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Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...

Under 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 documentation that...

GQR Healthcare is seeking a local contract nurse RN PACU - Post Anesthesia Care for a local contract nursing job in Panorama City, California. Job Description & Requirements Specialty: PACU - Post Anesthesia Care Discipline: RN Start Date: 07/23/2026...

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...

Job ID: 30396 *Description* Job Duties In this role, you will function as a clinic level supervisor, performing a variety of clinical and administrative duties related to clinical management of practice and patient care. You will...

RN MDS Reviewer The RN MDS Reviewer supports successful completion and submission of the MDS (Minimum Data Set) to MassHealth. This role will examine MDS assessments prepared by clinicians to ensure completeness, accuracy and appropriate...

How you'll change lives...

RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...

Where You'll Work Founded in 1887, Dignity Health - California Hospital Medical Center is a 318-bed, acute care, nonprofit hospital located in downtown Los Angeles. The hospital offers a full complement of services including...

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%...

Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

Job Description Job Title: Senior LTSS Care Manager (RN) Location: Remote, Texas (Candidate should be from Austin area) Duration:...

Nahse is seeking a Nurse Manager for its clinics in Houston, Texas. This role involves overseeing operational management and care delivery in line with high nursing standards. The Nurse Manager will work closely with leadership, coach nursing...

Workers' Compensation Telephonic Nurse Case Manager The Workers' Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of...

Epic Travel...

Enloe Utilization Management Compensation range: $54.38 - $73.41. Your rate of pay will be based on applicable experience. Shift: Days. Days off: Variable. Hours per pay period: 0-24. Shift length: 12 Hours. Enloe Health is...

ENL Utilization Management Compensation range: $54.38 - $73.41 Your rate of pay will be based on applicable experience Shift: Days Days off: Variable Hours per pay period: 0-24 Shift length: 12 Hours...

Payment Integrity Nurse – Medicare Advantage We are currently hiring for a Payment Integrity Nurse – Medicare Advantage to join BlueCross BlueShield of South Carolina. In this role as a Payment Integrity Nurse, you will...

Clinical Policy Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13084 Salary Range: $88,854.00 (Min.) -...

Nurse Educator The Nurse Educator is responsible for providing support to ensure safe, effective and appropriate use of PROVENGE® (Sipuleucel-T) from enrollment to completed infusion for commercial accounts prescribing the Product and...

Registered Nurse (RN) – Utilization Management (24/7 Operations) Step away from bedside care and make a system-wide impact. Join our Utilization Management team and help ensure members receive the right care at the right time.

Description Telephonic Nurse Case Manager (1099 Remote - NJ RN License Required) We are currently seeking an experienced Telephonic Nurse Case Manager (RN) to support workers'...

Join Our Caring Community As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program...

Achievable Health's mission is to provide high-quality healthcare to our community, with a specialty in treating individuals with intellectual and developmental disabilities and their families. SALARY: $140K - $162K, DOE $10,000 signing bonus...

Job Title Details Job Type Local Profession RN Specialty MS / Tele Shift Details Shift Variable Shifts - 36 Hours Job Order Details Start Date 08/03/2026 End Date 11/07/2026 Duration 13 Week(s) Client Details State MA ...