Search Nursing Jobs

Nurse Case Manager IIDo you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.The Nurse Case...

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...

Humana is seeking a remote Telephonic Care Manager to lead a comprehensive case management program, coordinating care across sites and providers to reduce readmissions and optimize resource use. You will serve as the primary contact for...

PIH Health Downey Hospital is seeking an RN Case Manager to guide patients from pre-admission through post-discharge, ensuring smooth transitions and appropriate utilization of hospital services.You will focus on maximizing reimbursement from...

RN Case ManagerWe'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...

The ECM Case Manager will assume responsibilities for community outreach and engagement. This position will determine eligibility, complete enrollment assessments, and perform outreach to potential ECM members to offer an enhanced case management...

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...

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...

Clinical Facility Site Review SupportProvides support for clinical facility site reviews. Under the supervision of leadership, uses clinical judgement within appropriate scope to independently conduct reviews and other monitoring activities for...

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...

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...

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 Description Harborview Medical Center's Stroke Center has an outstanding opportunity for a Registered Nurse (RN) - Nurse Navigator. WORK SCHEDULE Full-time, 100% FTE, 40 hours per week...

Humana is seeking a Utilization Management Nurse 2 to apply clinical nursing skills in coordinating, documenting and communicating medical services and benefit determinations. This remote role may require occasional travel to Humana's offices for...

BLEHEALTH is seeking a Lead Care Manager (LVN) to coordinate care for chronically ill members in collaboration with care teams. You will engage members, oversee ECM services, and implement care plans, with visits to member homes or facilities as...

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%...

A national healthcare recruiting firm is seeking an experienced RN Case Manager in Sacramento, CA. In this telephonic role, you will assess and coordinate care for high-risk members. The ideal candidate will have an RN license and at least two...

Kaiser Permanente in Los Angeles is seeking an experienced RN for a case management role within a multidisciplinary team. You will assess patient needs, develop individualized care plans, and coordinate access to services across physicians,...

UnitedHealthcare is seeking a Senior Clinical Admin Nurse RN for Emerging CARE, with remote work flexibility across the United States. The role supports members by providing guidance, education, and front-line clinical resources to manage health...

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...

Position Title: Registered Nurse, IPA Inpatient Case ManagerLocation: Commerce, CA 90040Description:Grow HealthyIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion...

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...

Job title 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...

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...

Team Manager The Team Manager is the leader of the Patient Care Team that ensures that patients and families receive continuity and quality of care from admission to discharge or transfer to bereavement. Salary Range: $130,000- 140,000/...