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Virtua Health is seeking a remote RN to support the application of medical necessity tools, ensuring compliance and achieving positive patient outcomes. You will collaborate with Physician Advisors, manage denials, and document review activities...

Nursing Assistant PositionUnder the direction of a Registered or Licensed Vocational Nurse, provides basic nursing care and implements selected aspects of the patients nursing plan of care.This position requires providing care/service to an...

EK Health is hiring a full-time Telephonic Nurse Case Manager (RN) for our Case Management Team. The role includes assessing, planning, coordinating, and evaluating service options to ensure injured workers receive timely, cost-effective care and...

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...

JOB SUMMARY:The transporter is responsible for bringing patients to and from the nursing unit to the unit or from the nursing unit to the ancillary department where procedure will be performed. The transporter is responsible for picking up...

Details Client Name Providence Saint Joseph Medical Center Job Type Travel Offering Nursing Profession RN...

SCAN Group is seeking a remote RN to enhance frail seniors' ability to age in place by delivering person-centered care via telephonic care coordination. You will develop and implement plans of care, educate members, and coach them to manage...

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...

Integra Partners seeks an experienced Utilization Management Nurse Supervisor to lead the UM nursing team, ensuring performance, accountability, and professional development. You will conduct regular 1:1s, manage performance reviews, and drive...

POSITION SUMMARY The Assistant Nurse Manager is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care. Reporting to the...

Centene Corporation is seeking a Behavioral Health Utilization Review Specialist to support clinical reviews for mental health and substance use services. This role is remote within the Central Time Zone with a Monday–Friday schedule and...

CVS Health is seeking an experienced Registered Nurse for a remote, work-from-home Case Manager role across the US. You will collaborate with patients, care teams and providers to apply clinical guidelines and coordinate utilization management for...

Full-Time RN Case Manager & Educating Supervisor We are dedicated to providing exceptional home health services. As we expand our team, we are seeking a qualified and experienced individual for the position of Full-Time RN Case Manager &...

Call 4 Health is seeking a Nurse Manager to oversee the Nurse Triage team and daily call center operations. The role requires an RN with strong operations, triage expertise, and leadership experience to drive high-quality patient care and staff...

Case Manager, RN- Utilization Review A Brief Overview The Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. Team member uses...

Crawford & Company is seeking an experienced RN Telephonic Case Manager to work remotely providing case management services for patients and employees. You will navigate their healthcare journeys, align with URAC standards, CMSA Standards of...

MedWatch is seeking a Registered Nurse Case Manager for a remote, work-from-home role in the United States. You will manage an individual caseload, authorize services, review treatment plans for medical necessity, and coordinate with providers,...

Apply Now Certification: Registered Nurse Specialty: Case Manager Location: Los Angeles, California Jobs Available: 1 Job Type:...

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...

Enlyte is seeking a Telephonic Case Manager (RN/LPN) in New Jersey for a temporary, full-time, work-from-home assignment. The role involves collaborating with physicians, employers, and patients to develop and implement treatment plans aimed at...

A healthcare services provider in Cleveland, Ohio, is seeking a Case Manager Nurse Advocate. This position offers remote work flexibility and requires an active nursing license and a Bachelor of Science in Nursing (BSN). The ideal candidate will...

Nursing Care Coordinator Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care.

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical...

Humana is seeking a Care Manager, Telephonic Nurse 2 to assess and coordinate care for members in a telephonic environment. You will guide families toward appropriate resources and report to the Associate Director, Health Services Nursing.

CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...