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Job Summary: The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and effective care. The...

Sentara Health Plan is hiring a Supervisor, Integrated Care Management/Registered RN for Nursing Facility/HCBS/LTSS Waiver. Remote with occasional onsite meetings in Virginia Beach or Richmond, VA. Full-time, 40 hours, 8am-5pm EST, M-F.

CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely,...

hireops is seeking a contract role for a discharge care coordination position in Chicago, IL. This role involves responsibilities for episodic case management and counseling, ensuring follow-up for acute conditions. Qualified candidates...

Optum is seeking an Utilization Management Nurse to review medical records, extract key case details, and craft defensible appeal letters in line with process instructions and guidelines. The role requires an RN with an associate degree, 3+...

A healthcare services provider in Cleveland, Ohio, is seeking a Case Manager Nurse Advocate. This position offers remote work flexibility and requires an active nursing license and a Bachelor of Science in Nursing (BSN). The ideal candidate will...

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Staffmark Group is recruiting a Registered Nurse for a remote role. Primary duties include reviewing peer review reports, ensuring evidence-based rationales, and ensuring compliance with client, contract, and regulatory standards. The ideal...

POSITION SUMMARY Reporting to the Director, Ambulatory Services of the Martin Luther King, Jr. Los Angeles (MLK-LA) Healthcare Corporation, the Ambulatory Clinical Supervisor is responsible for successfully managing day to day...

Description Calling All Esteemed Leaders! Are you an experienced perioperative and interventional services leader with a passion for operational excellence, physician partnership, and whole‑person care? Do you thrive in complex, multi‑campus...

A healthcare organization is seeking a Texas licensed RN as a Care Manager to oversee care for complex cases. The role involves conducting assessments, developing care plans, and collaborating with a multidisciplinary team. Ideal candidates will...

Become a part of our caring community $10,000 Sign On Bonus! As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you will lead and support a team of dedicated clinicians who deliver compassionate, high‑quality care...

A healthcare recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an active RN license and experience with health plan operations. Responsibilities include...

RN/Managed Care Coordinator - Remote Healthcare Columbia , South Carolina Contract Hybrid Aug 28, 2026 Case Management - RN Job at a Glance Title: Medical Case Management Nurse Location:Must live...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...

MedPOINT Management is seeking a remote RN/LVN Case Manager to assess, plan, and coordinate patient care across the continuum under the supervision of Leads & RN Clinical Manager for Case Management. You will advocate for patients and coordinate...

A national healthcare recruiting firm is seeking an experienced RN Case Manager in Sacramento, CA. In this telephonic role, you will assess and coordinate care for high-risk members. The ideal candidate will have an RN license and at least two...

Overview TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing clinical cases, identifying potential quality or safety...

A prominent healthcare organization is seeking a Telephone Triage Nurse Line Advisor in Saint Paul, Minnesota. The role requires a current Minnesota RN License and 3+ years of RN work experience. You will independently triage patient calls and...

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...

UnitedHealth Group is seeking an Inpatient Utilization Management Nurse, RN for a fully remote role serving the Sacramento area. The position requires 3+ years in acute care and 1+ year in utilization management, with certification in RN licensure...

Job Description Summary: \n Work Schedule: This is a remote role that requires every Saturday and Sunday commitment. \n JOB SUMMARY: The Inpatient Care Manager, in collaboration with the clinical team and medical provider, provides discharge...

Job ID: 30611 *Description*In this role, you will provide direct patient care for a diverse patient population. You will work with clinic management, administration, faculty physicians, fellows, residents, medical students, and other clinical...

*Description* *Calling All Esteemed Leaders!* Are you a nursing leader who is passionate about advancing clinical excellence, operational performance, caregiver development, and patient-centered care? Do...