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Job Details Job Location: COLUMBUS, OH 43213 Position Type: Full Time Salary Range: $57,648.00 - $81,051.00 Salary Summary: The RN Care Coordinator - Remote Patient Monitoring (RPM) functions as a registered nurse...

Elevation Health, Inc. is seeking a Nurse Case Manager II to manage complex care needs, assess and coordinate care plans, and collaborate with Medical Directors to optimize member outcomes. The role is primarily remote with periodic in-person...

Job Title: Care Manager – Registered Nurse (RN) Location: Fully Remote Duration: 6 Months (Extension Potential) Schedule: Monday–Friday, 8:00 AM–5:00 PM EST Candidates can reside...

AmTrust Financial Services Inc. is seeking a Telephonic Medical Case Manager, RN, to deliver comprehensive remote case management in Texas. You will drive medically appropriate return-to-work through collaboration with injured employees, providers...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...

JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance...

Care Manager (RN) A TEAM OF DIFFERENCE MAKERS: At Author Health, we're revolutionizing how mental health care is delivered, and we want you to be part of it! Our mission is to bring compassionate, high-quality care to...

Opco-Skilled-Management- is seeking a Central Intake Nurse to obtain referral documentation from physicians, insurers, and providers to determine service appropriateness and facility placement, and to coordinate patient care plans with service...

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living...

Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

Navitus Health Solutions is expanding its Telehealth Registered Nurse position. The RN will conduct telephonic CMRs, stay compliant with CMS/HIPAA, and collaborate with providers to improve patient adherence and care coordination. Ideal...

Description Job Title Nurse Case Manager 2 Location FL - Remote Position Description The Care Manager-Registered Nurse is a key member of our...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

Job Overview: Pay Range: $46.76hr - $51.76hr Requirement/Must Have: 5+ years Clinical nursing experience. 2+ years Care Management. Bachelor's Degree in Nursing. In...

To support timely and compliant care decisions, the full-time Utilization Management Nurse RN will review medical necessity requests, apply evidence-based criteria, and document determinations while working Monday to Friday, 8:00 AM-5:00 PM...

Nurse Care Manager We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading...

Clinical Claim Review Nurse 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...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

Clinical Specialist The Clinical Specialist provides clinical and technical support for peripheral vascular medical devices in commercial and pre-commercial settings. This role partners with the Regional Sales Director (RSD) and Territory...

Registered Nurses JCCA is seeking Registered Nurses to join our Foster Home Services Division in the Bronx. The Registered Nurse will treat youth with significant medical needs in our Medically Fragile program. The Registered Nurse...

UnitedHealth Group is seeking an RN Clinical Care Coordinator to manage a panel of members with complex medical and behavioral needs. You will conduct comprehensive assessments, create care plans, and coordinate with care teams and community...

Utilization Management Nurse (RN) (Temporary) Remote in California We believe every candidate deserves thoughtful consideration. That's why we do not use AI or automated systems to review applications. Every application is reviewed...