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CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays,...

Job Summary Works 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 medical...

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

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Conduct prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services. Collaborate with UM Medical Director on reviews and final determination. Draft denial language to ensure...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you will help lead and coordinate our exceptional nursing team so they can deliver timely, compassionate, and life-saving care to patients in critical situations. Every...

Atrius Health in Massachusetts is seeking a Registered Nurse to deliver effective care within the GI/Anticoagulation Management Services team, combining nursing processes with evidence-based practice to ensure patient safety and quality outcomes.

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

SHIFT: Any (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will...

Job Description This position offers a blend of on-site and remote work, along with a $5,000 sign-on bonus for eligible new hires. If you're an experienced...

Sagility is hiring a Senior Care Specialist (RN) to deliver remote, phone-based care coordination for Medicare/Medicaid members. This seasonal role ends in June 2027, with eligibility for bonuses and incentive programs based on performance and...

Nurse (RN) - Case Manager Hours are as needed, Monday - Friday during business hours; you will work 4, 8 or 10-hour shifts as needed to fill gaps in staffing. Hours can also include weekends but not required. This position is remote.

Back Registered Nurse – Review Analyst | Remote | Contract Business & Care Management Detroit , Michigan Contract Nov 6, 2026 Registered Nurse – Review Analyst | Remote | Contract Walker Healthforce is seeking a...

Elevance Health, Inc. is seeking a Telephonic Nurse Case Manager Lead to support care management for members with complex and chronic needs. The role blends telephonic care management with on-site discharge planning when needed, offering...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - HSPC Afterhours Triage Nurse - Remote (2398103) HSPC Afterhours Triage Nurse - Remote - 2398103 Explore opportunities with Amedisys,...

Sedgwick is seeking an RN Field Case Manager to join our nationwide team in a remote, home-based role with occasional travel. You will work with injured workers and medical providers to coordinate care, advocate for treatment, and support timely...

CommonSpirit Health is seeking a Continuing Care Coordinator RN in Centennial, CO. This full-time role focuses on chronic disease management, coordinating interdisciplinary care, and educating patients and families to improve outcomes. The...

RN Health and Social Services Care Coordinator $5,000 Sign-on Bonus for External Candidates At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.

Job DescriptionJob DescriptionBilingual Remote LPN/LVN - Clinical Interviewer100% Remote | $25-$26/hour | Monday-Friday 11:30 - 8 PM EST (Can reside anywhere in the U.S. to be considered)**Must be bilingual and hold an active LPN/LVN license to be...

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...

Inland Empire Health Plan (IEHP) is seeking an experienced Utilization Management Nurse to perform prospective, concurrent and retrospective reviews ensuring medical necessity and alignment with UM criteria. Under the UM Manager, you will...

JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across...

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

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...

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...