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Kintegra Health in Gastonia, NC seeks a Telephonic Triage Nurse Manager to lead telephonic triage services, supervise nursing staff, and ensure safe, timely, patient-centered care for adults and children. Reporting to AVP-Nursing, you will shape...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...

Nurse Care Manager We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading...

Forthright CM is seeking a self-motivated Registered Nurse (RN) for an in-person per diem role in California. The position allows remote work locally with travel and a flexible schedule. A company laptop is provided to support a hybrid/remote...

HCS 247 is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...

Maryland Care Management, Inc. (MCMI) seeks an experienced Care Manager to plan, develop, implement, and oversee care plans for high-risk members. You will coordinate services, assess health/social needs, and drive timely interventions to...

Acentra Health is recruiting a Clinical Operations Manager - RN to lead the day-to-day supervision of the Case Review Teams, mentor staff, and ensure contractual, regulatory, and accreditation compliance while delivering timely data and...

Case Management Utilization RNSalary: $68.95 - $84.38 / hourLocation: Los Angeles, California, Los Angeles Medical CenterEmployee Status: RegularSchedule: Part-time, 32 hours per week, Day shiftJob Summary:Works collaboratively with an MD to...

Deliver comprehensive nursing care using the nursing process, including assessment, planning, and evaluation.Monitor patient conditions, adjust care plans, and collaborate with the team to improve outcomes.Requirements:Active RN license, BLS...

Enlyte is hiring a Telephonic Case Manager. The role requires an active NJ RN or LPN license and allows full-time, remote work from the Eastern Time zone. You will collaborate with treating physicians, employers, and injured individuals to...

Ways2Well is seeking a Nurse Manager to lead a remote clinical support team, drive patient service excellence, and uphold clinical standards. The role focuses on coaching, performance management, and continuous improvement across workflows.

Mary Washington Healthcare is seeking a Virtual Registered Nurse (VRN) to deliver professional nursing care via two-way audio/visual technology, collaborating with bedside nurses to assess vital signs and monitoring data. The VRN provides direct...

Centene Management Company LLC in Illinois is seeking an RN to remotely support Medicaid High Risk Maternity members. The role requires an active Illinois RN license and follows a Monday–Friday 8am–5pm Central Time schedule. You will...

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Case...

Care Manager Registered Nurse (CMRN) At Hopscotch Primary Care, we believe great healthcare should be accessible to all people across all communities. Today, almost 20% of Americans live in a rural community, yet only 11% of physicians...

Intermountain Health is seeking an RN Utilization Review Care Management I for flexible, enterprise-wide coverage, including shifts across Peaks/Canyons/Desert regions. The role emphasizes utilization review, clinical decision-making, and...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Service Excellence Manager - RN (Remote) Clinical Operations - Neurology...

UnitedHealthcare is seeking an HSS Clinical Coordinator RN to serve as the primary care manager for a panel of members with complex health needs, including behavioral health, with a focus on coordinating medical, behavioral, and social...

The University of Texas MD Anderson Cancer Center is seeking a Denials Management Coordinator to support revenue cycle operations by coordinating review, analysis, and resolution of insurance denials and to help secure accurate reimbursement. This...

TriWest Healthcare Alliance is seeking a Utilization Management Clinical Review nurse to assess medical necessity and manage prior authorizations for Behavioral Health and Medical/Surgical requests. You will apply InterQual criteria, document in...

Hi. We're Hummingbird. We're elevating patient access so patients can get healthcare how, when, and where they need it. We partner with healthcare systems to transform how patients access care, enabling their providers to focus on what...

Elevance Health, Inc. is seeking a Nurse Case Manager I to perform care management for members with complex and chronic needs. The role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans, with...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal...

Sedgwick is seeking an RN Field Case Manager to work face to face with injured workers and medical providers, supporting advocacy, expedient treatment, and return-to-work efforts. The role blends remote work with necessary in-person interactions...

Yale University is seeking a Utilization Management RN for revenue integrity. This remote (Connecticut) role reviews documentation against payer policies and medical necessity criteria, prepares denial appeals, and educates providers to ensure...