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Harris Health System, Inc. is seeking a Nurse Manager to oversee the operational management of clinics and delivery of care. This role involves managing quality, human resources, and financial aspects of the clinics while collaborating with...

Working remotely, the full-time RN Utilization Management will review and document member case histories and prior authorization requests, utilizing clinical judgment to determine coverage eligibility while ensuring compliance with policies and...

Telephonic Care Manager Opportunity Are you an experienced nurse looking for the next challenge in your career? Do you have knowledge of case management or care coordination? Check out this fantastic new opportunity! UPMC Health...

Overview Carenet Health is not authorized to hire in certain states due to internal business considerations: CA, CO, NY, NJ, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto RicoAre you a compassionate, self-motivated registered nurse with...

Title: RN, Clinical Supervisor ...

Alliance Liaison If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where...

On-Site Care Coordinator This is a remote position with travel required within Spartanburg, SC Territory/Community. Mileage is reimbursed for travel. Position Summary: The On-site Care Coordinator is a Registered Nurse who provides...

Harris Health seeks a Nurse Manager to lead the operational management and care delivery for one or more clinics or units. This role oversees human resources, quality, and financial performance within the assigned area.You will work with the...

Providing care coordination for Medicaid and Medicare members, the full-time Remote Bilingual Nurse Coordinator will build trusted relationships, assess member needs, and facilitate access to care while working from a dedicated home office in the...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Direct Jobs is seeking a Nurse Manager for the Emergency Service Administration in Houston, Texas. The Nurse Manager will be responsible for operational management and the delivery of quality patient care across the clinic. With oversight of...

Case Manager RN- Weekends Sign On Bonus Potential: 5,000 Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Part-time - Weekends - Day and Evening shifts - 8:30am-7:00pm RN OTHER 95141 $40.12-$62.19 Experience based Posted: July 20, 2026 Apply...

Find your calling at Mercy! Job Summary: As the critical gateway to our health system, the Throughput RN plays a pivotal role in shaping first impressions and delivering a brand-defining experience for patients, their families,...

Duties Help Prioritizes patients in the disease management program. Performs proactive patient management and education. Organizes internal and community resources to provide ongoing self-management support to...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Inpatient Care Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

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...

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%...

Become a part of our caring community Humana Healthy Horizons in Virginia is seeking RN, Field Care Managers (Field Care Manager Nurse 2) to perform telephonic and face-to-face assessments and evaluations of the needs and...

RN Clinical Nurse The RN Clinical Nurse provides patient-centered, specialized, evidence-based nursing care across the continuum through an interprofessional approach to treatment, research, education, and advocacy. Contributes to the...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote Clinical expertise meets analytical precision in a role that directly shapes how patient care is captured, understood, and valued across the health system. As a...

The RN Case Manager will work collaboratively with surgeons and patient/family in developing, implementing and documenting individualized plans of care to ensure continuity, quality and appropriate resource use.

Job Title Job duties include, but are not limited to, the following: Works collaboratively consulting with Chiefs, Nurse Managers/Supervisors, Medical Directors, and organizational Leadership to assess, develop, implement,...

Description Assistant Nurse Manager at Providence Little Company of MaryTorrance Hospital - Evening shift. The Assistant Nurse Manager (ANM) is a professional Registered Nurse reporting to the unit director/manager who...

JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations...