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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...

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...

CVS Health Corporation seeks an experienced Registered Nurse (RN) to support 24/7 Utilization Management operations. You will review cases, assess medical necessity, coordinate care, and ensure members receive appropriate, high-quality healthcare...

Mgr, Case Management Nurse, RN LICENSURE REQUIRED Full-time Hospital MGR, CASE MGT (Full Time - Exempt) RN LICENSURE REQUIRED Los Angeles California Exp 2-5 yrs Degree Bachelors Relo Bonus Demonstrates good...

Description At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing...

Summary: Uniti Med is looking for a (LPN/LVN) Licensed Practical/Vocational Nurse in Los Angeles, California. This assignment lasts 13 weeks and is scheduled to start on 10-19-2026.

Guidehealth is seeking an Utilization Management Registered Nurse to perform medical-necessity reviews and document findings for determinations. The role involves collaborating with medical leadership, reviewing cases for appropriate treatments,...

UnitedHealth Group's Optum Care at Home is hiring a Telephonic RN Case Manager to serve as primary contact for members with complex needs, conducting telephonic assessments, creating care plans, coordinating transitions, and addressing barriers to...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

CorVel seeks an experienced Utilization Review Case Manager to gather demographic and clinical information for inpatient and outpatient treatments, certify medical necessity, and assign length of stay to support the Case Management department.

Position Summary The Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective...

Primary Work Location:Remote (Oregon Headquarters).This position is 100% remote and open only to candidates residing in states where the organization is authorized to do business. Authorized Remote States:Oregon, Arizona,...

Field Based Nurse Case Manager – RN OHARA, LLC has an opening for a full-time Field Based Nurse Case Manager in the Kansas City, MO area. We are driven to facilitate prompt delivery of quality, cost-effective health care to...

National Care Advisors in Minneapolis seeks a Nurse Case Manager to coordinate eldercare and special needs case management, collaborating with families, attorneys, financial planners and trustees assisting clients. This salaried role offers...

Position Summary The Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective...

DRG Specialist UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position working during standard business hours Monday through...

Job Title: Case Manager * LVN * Days Join our team in Woodland Hills, CA, as a Case Manager * LVN for a 13*week contract, working Monday to Friday, 8:00 am to 4:30 pm. Responsibilities: * Manage 20*24 Med Tele patients.

Case Manager RN Torrance, CA, United States Salary - $51.44 to $64.87 (US Dollar) Job Summary: Salary - $51.44 to $64.87 Experience: Requires Case Management (Care Coordination or Utilization Management) in...

TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services.

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...

Clinical Documentation Specialist Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.

About the Job This position reports to the Enhanced Care Management (ECM) Program Manager this position provides support to the ECM Program to ensure engagement, enrollment and follow up on members related to the ECM as well as other...

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...

Elevance Health seeks a Nurse Case Manager I to perform telephonic and on-site care coordination for members with complex health needs. The role supports plan adherence, discharge planning, and cross-functional collaboration with medical directors...

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...