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JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Healthmap Solutions, Inc. is seeking a Care Navigator to manage cases specific to kidney health. The role entails coordinating care for patients, including managing call interactions and educating on kidney health. Qualified candidates must...

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...

Blue Cross Blue Shield of Arizona is seeking a skilled professional for a clinical role addressing provider appeals and grievances. This position demands expertise in managed care while ensuring compliance with privacy regulations. The ideal...

Company Highmark Inc. Job Description JOB SUMMARY This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health...

Find your calling at Mercy! Job Summary: As the critical gateway to our health system, the Throughput RN plays a pivotal role in shaping first impressions and delivering a brand-defining experience for patients, their families,...

Harris Health is seeking a Utilization Management Review Nurse (UMRN) in Houston, Texas, to evaluate the necessity and efficiency of medical services. The ideal candidate will hold a Bachelor's in Nursing and a valid Texas RN license, with 5 years...

Registered Nurse - Case Management Duration:13 Weeks Start:03/10/2025 Job Type: Travel Minimum Guaranteed Hours: 40 Jobs Notes: Day Shift, inpatient RN CM Acute hospital experience,...

Stryker Corporation in Everett, Washington, is seeking an Associate Care Manager to facilitate a team approach for quality healthcare delivery. The role involves conducting clinical evaluations and collaborating with members and providers,...

Direct Jobs is seeking a Nurse Manager for the Emergency Service Administration in Houston, Texas. The Nurse Manager will be responsible for operational management and the delivery of quality patient care across the clinic. With oversight of...

IntelliResume is seeking an RN Case Manager to provide professional nursing care remotely. The role involves assessing, planning, implementing, and evaluating patient care to improve health outcomes. As an ideal candidate, you will prioritize...

Cura, Inc. is seeking a Discharge Care Manager to coordinate telephonic case management interventions for high-risk members. This role involves assessing needs and implementing care plans to optimize health outcomes. Located in Missouri, the...

Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing...

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,...

Job Details Nurse Case Manager (Remote) 2026-1474 Orlando, FL, USA Medical Services Full Time Description Overview Are you looking to make a difference by providing high-quality care with...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

RN Clinical Nurse The RN Clinical Nurse provides patient-centered, specialized, evidence-based nursing care across the continuum through an interprofessional approach to treatment, research, education, and advocacy. Contributes to the...

Crains Cleveland is seeking an experienced nurse in Anaheim, California. The position involves assessing, planning, and implementing nursing care, while coordinating with clinicians and managing patient caseloads. Ideal candidates will have at...

There is a SIGN ON BONUS available for this position! Please ask your recruiter for details once you apply. About this role: As a Clinical Manager with...

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 deeply, innovate with purpose, hold...

A health and human services provider is seeking Registered Nurses for the position of Field Care Manager in Western Kentucky, focusing on non-clinical assessments and case management. Nurses will manage their own schedules and work remotely with...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

A healthcare management organization based in Santa Fe, New Mexico, is seeking a Care Manager to support the Value Based Care Management program. This role involves telephonic case management, coordinating care plans, and ensuring positive member...

Health Advocates Network is currently seeking a Licensed Vocational Nurse to work at a facility in Downey, California. These are registry positions with our company. Pay Rate: $30 /...

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...