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Genex Service LLC is seeking a Medical Field Case Manager in the El Monte, CA area. The role is full-time and hybrid, requiring regular local travel for in-person patient appointments.The base pay ranges from $95,000 to $100,000 annually, with a...

University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and...

RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization Management *SRMC Care Management *Full Time *Part Time Receive 17% Weekday Nights, 26% Weekend Nights and 15%...

Life at aptihealth aptihealthis a fast-growing health tech company transforming behavioral healthcare. Our digital platform and affiliated medicalgroupmake it easier for people to access high-quality care when and where they need it.You'lljoin a...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

EK Health is seeking a Telephonic Nurse Case Manager (RN) for our Case Management Team. The role involves assessing, planning, coordinating and evaluating service options to help injured workers receive cost-effective medical care and expeditious...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

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 Clinical...

Oscar Health is hiring a Case Manager to join our Complex Case Management team. You will collaborate with Oscar teams to deliver high-quality care and improve member health outcomes, educating members, evaluating SDOH, and connecting individuals...

A healthcare technology company is seeking a Remote Registered Nurse - Telehealth RN Case Manager responsible for coordinating and managing patient care using telehealth platforms. Candidates must have an unrestricted RN license in Michigan, at...

UnitedHealthcare is seeking an experienced registered nurse to join a frontline clinical resource program that educates and supports members about health management. The role emphasizes customer service, nursing judgment, and collaboration to...

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...

Become a part of our caring community The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with...

Job Description: We are seeking a compassionate and dedicated Registered Nurse (RN) to join our hospice care team. In this role, you will provide holistic, patient-centered care to individuals with terminal illnesses, ensuring comfort, dignity,...

Community Hospital of Huntington Park is seeking a Case Management Supervisor to assist the Director in developing and implementing the hospital's case management program. You will oversee a team of case managers, ensure policies align with...

AltaMed seeks an IPA RN Inpatient Case Manager to support daily care coordination, concurrent reviews, and discharge planning for patients in hospital or SNF. The role involves coordinating with IPA clinics and the care team to arrange...

AltaMed Health Services Corp. in Commerce, CA is seeking a Registered Nurse, IPA Inpatient Case Manager to coordinate inpatient and SNF care, with emphasis on discharge planning and post-discharge scheduling with the IPA team.The role requires a...

Guidehealth is seeking a Remote RN Case Manager licensed in Illinois to support member management, enhance satisfaction, and navigate the health care system as part of Value Based Care Services. The role focuses on data collection, clinical...

Humana is seeking a remote Telephonic Care Manager to lead a comprehensive case management program, coordinating care across sites and providers to reduce readmissions and optimize resource use. You will serve as the primary contact for...

A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...

To support a growing Enhanced Care Management program, the full-time salaried California Licensed RN Case Manager will manage clinical oversight and documentation for a cohort of approximately 500 members, ensuring care plans meet regulatory...

University of California, Irvine Health seeks a qualified Case Manager to coordinate patient care across case management, care coordination, and discharge planning, ensuring adherence to evidence-based practice and regulatory standards.The role...

A healthcare solutions company is seeking a remote Case Management Nurse to lead a multidisciplinary team providing holistic care. The role requires a compact RN license and offers a pay range of $37.00/hr - $39.00/hr. Candidates should have 3...

Job TitleWorks 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 necessity...

The ECM Case Manager will assume responsibilities for community outreach and engagement. This position will determine eligibility, complete enrollment assessments, and perform outreach to potential ECM members to offer an enhanced case management...