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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...

Title: Clinical Review Nurse Concurrent Review Location: Remote Duration: 12 months (Potential Extension) Schedule: Mon-Friday, 11AM to 8pm CST; Weekends and Holidays on a rotation basis based on...

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...

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

Senior Care Specialist (Registered Nurse) – Work From Home About Sagility Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe position requires flexibility to travel and float to other clinic...

Elevance Health, Inc. invites applications for a Medical Management Clinician Associate working primarily in a virtual capacity. The role requires an active RN/LPN license and at least 2 years of clinical or utilization review experience, with...

TriHealth is seeking a Utilization Nurse to evaluate medical necessity and ensure care is delivered at the appropriate level in collaboration with physicians, care management, and payers. The role requires RN licensure, 3–4 years of...

JOB SUMMARY: The care management staff that KPPC employs are all state-licensed Registered Nurses or Licensed Social Workers. These professionals all have thorough knowledge of North Carolina patient resources and...

CorVel is seeking a Utilization Review Case Manager for a remote position in California. The role involves gathering demographic and clinical data, certifying medical necessity, and assigning appropriate lengths of stay for in-patient and...

Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

Ambulatory Chronic Care Manager (RN) To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect,...

Medicare and Medicaid managed care plans helping members stay independent.Supports Elderplan's SNP line of business.Responsibilities:Advocate for patients during care transitions.Collaborate with discharge planners and case managers via...

Ways2Well in the United States is seeking a Nurse Manager to lead a remote clinical support team, ensuring exceptional patient service, operational excellence, and adherence to clinical standards. You will coach and mentor staff, support provider...

NCW Staffing is looking for a Case Manager RN's to work for a hospital in Downey, CA! Case Manager RN Details: Number of Positions: 8 Shift: AM Shift available Shift Length: 13 weeks Start...

Sagility is seeking experienced Registered Nurses to join as Senior Care Specialists in a work-from-home capacity. This seasonal role offers starting pay at $37.00 per hour with potential bonuses and incentives based on performance and business...

To ensure high-quality patient care and appropriate admit status, the full-time Maryland Licensed Utilization Review Nurse will conduct admission concurrent and retrospective case reviews, collaborate with medical staff, and manage documentation...

Supervisor of Utilization Management (UM) RNSalary Range: $102,183.00 (Min.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to...

Clinic Supervisor - Registered Nurse Reports to: Executive Director Supervises: Clinic Nurses (RN, CNA) and Clinic Clerk About the Role...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

Quality Assurance Specialist (QA RN)Pay Range: $40 - $50 per hourJob Type: Part TimeLocation: RemoteJob Summary Buena Vista Home Health is seeking an experienced OASIS Review Nurse (Registered Nurse – RN) to support clinical quality, regulatory...

Crawford & Company is seeking an RN with a passion for case management to join our team in a remote, part-time capacity with local field travel. Candidates must be based in the United States and meet California area location requirements; travel...

Amphibious Medics seeks an experienced RN to lead our Nurse Case Management function. This hands-on clinical and operational leadership role oversees three Case Officers, ensuring standards, quality, and timely return-to-work across multiple...

Company OverviewAcentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.Lead the Way is our rallying cry at...