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Telephonic Insurance Case Manager (RN) | ARIZONA RESIDENTS ONLY Insight Global is seeking a Telephonic Insurance Case Manager (RN) to join a growing and well-established organization focused on helping injured employees navigate their...

INTEGRIS Health in Oklahoma City, OK is seeking an experienced RN Case Manager for Utilization Review to join our remote team. This full-time daytime role includes every-other-weekend shifts and focuses on coordinating care and discharge planning.

Company Overview At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our...

Alight Solutions is seeking a Clinical Case Manager-RN in New Jersey to provide clinical case management, coordinate disability and absence claims, and support medically sound decisions for client employees. The role requires RN/NP...

Who We Are: Since 1985, BHCHP's mission has been to provide or assure access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. We care for over 11,000 homeless individuals each...

Elevance Health is seeking a Nurse Case Manager I for a fully remote, full-time role. The position supports care management for members with complex and chronic needs, via phone or on-site discharge planning, with mandatory in-person training...

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...

Immediate need for a talented Utilization Management RN - Prior Authorization. This is a 12+ Months Contract opportunity with long-term potential and is located in US (Remote). Please review the...

EK Health is hiring a Full-Time Telephonic Nurse Case Manager (RN) for the Case Management Team. You will assess, plan, implement, coordinate, and evaluate service options to help injured workers receive timely, cost-effective care and return to...

Sentara Health in Harrisonburg, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Harrisonburg and surrounding areas as travel is required. The...

Ensemble Health Partners is seeking an experienced RN for Utilization Review to assess medical necessity and optimize hospital and patient care. This remote role involves coordinating with the FCC, care management, and interdisciplinary teams to...

ISYS Case Management is seeking a Telephonic Case Manager (RN, RN-BC) to operate remotely from Tampa or surrounding areas. You will provide telephonic case management for injured workers, coordinating care with providers, carriers, employers and...

The Elevance Health Companies, Inc. in California is seeking a Telephonic Nurse Case Manager II to assess, plan and coordinate care for members with complex needs. This hybrid/remote role allows remote work with required in-person training...

Hines & Associates, Inc. seeks a Registered Nurse reviewer to assess patient conditions and certify treatments according to URAC and applicable regulations. The role emphasizes clinical judgment, documentation, and collaboration with case managers...

Quartz Health Solutions is seeking a licensed RN for a Utilization Management RN Case Manager role in Wisconsin. You will review prior authorization requests, coordinate transitions back to in-network services, and collaborate with physicians,...

Ochsner Health, a leading not-for-profit healthcare provider in the Gulf South, seeks an experienced RN for a remote case management role. You will coordinate care by liaising with patients, caregivers, multidisciplinary teams, and payers to...

Davies North America is hiring a Telephonic Nurse Case Manager to work from home in the United States. You will monitor, evaluate, and coordinate medical treatment under Workers' Compensation, report to the Case Management Supervisor, and assess...

Sedgwick is seeking a US Telecommuter RN Telephonic Case Manager for a full-time remote role. You will support injured workers, employers and providers, coordinating medical services and advocating for timely recovery and return-to-work.

Health Plan of San Joaquin is seeking a Case Manager Nurse for a remote position. Candidate must reside in California and have a valid California RN license with 3+ years of RN and case management experience. You will conduct case...

MedWatch, LLC is seeking a Case Manager Assistant / LPN for a remote, full-time role in the United States. The position supports the RN Case Manager by handling case management tasks, authorizations, medical necessity review, and care...

Engage patients telephonically to assess needs and prioritize care.Collaborate with providers to coordinate care and transitions.Provide education and resources to patients and caregivers.What Will Make You Successful Here: Hold an active RN...

CorVel is seeking a Utilization Review Case Manager to gather demographic and clinical data for in-patient and outpatient reviews, certify medical necessity, and assign appropriate LOS while supporting the Case Management department's goals. This...

CVS Health is hiring a remote RN Case Manager to work from home across the United States. You will manage telephonic cases for fully or self-insured clients, applying clinical guidelines and utilizing care plans to optimize member health outcomes.

HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare, AHCCCS, Self-pay, and other payer guidelines. The...

Womble Bond Dickinson (US) LLP seeks a Nurse Consultant to join our team. The Nurse Consultant provides high-level medical analysis and insight in support of legal matters, reviewing, interpreting, and synthesizing complex records into clear,...