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Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote United States position. You will use your nursing expertise to evaluate medical records, assess medical necessity, and manage appeals to support patient care and...

Job Description Registered Nurse (RN) Care Manager Take your nursing career beyond the bedside and make a meaningful impact in the community. We're seeking a compassionate Registered Nurse (RN) Care Manager to support...

Position Purpose: Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care.

Included Health seeks passionate California-Based Nurse Care Managers for their Care and Case Management team. You will coordinate and deliver patient-centered care, helping members navigate their healthcare journey while ensuring they receive...

Registered Nurse - Utilization Management (Remote) - Philadelphia, PA (Remote) - Contract - Mon-Fri, Day Shift Hours - $41.15-$46.15 Per HR Title: Registered Nurse - Utilization Management (Remote) Location:...

Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you...

Nurse Case ManagerPosition Type: Full-Time Contract RoleLocation: Work from homeWork Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive)Schedule: Mon-Fri 8am-5pm ESTRegistered Nurse with active state license in...

UnitedHealth Group is seeking a Registered Nurse in the Weslaco, TX area to assess, plan, and implement person-centered care strategies while coordinating with providers and community resources. Remote work flexibility is available within the...

Case Management Nurse The Case Management Nurse delivers comprehensive, client-centered case management services across the continuum of care, ensuring that each individual receives the most appropriate level and type of health, medical,...

Required Skills & Experience • \tCompletion of an accredited registered nursing (RN) degree program is required\n• \tCurrent, unrestricted Registered Nurse (RN) Licensure in state(s) of practice is required \n• \tMinimum of three (3)...

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...

U.S. Department of Veterans Affairs is seeking a Remote Patient Monitoring Home Telehealth Case Manager. The role focuses on delivering knowledge-based care, patient education, self-management support, and ensuring patient satisfaction...

SHIFT: Any (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will...

CVS Health Corporation in Illinois seeks a Case Management Coordinator to support member care by coordinating appointments, identifying benefits and providing education through care management tools. This full‑time, home‑based role...

Provides direct nursing care including assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of patient care as well as coordinates the delivery of care...

Humana Inc. is seeking a Manager, Care Management to lead a telephonic care management team focused on transitional needs, chronic conditions, and barriers affecting health and well-being. This remote role emphasizes coaching, performance...

Sentara Health is looking to hire a Remote Integrated Case Manager. Candidates must reside in the State of Virgina. The Integrated Case Manager is responsible for case management services within the scope of licensure;...

McLaren Health Care is seeking a Registered Nurse to join the Utilization Management team. The role focuses on determining appropriate patient status, ensuring medical necessity, and documenting care for insurance and government payers within an...

Utilization Management Nurse The primary role of the Utilization Management Nurse is to review and monitor members' utilization of health care services with the goal of maintaining high quality cost-effective care. The role includes...

RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make...

Innovative Systems Group is seeking qualified healthcare professionals to conduct medical management and health education for customers on government programs. The role includes data gathering for regulatory reports and performing assessments,...

WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

Job ID: 33380 *Description*There's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive,...