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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...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

CVS Health is seeking a licensed RN to join American Health Holding, Inc (AHH) as a remote Case Manager. This telephonic role serves across multiple states for fully and self-insured clients, with virtual training and ongoing support. The...

NurseRemotely is seeking a Senior Nurse Case Manager – Rare Disease for remote work across eligible Canadian provinces. You will manage patient cases across assigned geography, coordinating with physicians, insurers, hospitals, and pharmacies to...

Details Client Name Dignity Health California Hospital Medical Center Job Type Travel Offering Nursing Profession Nursing...

Case Manager RN Fully Remote • Any Location Remote US - Oklahoma City, OK 73102 Overview Position Type Full Time Job Shift Day Education Level High School or Equivalent Travel Percentage None Category Nurse...

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not...

Telephonic Nurse Case Manager (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States Reporting To: Karen...

Job Category : Registered NurseRequisition Number : CASEM003725Full-TimeOn-siteSalary Range : $112,278.40 USD to $165,068.80 USDLocationsShowing 1 locationCommunity Hospital of Huntington ParkHuntington Park, CA 90255, USADescriptionJob Summary:...

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 outcomes...

Field Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an...

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...

About This Role The Case Manager RN is responsible for providing comprehensive case management services to members, ensuring quality and cost-effective care delivery while promoting optimal health outcomes. This role is ideal for...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. **This position is remote. Candidates must be local to New England States for consideration** The...

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...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Summary: Work Schedule: This is a remote role that requires every Saturday and Sunday commitment. JOB SUMMARY: The Inpatient Care Manager, in collaboration with the clinical team and medical provider, provides discharge planning coordination and...

Sedgwick is seeking an RN Telephonic Case Manager to join our US telecommuter team. You will partner with injured workers, employers, and providers to design a case management strategy that promotes medical recovery and a successful return to work...

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...

Overview CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. We are currently seeking a full-time Case Manager (Registered Nurse)...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

Nurse Case Manager The Nurse Case Manager (NCM) is responsible for applying medical knowledge in reviewing workers' compensation claims to assess, evaluate, plan, implement and oversee the treatment appropriateness for occupational...

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...

Wellmark is seeking a Case Management Nurse I to actively engage members through various channels, build individualized care plans, and coordinate services with providers and families. You will support chronic and complex health needs while...

Case Manager Registered Nurse (RN) Days Location: Los Angeles, CA We are seeking a Case Manager RN to join our team, focusing on patient care coordination and management. This role requires strong communication and multitasking...