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Provides direct nursing care including assessments, care plan, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of...

Humana Inc. seeks a Telephonic Care Manager, a Registered Nurse who will help ensure continuity of care for patients transitioning into and out of CenterWell Home Health services. You will determine appropriate post-acute options and...

Job Description Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News &...

JOB DESCRIPTION Job Summary Provides 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...

Providing timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions, treatment planning, and recovery for injured employees while advocating for effective...

CVS Health seeks a Minute Clinic Virtual Care Nurse Practitioner (Provider) to deliver care via a remote platform. You will collaborate with a dedicated team to independently provide holistic, evidence-based care for patients aged 18 months and...

UnitedHealth Group's UnitedHealthcare is seeking a Registered Nurse for a Weslaco, TX area role. The RN will assess, plan, and implement person-centered care, linking members with resources across financial, psychosocial, and community services,...

Sentara Health is seeking a Registered Nurse for the Physician Practice in a remote weekend day shift role (Sat, Sun, Mon, 7am–7:30pm). The RN will provide care in a physician practice or ambulatory clinic setting, coordinate with physicians and...

Case Management Specialist RN (Bilingual)Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify...

Sign On Bonus up to $20,000 for External Candidates Telephonic After-Hours Call - Evenings, Nights & Rotating Weekends Required Part-Time (20 Hours) Active Nurse Practitioner license in Connecticut or Rhode Island Required Optum Home & Community...

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Humana Inc is seeking a Telephonic Nurse Care Manager to support patients remotely, coordinating post-acute services and admissions. You will assess needs, educate on care options, and work with the clinical team to ensure timely and appropriate...

Job Description Grow your career at Cedars-Sinai! #1 in California and tenth consecutive year in a row on the "Best Hospitals" Honor Roll by U.S. News & World...

Molina Healthcare is hiring a remote RN Care Manager with a preference for candidates in Washington State. The role operates on Pacific Standard Time hours and focuses on telephonic case management for Medicare members, with no travel, direct...

To support effective patient care and safety, the full-time Missouri Licensed Utilization Review Nurse will manage inpatient care management processes remotely, ensuring quality and financial components are optimized through collaboration and best...

CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The schedule is Monday–Friday, 9:00am–5:30pm in the candidate's time zone. This is a work-from-home role in a 24/7 operation with holiday/evening hours.

Sentara Health Plans is seeking a Care Coordinator- LPN to provide case management for Members in Nursing Facilities across Roanoke, Lynchburg and Danville areas. The role is remote from home with periodic travel to facilities; typical hours are...

UnitedHealth Group is seeking a Texas-licensed RN to support community health initiatives. This role offers remote-work flexibility within the assigned territory and involves coordinating care and connecting members to resources. Strong...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent...

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Humana's Utilization Management Registered Nurse uses clinical nursing skills to interpret and support coordination, documentation and communication of medical services and benefit determinations for post-acute care (SNF, Home Health, DME). You...

Clinical Nurse III A Clinical Nurse III (CN III), is a proficient and experienced clinician who consistently provides comprehensive care to complex patients using a high level of technical and organizational skills, critical thinking...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Molina Healthcare is hiring a remote RN Care Manager. Preference for candidates in Washington State. This role will be working Pacific Standard Time hours. This role supports Medicare members through telephonic case management and...

Supporting a high-volume Prior Authorization and Appeals team for pharmacy benefits, the full-time Remote Prior Authorization LVN will process and communicate commercial prior authorizations, manage calls, and review clinical criteria while...