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Optum is seeking a Telephonic RN Case Manager to coordinate medical management across the care continuum. You'll conduct assessments, plan, implement, monitor, and educate members, with a focus on safe, efficient, and patient-centered care.

Sedgwick is hiring an RN Telephonic Case Manager. This remote role supports injured workers by evaluating medical needs, coordinating care, and advocating for timely recovery and return to work. You will work with employers, providers, and...

NaphCare is seeking an experienced Utilization Management Registered Nurse for a remote-based position supporting an Arizona team. NaphCare delivers healthcare to correctional facilities nationwide and offers strong benefits and professional...

The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential...

CareHarmony's Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...

Salary : $101,190.00 - $151,468.56 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5134L Department: HEALTH SERVICES...

Case Manager Utilization RNWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the...

Company Description WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services,...

Telephonic Nurse Case Manager II Telephonic Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and...

Open Non-Competitive Job Opportunity Exam Number: Y5134L First Day of Filing: 3/3/2026, 8:00 A.M., PT, until the needs of the service are met and is subject to close without prior notice. COVID-19 Vaccination Mandate: All...

Job Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

JOB DESCRIPTION - REGISTERED NURSE (A) Job Summary: The Registered Nurse provides patient care on a supplemental basis to our client facilities. With the delivery of safe, quality patient care as...

CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant to support Medicare joint procedures. This remote, full-time role focuses on ensuring appropriate care, coordinating plans, and applying evidence-based criteria for...

Job Description Clinical Quality Assurance Nurse (RN/LPN) - Remote | $26.50/hr Title: Clinical Quality Assurance Nurse (RN/LPN) - Remote Location: Remote (U.S.-based)...

Anticipated End Date: 2026-11-20 Position Title: Manager II Medical Management, Grievance and Appeals CA RN required Job Description: Manager II Medical Management, Grievance and Appeals CA RN required Anticipated job Posting End Date: 11/13/2026...

Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...

RN Case Manager This is a 13-week contract position. Monday - Friday, 8:00 AM - 4:30 PM The RN Case Manager coordinates management of care and ensures optimum utilization of resources, service delivery, and compliance with...

Concurrent Utilization Review (UR) Nurse The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members...

RN Career Transition Opportunity – Nurse Case Manager Are you an RN seeking a rewarding career shift that uses your clinical skills and compassion — without the physical demands of bedside care? QuestPro has the exclusive...

Details Client Name Kindred Hospital - Paramount Job Type Travel Offering Nursing Profession RN Specialty...

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...

Job TitleFacilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS. Reviewing paper and electronic...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

Description RN- Registered Nurse - Case Manager Specialty: Case Manager Location: Los Angeles,CA,00000 Start Date: 2026-10-19 End...