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Vaya Health seeks a Physical Health Registered Nurse to perform clinical reviews for authorization requests and medical necessity. You will reference standardized criteria and coordinate with physician peers when needed. This role is part of a...

Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the identification of diagnoses, conditions, and procedures that are representative of the...

Job Description • Start date: ASAP • Floating Expectation: No • First Time Traveler: Yes but 1st time travelers must be screened • Ratios: Days 1:25 • Years of experience REQ: 2-year acute medical Care Manager...

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...

Our client, is a IT Services and Consulting company, is looking for a Nurse Case Manager II for their Wayne and Macomb Counties, MI location. Responsibilities: The Case Manager utilizes a collaborative process...

Nurse Case Manager II The Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and...

Prior Authorization Nurse Case Manager (PACM) The role of the Prior Authorization Nurse Case Manager (PACM) is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of...

Job Description Now Hiring: RN Case Manager - Torrance, CA Job ID: JOB-418927 Weekly Pay Range: Contact us for Pay Information Weekly Pay Range:...

UnitedHealth Group is hiring an Inpatient Care Management Nurse to oversee proper utilization of health services. You will assess member needs, develop plans with clinical staff, and ensure efficient discharge planning in a remote role. The...

Central Health seeks a Nurse Case Manager to identify, screen, track and coordinate care for members with multiple co-morbidities and psychosocial needs. This role may work remotely with occasional travel to Austin, TX, under the Manager of Case...

RN Opportunity With Assisted Assisted is looking for a RN to support our Mission Hills Home Health division to cover the San Fernando Valley. We have full-time or per diem opportunities, if looking for full-time you will be expected to be...

Remote RN Case Manager (Texas Residents Only) Are you an experienced Registered Nurse looking to transition from bedside care into a role focused on care coordination, member advocacy, and improving health outcomes? This fully remote...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted,...

Sentara Healthcare Integrated Nurse Case Manager Location: Manassas, VA Work Shift: First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA. This is a...

AltaMed Nurse (RN) Case Manager/Care Coordination Team Leader If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed –...

RN - Utilization Management ID 2026-25367 Category Registered Nurse specialties - Case Manager Facility Nationwide - California Job Description Spectrum Healthcare Resources has...

Summary: Uniti Med is looking for a Registered Nurse (RN) in Torrance, California. This assignment lasts 13 weeks and is scheduled to start on 09-14-2026. Benefits: Day...

Home Health Nurse Plans, organizes, and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct...

Hospital Case Manager RN Join a team that shares your calling At MultiCare, you're more than just a job title — you're part of a team built on trust that cares for each other, our patients and our communities. Belonging here...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Utilization Management Admissions Liaison RN II (Nights) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13180 Salary...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

Nurse Case Manager Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of...

An RN Case Manager is a registered nurse who coordinates and oversees patient care to ensure quality outcomes, cost-effective treatment, and seamless transitions across healthcare settings. They assess patient needs, develop and implement...