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Job Description Job Summary Join our team as a Clinical Review Nurse, where you will play a crucial role in supporting the review of medical claims and appeals. You will ensure compliance with state and federal...

Vivo HealthStaff is actively recruiting for a fully remote Case Manager position. This temporary 3-month contract role, with an option to extend, and focuses on health care management and coordination for members with complex and chronic care...

Become a part of our caring community and help us put health first Enjoy a rewarding career with a true work/life balance—no nights or weekends, giving you more time for what matters most. Humana is currently seeking an RN Case Manager to join...

100% Remote - ONLY 28 states Remote in the 28 states. Possible Contract to hire. North Carolina, Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana,...

A leading risk management firm is seeking a Telephonic Case Manager RN to coordinate resources and develop cost-effective care plans. This remote role requires an RN license and strong clinical expertise to assess treatment plans and communicate...

Shift and Status RN Case Manager Hospice Care Full time, 8:00 a.m. to 4:30 p.m., variable days and with 4 shifts backup on-call per quarter (weekday or weekend). Hybrid: visiting patients in Saint Joseph,...

Description Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by...

RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time...

The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The Care Manager...

Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

Job Title: Utilization Management NurseJob Description As a Utilization Management Nurse - Post Acute, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests, as...

Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...

Summary The Remote Patient Monitoring (RPM) Home Telehealth (HT) Nurse Case Manager executes position responsibilities that demonstrate leadership, experience, and creative approaches to the management of patient care. RPM-HT is a program that...

Description Role Snapshot Our Case Management RN (Registered Nurse) coordinates care and services of select member populations with complex health care needs across continuum of care. The...

Job Title: Nurse Liaison I - UM & QR Locations: Remote Role, IL 60563 Job Duration: 6 Months+ contract (possibility of extension) Schedule: Monday - Friday,...

Registered Nurse Utilization Management (UM) Reviewer Join PeaceHealth in advancing compassionate, mission-driven care from wherever you are. PeaceHealth is looking for a skilled and motivated Registered Nurse Utilization Management (UM)...

Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small start-up...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's...

Role SnapshotOur Case Management RN (Registered Nurse) coordinates care and services of select member populations with complex health care needs across continuum of care. The primary focus of the...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 02/23/2026 Duration: 13 weeks 40 hours per week Shift: 8...

DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in Salinas, CA region. Must live locally. As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will support some of our most...