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Hospice Registered Nurse Case Manager Explore opportunities with Caretenders Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses,...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work...

Telephonic Comprehensive Nursing Assessments Position in this function is responsible for completing telephonic comprehensive nursing assessments, creating care plans, participating in interdisciplinary team meetings, evaluating patient...

Travel Case Manager Registered Nurse (RN) This Case Manager travel nurse job in Glendale, California, with Advantis Medical is a 13-week Travel Case Manager Registered Nurse (RN) contract at Adventist Health Glendale. This role pays...

CVS Health is seeking a Telephonic RN Case Manager to support members across the United States from a remote work setup. You will coordinate care with patients and their care teams, applying guidelines and reviewing medical necessity to optimize...

Working remotely, the Florida Licensed Utilization Management RN will perform utilization management and review for in-home long-term care services, ensuring medical necessity and collaborating with the Medical Director while maintaining accurate...

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,...

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...

Requisition number: 2372532 Job category: Nursing Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team...

Telephonic Comprehensive Nursing Assessments Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work...

Telephonic RN Case Manager Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically...

We'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 purpose, hold...

Working remotely in a full-time capacity, the Market Clinical Quality Specialist II will complete case reviews to ensure compliance with regulatory requirements and Standard Operating Procedures (SOPs), while identifying training opportunities 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...

RN Health And Social Services Care Coordinator $5,000 Sign-on Bonus for External Candidates At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.

JOB DESCRIPTION Must reside in Florida Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and...

CVS Health is seeking an ICM Care Manager to assess, plan and coordinate patient care from a home-based setting with 25-50% travel within Passaic County, NJ. The role requires an active NJ RN license and a minimum of 3 years clinical experience,...

Managing the authorization process for patient admissions, the full-time remote Utilization Management Manager will oversee front-end prior authorizations and in-house concurrent review authorizations while collaborating with clinical teams and...

Job SummaryWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical...

RN Assessor At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come...

CVS Health is seeking a Remote RN Case Manager to perform telephonic case management for US-based members. You will assess medical necessity, coordinate with care teams, and apply clinical guidelines to optimize benefits and outcomes. Ideal...

To support a growing healthcare organization, the full-time Remote LVN/RN Delegation Oversight Auditor will conduct Utilization Management (UM) and Case Management (CM) audits, ensuring compliance with regulatory and operational standards while...

Kaiser Permanente in Downey, CA is seeking a RN for Utilization Management / Case Management on a per diem basis. The role collaborates with physicians, families and care teams to evaluate admissions, plan discharges and coordinate post-hospital...

Optum Care At Home Registered Nurse Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that...