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Job Summary Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial...

Humana is seeking a remote Telephonic Care Manager to lead a comprehensive case management program, coordinating care across sites and providers to reduce readmissions and optimize resource use. You will serve as the primary contact for...

RN Case Manager Opportunity The RN Case Manager works with the clinical department and acts as a liaison with our physician practices. The RN Case Manager advocates for personalized treatment options that address a patient's unique care...

Nurse Case Manager IIDo 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 Nurse Case...

WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We serve the most vulnerable seniors with better quality and compassion in a value-based model.The Case...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

Overview:RN Case Manager/Visiting Nurse *...

Position Summary The RN Case Manager is responsible for performing clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge...

RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization Management *SRMC Care Management *Full Time *Part Time Receive 17% Weekday Nights, 26% Weekend Nights and 15%...

Providing guidance and education to members, the full-time Remote Clinical Admin Nurse RN will act as a clinical resource in a customer service setting, addressing health questions and supporting members in managing their well-being while working...

nirvanaHealth is seeking a part-time Utilization Management (UM) Nurse to join our remote team. The UM Nurse will perform prospective, concurrent, and retrospective medical necessity reviews, determine level of care, and participate in initial...

Enlyte is seeking a Telephonic Case Manager (RN/LPN) in New Jersey for a temporary, full-time, work-from-home assignment. The role involves collaborating with physicians, employers, and patients to develop and implement treatment plans aimed at...

Job title Senior Care Specialist (Registered Nurse) – Work From Home About Sagility Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to...

Nurse Case ManagerUnder the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies and...

Case ManagerJob Summary: The Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures correct level of care: critical, telemetry, acute, observation, for all...

UnitedHealthcare is seeking a Senior Clinical Admin Nurse RN for Emerging CARE, with remote work flexibility across the United States. The role supports members by providing guidance, education, and front-line clinical resources to manage health...

A healthcare solutions company is seeking a remote Case Management Nurse to lead a multidisciplinary team providing holistic care. The role requires a compact RN license and offers a pay range of $37.00/hr - $39.00/hr. Candidates should have 3...

EK Health is seeking a Telephonic Nurse Case Manager (RN) for our Case Management Team. The role involves assessing, planning, coordinating and evaluating service options to help injured workers receive cost-effective medical care and expeditious...

Case Manager RNGlendale, CA$2824 /Weekly Gross* *Estimated pay package. Does not include taxes, insurance, or other deductions that may occur.Job ID: 47AJLWMTStart Date10/12/2026Shift8H Days(12:00 AM-12:00 PM)Length13 WeeksWeekly Hours40Facility...

Join to apply for the Case Manager (LVN or RN) role at Astrana HealthLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Compensation: $31.00 - $45.00 / hourDepartment: HS - ICMAstrana is looking for a RN/LVN Case Manager and we are...

Job OpportunityAre you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this...

Optum is seeking a Utilization Management Nurse to review patient records and craft appeal letters. This per diem role offers flexible start times and the option to telecommute from anywhere in the U.S.You will adhere to HIPAA, contribute to OPAS...

The RN Case Manager manages a continuum of care from pre-admission through post-discharge for assigned patients. Assure that patients and families proceed efficiently throughout the course of hospitalization. Focus of the position is the...