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Enlyte is seeking a Field Case Manager (RN) in the El Monte, CA area. This full‑time, hybrid role involves coordinating treatment plans with doctors, employers, and patients to restore function and return to work after injuries or auto...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

Saint Luke's Hospital of Kansas City in the United States is seeking an experienced Registered Nurse for our Primary Care Shoal Creek location. The role features a Monday through Friday schedule, 8:00 am to 4:30 pm, with no nights, weekends, or...

nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure...

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...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of...

Case ManagerJob Summary: The Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures correct level of care: critical, telemetry, acute, observation, for all...

Nurse Case ManagerUnder the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies and...

PIH Health Downey Hospital is seeking an RN Case Manager to oversee a continuum of care from pre-admission through post-discharge, ensuring efficient progression for assigned patients.Focus on appropriate utilization of hospital services,...

RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization Management *SRMC Care Management *Full Time *Part Time Receive 17% Weekday Nights, 26% Weekend Nights and 15%...

Join to apply for the Case Manager (LVN or RN) role at Astrana HealthLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Compensation: $31.00 - $45.00 / hourDepartment: HS - ICMAstrana is looking for a RN/LVN Case Manager and we are...

Providing guidance and education to members, the full-time Remote Clinical Admin Nurse RN will act as a clinical resource in a customer service setting, addressing health questions and supporting members in managing their well-being while working...

CVS Health is seeking an experienced Registered Nurse (RN) for Utilization Management in a remote, work-from-home role. You will review clinical data, apply guidelines and collaborate with care teams to ensure appropriate, high-quality,...

Job OpportunityAre you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this...

University of California, Irvine Health seeks a qualified Case Manager to coordinate patient care across case management, care coordination, and discharge planning, ensuring adherence to evidence-based practice and regulatory standards.The role...

AltaMed Health Services Corp. in Commerce, CA is seeking a Registered Nurse, IPA Inpatient Case Manager to coordinate inpatient and SNF care, with emphasis on discharge planning and post-discharge scheduling with the IPA team.The role requires a...

Guidehealth is seeking an Illinois-licensed registered nurse to join its remote Value Based Care Services team as an RN Case Manager. You will conduct telephonic outreach, assess needs, coordinate care, and document in compliance with...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Optum is seeking a Utilization Management Nurse to review patient records and craft appeal letters. This per diem role offers flexible start times and the option to telecommute from anywhere in the U.S.You will adhere to HIPAA, contribute to OPAS...

RN, Day Triage - Monday - Friday 8am - 5pm page is loaded## RN, Day Triage - Monday - Friday 8am - 5pmlocations: Washington, DCtime type: Full timeposted on: Posted 30+ Days Agojob requisition id: R259642**It's inspiring to work with a company...

McLendon Leadershi is seeking a Case Manager Nurse to coordinate patient care across hospital and community settings. The role focuses on optimizing utilization and seamless transitions, with emphasis on advocacy and care coordination for diverse...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

UnitedHealthcare is seeking an experienced registered nurse to join a frontline clinical resource program that educates and supports members about health management. The role emphasizes customer service, nursing judgment, and collaboration to...

EK Health is seeking a Telephonic Nurse Case Manager (RN) for our Case Management Team. The role involves assessing, planning, coordinating and evaluating service options to help injured workers receive cost-effective medical care and expeditious...