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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...

Metropolitan Transportation Authority seeks a Manager, Nurses to lead nursing and technical staff across NYCT, LIRR, MNR, and B&T sites. You will coordinate projects, ensure quality control, and support vaccination, surveillance, and safety...

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...

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...

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...

Back RN/Managed Care Coordinator (Remote) Healthcare Columbia , South Carolina Contract Hybrid Nov 10, 2026 RN/Managed Care CoordinatorJob at a GlanceTitle: Managed Care...

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...

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

*Job Summary and Responsibilities* As our Nurse Shift Manager, you'll oversee a department of frontline nurses caring for patients. Every day you will advocate for your fellow nurses as you support them in reaching their full potential,...

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...

Elevance Health is seeking a Nurse Case Mgr I (RN) to perform care management for members with complex needs, primarily telephonically. The role is virtual, with required in-person training and a Monday–Friday 9:00 am–5:30 pm (EST) schedule,...

CareHarmony is hiring a Licensed Practical Nurse (LPN) in Oklahoma City to join their team in delivering value-based care management. The role involves conducting health assessments, coordinating resources for chronic care, and educating patients.

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...

Case Manager RNBurbank, CA$2537 /Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur8H Days26 Weeks40Short Term Acute Care Hospital368EPICRequirementsAt least 2+ years' experienceEither an...

JOB SUMMARY This job works with appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines. Recommends and implements process...

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...

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...

Health & Human Services in North Carolina seeks a Nurse Consultant I (NS) to perform regulatory nursing home inspections, ensuring compliance with federal and state requirements and preparing deficiency reports. The role is home-based with regular...

HCSC is seeking a remote QOC Nurse under the supervision of the QOC Manager to conduct review and investigation of quality of care issues. The role supports quality improvement activities in compliance with CMS, NCQA and other regulatory...

Sedgwick is seeking an RN Telephonic Case Manager to support injured workers remotely. You will partner with workers, employers, and medical providers to develop care plans that promote medical recovery and a successful return to work. The...

TalentBurst, Inc is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty:...

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,...

Mary Washington Healthcare Incorporated is seeking a Level II Registered Nurse for a Virtual Registered Nurse (VRN) role. The VRN provides professional nursing care via two-way audio/visual technology, conducts virtual assessments, and...

About the opportunity: Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of...