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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...

Cambia Health Solutions, Inc. is hiring a Care Management RN to provide clinical care management, including case management, disease management, and care coordination, for members. You will oversee a collaborative process with the member...

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...

APIDEL LTD in the United States is seeking a capable Care Manager – Registered Nurse (RN) to coordinate care for SNP members with multiple chronic conditions. This fully remote role requires an active RN license in Florida and a readiness to...

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.

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...

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...

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...

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...

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 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...

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...

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...

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...

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living...

MDS Solutions, a division of Key Rehabilitation, seeks a remote MDS Coordinator to plan, organize, and coordinate MDS completion under current Federal and State Regulations. The role requires an RN license (LPN not eligible) and involves...

Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...

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...

Utilization Management Nurse The primary role of the Utilization Management Nurse is to review and monitor members' utilization of health care services with the goal of maintaining high quality cost-effective care. The role includes...

Offres d'emploi Crawford - Mondiales is seeking an RN Case Manager for the South Los Angeles County region. The role is remote with local field travel and offers a competitive salary, with quarterly bonus opportunities and resources such as free...

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...

Description Job Title Nurse Case Manager 2 Location Remote - OK Position Description The Case Manager utilizes a collaborative process of...

CVS Health is seeking a Case Manager RN for a fully remote role. The position supports members with assessment, planning, and advocacy to meet health needs and benefits, with no travel and a standard Mon-Fri schedule, aligned to the resident time...

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...

UnitedHealthcare is seeking a registered nurse to serve as a front-line clinical resource, guiding members on health management and care decisions. This role emphasizes education, advocacy, and high-quality customer service in a fast-paced...