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UnitedHealth Group is seeking a Telephonic RN Case Manager to act as the primary contact for members with complex medical and social needs. You will conduct telephonic assessments, create person‑centered care plans, and coordinate services...

Job Title: Registered Nurse (RN) Disease Manager Job Overview: The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or...

LanceSoft is seeking a travel nurse RN Clinic for a travel nursing job in Glendale, California. Job Description & Requirements Specialty: Clinic Discipline: RN Start Date: 10/26/2026 Duration: 12 weeks 36 hours per week Shift: 12 hours, days...

Full-time Company Description WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

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%...

Location: Orion Building - 6630 Orion Drive Fort Myers FL 33912 Department: Utilization Management - Corporate Work Type: Full Time Shift: Shift 1/7:00:00 AM to 3:30:00 PM Minimum to...

Molina Healthcare is seeking a field-based RN care manager to support LTSS across Lawrence and Gallia County areas. You will assess, plan, implement, and monitor member care, coordinating with a multidisciplinary team to ensure outcomes and...

Children's Mercy Job Opportunity Do you envision finding a meaningful role with an inclusive and compassionate team? At Children's Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the...

Humana Inc. is seeking a Telephonic Registered Nurse Care Manager to support patients transitioning into and out of services from a remote work setting. You will guide post-acute options, ensure continuity of care, and act as a liaison with...

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...

Overview Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety and financial...

Chronic Care Coordinator Location: MICHIGAN - 100% REMOTE (NOT A COMPACT STATE) Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing...

Job Title: Nurse, Clinical Medical Review Location: Columbia, MD (Primarily remote, but hybrid) Duration: 6 Months Contract PURPOSE: We are seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a...

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...

To assist injured workers in receiving timely and appropriate medical care, the full-time Remote RN Telephonic Case Manager will assess, plan, implement, and coordinate care while working Monday through Friday from 8:30 am to 5:30 pm local...

Expedite Healthcare Solutions is seeking a local contract nurse RN Acute Care Case Management for a local contract nursing job in West Hollywood, California. Job Description &...

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...

CenterWell Home Health is seeking a Telephonic Nurse (Care Manager) to support patients transitioning into and out of our services. You will liaise with the clinical team to facilitate follow-up and ensure appropriate post-acute care options,...

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...

Description Location: UCHealth Admin 2450 Peoria, Aurora - CO Department: UCHealth Virtual Nursing FTE: Full Time, 72.00 hours per pay period (2 weeks) Shift: Day and Night Rotation Pay: $35.29 - $54.71 / hour. Pay is dependent on applicant's...

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...

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...

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...

CVS Health is hiring a Registered Nurse in Utilization Management to apply clinical guidelines and coordinate care decisions. The role supports members by linking them to programs and resources while coordinating with providers and care teams.

Trillium Health Resources is seeking a Registered Nurse to join our Utilization Management team in North Carolina. The UM reviews, coordinates care, and supports discharge planning to improve outcomes and ensure appropriate utilization of...