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City/State Fairfax, VA Work Shift First (Days) Overview: Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however,...

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...

A leading company in the Property & Casualty industry seeks a Medical Field Case Manager to work closely with patients and healthcare providers. This full-time, remote role requires local engagement for patient visits. You will manage treatment...

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...

CVS Health Corporation is seeking a seasoned RN to administer and coordinate comprehensive patient care plans, ensuring smooth transitions across care settings. You will analyze medical data, organize files, and communicate securely to support...

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

A leading health and safety firm is seeking an experienced telehealth RN to join their case management team. This remote position requires strong communication and decision-making skills, along with a minimum of 5 years of clinical experience.

New York Community Care in Brooklyn is seeking a dynamic Geriatric RN Case Manager with Oasis experience to join our team in our Brooklyn office. The Case Manager will coordinate and manage patient care, supervise clinical staff, and help develop...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Mercor is seeking a Utilisation Management / Case Management leader (RN/Physician-advisor) to join their team remotely. This position involves leading operations and evaluating AI-generated clinical review outputs to ensure accuracy and...

Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees.

To support the Utilization Management team, the full-time Utilization Management Nurse (RN) will conduct inpatient, behavioral health, and post-acute authorization reviews remotely, ensuring compliance with CMS and Medicare Advantage...

Gallagher Bassett is seeking a nurse for its Clinical Concierge group within GBCARE. The role involves high-velocity, process-driven case management with up to several new cases daily, leveraging modern technology for workflow and communication.

Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with...

Responsibilities: How you'll change lives...

Become a part of our caring community Humana Gold Plus Integrated is seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and...

Wellmark is seeking a Case Management Nurse I to support members with chronic and complex health care needs. You will develop individualized care plans and collaborate with members, families, providers, and community resources to coordinate care.

A leading case management firm is looking for a passionate RN to provide effective case management services. This remote position in Tallahassee involves evaluating medical cases, facilitating return to work solutions, and maintaining contact with...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Highmark Inc. is seeking an experienced RN in a remote role, with weekend availability on Saturdays and Sundays plus three weekdays. The position emphasizes utilization management, care coordination, and provider/member education. The RN...

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging...

RN Clinical Review Nurse (Utilization Review Nurse) The Clinical Review Clinician for Appeals is responsible for performing clinical reviews to resolve and process appeals by examining medical records and clinical data. This role ensures...

The RN Case Manager will work collaboratively with surgeons and patient/family in developing, implementing and documenting individualized plans of care to ensure continuity, quality and appropriate resource use. • Plan, develop, assess...

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is primarily a day‑shift role (8 hours/day,...

Nurse Case Manager II Location: Georgia Shift: M-F 9am-5:30pm with one 11:30am-8pm shift each week. Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions,...