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Sentara Health Plans seeks a Clinical Claims Reviewer RN for remote work. You will perform utilization management, review pre/post payment claims and authorizations for inpatient/outpatient cases, and address provider inquiries with appropriate...

Requisition number: 2390577 Job category: Nursing For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the...

• Start date: ASAP • Floating Expectation: No • First Time Traveler: Yes but 1st time travelers must be screened • Ratios: Days 1:20 • Years of experience 2 years acute care case management/discharge planning • Weekend REQ: Every other...

Description RN- Registered Nurse - Case Manager Specialty: Case Manager Location: Los Angeles,CA,00000 Start Date: 2026-10-19 End...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Travel Nurse RN - Case Manager Start date: ASAP Floating Expectation: No Ratios: 1:20 Years of experience REQ: 2-year acute care hospital case manager experience performing care coordination and discharge planning,...

Supports the values of service excellence, teamwork, and integrity while managing patient care. Acts as a liaison among patients, caregivers, multidisciplinary teams, and payers. Qualifications: Requires a...

Humana is seeking a dedicated Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations. You will work remotely, interfacing with providers and members to ensure appropriate care. A...

Travel Case Manager Nurse This Case Manager travel nurse job in Downey, California, with Advantis Medical is a 13-week Travel Case Manager Registered Nurse (RN) contract at PIH Health - Downey Hospital. This role pays $2,697 per week and...

Required Skills & Experience • Active RN license (Compact license required)\n• 2–4 years of clinical experience (neurology and/or endocrinology experience preferred)\n• Strong interest in chronic disease management across neuro and...

Case Manager RNParamount, CA$2425 /Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur8H Days13 Weeks40Long Term Acute Care Hospital165Proprietary SoftwareRequirementsAt least 2+ years'...

Please make sure to complete all the questions in the application and continue through to the end in order to sign and submit it. The preferred work hours are 8:30 am / 9 am - 5 pm / 5:30 pm central time...

Case Management Utilization RNPrimary Location: Panorama City, California Facility Name: Panorama City Medical Offices 4 Employee Status: Regular Schedule: Part-time Scheduled Weekly Hours: 32 Shift: Day Salary: $68.95 - $84.38 / hour Job Number:...

Registered Nurse - Case Management - Travel | Burbank, California Estimated Weekly Pay: $2790.46 Start Date: 11/09/2026 | Duration: 13 Weeks Shift: 5 x...

Nurse Case Manager II Telephonic Nurse Case Manager II Anticipated Job Posting End Date: 10/30/2026. Location: This role enables associates to work virtually full-time, with the exception of required in-person training...

Nurses - are you looking for a change? Want to work no nights, and no holidays? Check out Hines & Associates! ABOUT US: Hines is a nationwide, independent leader in personalized managed health care,...

Job Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not...

Summary VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire experienced Registered Nurses to work in our Case Management/Care Coordination Program. The Case Manager provides patient centered care with expertise in the...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.Lead the Way is our rallying...

Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ, or CT) Schedule: Monday – Friday, 9:00 AM – 5:00...

JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance Abuse...

Optum Global Organization Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

VIVA HEALTH in Birmingham, AL is seeking a Case Manager, Utilization Review to support members and high-risk patients. The role involves coordinating utilization review activities, performing timely medical records checks, and determining medical...

Winter Bill Rate Increase The winter bill rate increase will be effective from October 4, 2026, through February 27, 2027. After February 27, 2027, the bill rate will automatically return to the standard rate*** Please note that...

Case Manager RN Opportunity This outstanding unit is looking for the right Case Manager RN to join their team of compassionate and driven health care professionals. Join this highly motivated team of caregivers and enjoy a challenging and...