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JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical...

Authorization Nurse Do you have clinical care experience? Are you an RN looking to grow your career? UPMC is hiring a full-time Authorization Nurse. This position works Monday through Friday, as well as rotating weekends (typically 1...

Remote Case Manager RN – Costco Team (San Antonio, TX) 100% Remote | Full-Time | Weekday Schedule Join our dedicated Costco Team as a Remote Case Manager RN and make a meaningful impact on members' health and wellness from the...

MASC Medical Recruitment Firm provided pay rangeThis range is provided by MASC Medical Recruitment Firm. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.Base pay range$60,000.00/yr -...

Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Santa Monica, California.Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 07/13/2026 Duration: 13...

The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...

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...

Do good. Be great as a nurse. Are you a Registered Nurse, Nurse Practitioner or Registered Mental Health Nurse seeking professional growth, flexible working and a better work-life balance? About the...

Nurse Case Manager (RN)-Field & Remote-{171308} Location: Field-based in Northern Virginia Work From Home (WFH) Must reside in ear: Sterling, Reston, Chantilly, Oakton, Herndon (VA) Travel: Up to 75% local travel (remaining time WFH) Pay Rate:...

Director Of Nurse Case Management Lead a high-performing clinical operations team dedicated to delivering exceptional case management services while driving quality, compliance, and operational excellence. In this strategic leadership...

DescriptionThe Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides clinical andadministrative leadership for a statewide prostate cancer treatment initiative. This role oversees clinical operations, supervises...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Leading the RN-led Complex Care Management program, the contract-to-hire RN Case Management Director will oversee strategy, clinical workflows, and operational performance in a remote setting, ensuring adherence to NCQA standards and driving...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: NICU Neonatal Care Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $52.33 - $83.73 / hour. Pay is dependent on applicant's...

Sign On BonusPosition offered with sign-on bonus: $10k for RN & $7k for LVN.Position SummaryThe Inpatient Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified...

Clinical Documentation Improvement Specialist - RN Job Category: Outpatient Nursing Requisition Number: CLINI017160 Full-Time Remote Hourly Range: $28.71 USD to $40.19 USD Description Job Overview: Day-to-day...

School Nurse Substitute at Burbank Unified Share on X - Application Deadline 7/28/2026 4:30 PM Pacific Date Posted 6/30/2026 Contact Rachel Marichi 818-729-4429 44429 Number of Openings 1 Salary Single Rate $250.00 Daily Length of Work Year On Call...

An employer is hiring Remote RN Case Managers for a healthcare startup redefining how care is delivered for patients with neurological and endocrine conditions. We're looking for motivated, curious, and patient-first RNs who want to build...

NURSE NAVIGATOR - RN Training Class starts in June** **ONLY NIGHT SHIFTS AVAILABLE** **12-hour ROTATING shifts** Location: On-Site in Lewisville, TX NOTE: No direct patient care involved Join Our Innovative Healthcare Team...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

POSITION SUMMARYThe purpose of your job position as Care Coordinator Nurse is to provide direct nursing care to residents, including the coordination of care that is safe, timely, effective, efficient, equitable, and resident-centered. You are...

Benefits: Simple IRA Part-Time transition to Full-Time Opportunity Bonus based on performance Company parties Competitive salary Dental insurance Health insurance Paid time off Training &...

Position Summary 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...

Field Nurse 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...