support members with chronic and complex health care needs. You will develop individualized care plans and collaborate with members, families, providers, and community resources to coordinate care.

UnitedHealthcare is seeking a field-based Care Coordinator (RN) to coordinate care for medically complex members primarily within Medicare/Medicaid. You will apply clinical knowledge to identify needs, educate members, and ensure access to...

Discover Vanderbilt University Medical Center Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim...

Central Health seeks a Nurse Case Manager to identify, screen, track and coordinate care for members with multiple co-morbidities and psychosocial needs. This role may work remotely with occasional travel to Austin, TX, under the Manager of Case...

A leading health service provider in Kentucky is seeking experienced Registered Nurses for the Field Care Manager role. Nurses will conduct non-clinical, in-home assessments and manage their own schedules. The position offers a competitive salary,...

A healthcare solutions company is seeking a remote Case Management Nurse to lead a multidisciplinary team providing holistic care. The role requires a compact RN license and offers a pay range of $37.00/hr - $39.00/hr. Candidates should have 3...

Cadence in Dallas, TX is seeking an RN Supervisor to lead a remote team of Registered Nurses in a high-volume triage environment. This role demands strong clinical judgment, operational management, and performance coaching to maintain quality...

Company : Highmark Health Job Description : Job Summary This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses...

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...

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...

A healthcare network is seeking a full-time Registered Nurse for Pre-Admission Testing (PAT) to work remotely. The role involves conducting comprehensive pre-operative assessments, coordinating with the medical team, and ensuring patient readiness...

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...

The Leading Provider of Integrated Occupational Medicine Services CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. Our...

UnitedHealth Group is seeking a Telephonic RN Case Manager to oversee clinical operations and medical management across the continuum of care. You will assess, plan, implement, coordinate, monitor, and evaluate care in a high-volume,...

UnitedHealth Group is seeking aRegistered Nurse in the United States for utilization review and case management. The role supports inpatient care decisions, discharge planning, and collaboration with clinical leadership to ensure high-quality...

Telenett is seeking a Remote Utilization Review Nurse to review medical records and treatment plans from home. You will determine medical necessity, collaborate with providers, and help develop care plans that meet client needs. The role...

LanceSoft is seeking a travel nurse RN Wound Care for a travel nursing job in West Hollywood, California. Job Description & RequirementsSpecialty: Wound...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Field Care Coordinator RN or LSW - Remote in Northern Idaho (2377507) Field Care Coordinator RN or LSW - Remote in Northern Idaho - 2377507...

A prominent healthcare organization is seeking an A&G Clinical Specialist to manage health member complaints and appeals. This fully remote position requires expertise in clinical case management, understanding of regulatory compliance, and the...

WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

A health services provider is seeking a Care Manager RN for a remote, contract role in Detroit. This position involves leading a multidisciplinary team to deliver holistic care and requires a Nursing Diploma or Associate's degree, with a...

MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure and 3+ years of clinical experience. Responsibilities include assessing healthcare...

Valley View Hospital in Glenwood Springs, CO seeks a TEMPORARY Remote Outpatient RN Case Manager to assist outpatients and their families in the overall Management of their plan of care across the continuum, to include prior authorizations.