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Alignment Health is seeking a compassionate Registered Nurse to join as a Telephonic RN Case Manager for our SNP members, all from the comfort of your home. This fully remote, phone-based role helps members navigate their care, close gaps in care,...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. **This position is remote. Candidates must be local to New England States for consideration** The...

Alignment Health invites experienced Registered Nurses to join as Telephonic Case Managers for our Special Needs Plan (SNP) members, working fully remotely from anywhere in the U.S. You will navigate care journeys, close gaps in care, and help...

Optum is seeking an After Hours Care Manager - LPN in California to support discharge planning, transfers, and ED diversion. This role involves telephonic coordination, collaboration with hospitalists and care teams, and ensuring timely, compliant...

Broadspire Services, Inc. is seeking an experienced RN Telephonic Case Manager for a fully remote role in the United States. You will conduct telephonic case management to guide patients and employees through their healthcare journeys,...

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...

Alignment Health is seeking a Telephonic RN Case Manager for the SNP program, fully remote within the U.S. The role focuses on guiding Medicare Advantage SNP members through their care journeys from home, with emphasis on closing gaps in care.

Description: Job Summary: 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...

Nurse Case ManagerPosition Type: Full-Time Contract RoleLocation: Work from homeWork Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive)Schedule: Mon-Fri 8am-5pm ESTRegistered Nurse with active state license in...

Position Summary The Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes...

Care Manager LPN LVN – Remote Candidates residing in Oregon are encouraged to apply. The purpose of this position is to provide care coordination services to Providence Health Plan (PHP) members. Care coordination services include...

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

WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

Trillium Health Resources is seeking a Population Health Nurse to provide clinical care management and population health support for assigned members, focusing on prevention, wellness, and outcomes. The role uses nursing judgment as an RN to...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Part Time Southborough, MA, US Salary Range: $38.00 To $40.00...

Medical Registrar Job Title: Medical Registrar Profession: Health Information Management Specialty: Oncology Duration: Full-Time Shift: Monday - Friday, 8 hours per shift Experience: Minimum 2 years of...

Sentara Health is seeking an Integrated Case Manager, RN to support Eastern Shore region members, concentrating on behavioral health, waiver services, and complex care management. This remote role requires Virginia residency with travel 50%–75%...

CorVel is seeking a Telephonic Case Manager to coordinate resources and develop cost-effective, personalized care plans for ill or injured individuals. The role leverages clinical expertise to assess treatment plans and communicate with...

Industry: Private Employment Type: Full Time Work Hours: 8 Hours Locations: USA Scope The Medical Review Coordinator will perform her/his duties in accordance with MedWatch procedures, MedWatch review...

Family Advocate Support Care - Senior Clinical Admin Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of...

ISYS Case Management seeks a Telephonic Case Manager—RN with active licensure and CMSA-aligned experience in workers' compensation. This remote role supports injured workers, coordinating care, documenting progress, and communicating with...

Job Requirements General Summary Under general supervision, conducts internal audits of hospital bills working with external auditors to ensure that uncompensated patient revenues resulting from...

A leading Health Insurance company is seeking a talented RN Care Management Coordinator for a remote contract position. The role involves applying critical thinking and medical knowledge to determine case appropriateness and collaborating with...

North Memorial Health is seeking a Care Manager to coordinate clinically-based care across primary care and specialty clinics. You will ensure optimal care for complex cases, including acute and chronic disease management, across multiple health...

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...