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Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

Remote Registered Nurse – Clinical Review Fully Remote | $48–$65/hr | Monday–Friday, 9:00 AM–6:00 PM ET Medix is supporting a healthcare technology organization that is adding...

Sedgwick is seeking a Telephonic Case Manager to support injured workers nationwide from a remote environment. You will craft case management strategies, advocate for optimal medical treatment, and coordinate services to facilitate recovery and...

Insurance Or Managed Care Industry Registered Nurse (RN) $40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically...

Telephonic Case Manager (RN) Immediate need for a talented Telephonic Case Manager (RN). This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact...

UnitedHealth Group's Optum Care at Home is hiring a Telephonic RN Case Manager to serve as primary contact for members with complex needs, conducting telephonic assessments, creating care plans, coordinating transitions, and addressing barriers to...

Manpower, Inc. is seeking an experienced RN Case Manager for a fully remote role supporting North Carolina residents. You will coordinate care, perform comprehensive assessments, and develop member-centered plans to improve outcomes. This...

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...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

Trillium Health Resources is seeking a Population Health Nurse to provide clinical care management and population health support for assigned members, focusing on prevention, wellness, and outcomes. The role uses nursing judgment as an RN to...

Advocate Health is seeking an experienced Registered Nurse for a remote-based Transitional Care role focused on high-risk patients undergoing discharge and 30-day transitions. The role emphasizes comprehensive assessments, patient education, and...

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...

Ardent Health is seeking a Patient Safety Manager to coordinate safety initiatives across its PSO. The role requires analyzing safety events, leading just culture, and disseminating best practices throughout the organization. The manager...

Guidehealth is a fully remote organization seeking a Care Manager to guide patients and families through complex health journeys from a Louisiana base. You will combine clinical expertise with holistic care, coordinating medical, behavioral, and...

Sentara Health is seeking an Integrated Case Manager, RN to support Eastern Shore region members, concentrating on behavioral health, waiver services, and complex care management. This remote role requires Virginia residency with travel 50%–75%...

Compassus is seeking a Hospice RN Clinical Coordinator to oversee administrative and management functions in the absence of the Director of Clinical Services. May carry caseload and ensure compliance with state and federal regulations. Remote role...

Description RN - Quality Assurance located at Providence Willamette Falls Medical Center (primary location) and Providence Milwaukie Hospital (secondary location), with rare travel to Providence Newberg Medical Center. The position does not...

Humana Inc. is seeking a Telephonic Nurse Care Manager to support patients transitioning into and out of CenterWell Home Health services. This remote role reports to the Manager, Care Management and requires knowledge of post-acute care, hospice...

CVS Health Corporation seeks an experienced Registered Nurse (RN) to support 24/7 Utilization Management operations. You will review cases, assess medical necessity, coordinate care, and ensure members receive appropriate, high-quality healthcare...

The Licensed Vocational Nurse is responsible for providing direct or indirect nursing care to patients who present with urgent, emergent, or potential health problems;...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...

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...

Sedgwick is recruiting for a US Telecommuter RN Telephonic Case Manager. The role focuses on coordinating medical services, advocating for injured employees, and facilitating recovery and return to work through telephonic case management.

ISYS Solutions Inc. is seeking a Telephonic Case Manager - RN (remote) to provide workers' compensation case management from Augusta or surrounding areas. You will coordinate care, communicate with providers, insurers and attorneys, and document...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Acute Intake Manager - West Region - Remote (2393623) Acute Intake Manager - West Region - Remote - 2393623 Optum is a global organization...