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Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...

Posting Date 03/24/2026 3737 West Main StSte 103, Salem, Virginia, 24153-2073, United States of America RN Case Manager - Position Highlights Location: Hybrid - Remote This is a hybrid,...

Nurse Case Manager II Do 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...

Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...

Title: OSU Case Manager - This is a REMOTE JOB OPPORTUNITY (Hourly Pay only) Shift: 08:00-16:30 Accepts 1st Time Traveler Require Certifications: Active RN licensure to practice in Ohio (can be compact) BLS 2...

City/State Lynchburg, VA Work Shift First (Days) Overview: Overview We are seeking a compassionate and experienced Registered Nurse - Integrated Care Manager...

BAYADA at Bayhealth is currently seeking an Hybrid Admissions/Case Manager Registered Nurse, for a Full Time or Part Time opportunity with adult patients in their homes. This office services clients in territories throughout all of Kent County, DE,...

Responsive recruiter Benefits: Flexible schedule Position Summary Boost Home Healthcare is seeking a motivated Clinical Manager (RN) to help build and lead our clinical...

Job Description: Title: RN Case Manager Job Code: 14010 Division: Senior Living Status: Exempt Reports to: Director of Clinical Management Revision date: March 2019 Supervises: Nurses and Home Health Aides...

Become a part of our caring community and help us put health first Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to...

Site: Martha's Vineyard Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 0 Worker Type: Regular Exemption Status: No Job...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...

Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon...

Job Description Work Schedule: 100% FTE, Monday - Friday between the hours of 8:00 AM - 5:00 PM. No holidays or call. Hours may vary based on the needs of the department. Be part of...

Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of the largest private-duty nursing companies in the...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Overview: Advance Hospice Care. Lead Clinical Excellence. Inspire...

Overview Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams. We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the Executive Director or...

Department: 39105 Home Care Divisional - Home Health Liaisons Status: Part time Benefits Eligible: No Hours Per Week: 0 Schedule Details/Additional...

RN Care Manager - $5,000 Sign-on bonus Direct Hire Competitive Salary based on experience. Excellent Benefit Package...