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Case Manager RN Opportunity This outstanding unit is looking for the right Case Manager RN to join their team of compassionate and driven health care professionals. Join this highly motivated team of caregivers and enjoy a challenging and...

Case Manager 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...

Remote Registered Nurse Case Manager Ansible Government Solutions, LLC (Ansible) is currently recruiting multiple remote registered nurse case managers to support the VA Office of Veterans Community Care. If you accept employment with...

Harris Health is seeking a Referral Center Clinical Coordinator (RCCC) to drive coordinated care for high‑needs patients within our safety‑net system. The RCCC leads interdisciplinary care planning, facilitates case management, and advocates...

Nurse Case Manager Responsibilities The Nurse Case Manager shall provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems...

SCM Associates, Inc. seeks an experienced Case Manager (RN) to assess, plan, coordinate, and monitor care for clients in a home-based setting. You will collaborate with families, physicians, and the care team to ensure quality, cost-effective...

Sentara Health Plans seeks a Clinical Claims Reviewer RN for remote work. You will perform utilization management, review pre/post payment claims and authorizations for inpatient/outpatient cases, and address provider inquiries with appropriate...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

Here are the job details for your review: Job Title: Nurse Case Manager II Job Location: Looking in Toledo region. Lucas, Fulton, Ottawa and Wood Counties. Duration: 3+ Months Contract (Potential for extension) ...

Nurses - are you looking for a change? Want to work no nights, and no holidays? Check out Hines & Associates! ABOUT US: Hines is a nationwide, independent leader in personalized managed health care,...

Nurse Case Manager The Nurse Case Manager (NCM) is responsible for applying medical knowledge in reviewing workers' compensation claims to assess, evaluate, plan, implement and oversee the treatment appropriateness for occupational...

Clinical Liaison (RN/Allied Health Professional) Location: Remote (covering PA and NYC) Employment Type: Part-Time - Weekend Coverage 9a-5p Compensation: $55-$60/hr The Role Are you an...

Job Type Full-time Description AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk...

Humana is seeking a Utilization Management Registered Nurse for a fully remote role supporting post-acute care services. You will interpret clinical information to determine medical necessity, coordinate communications with providers and members,...

CVS Health is seeking an RN Case Manager to join Community Care. You will coordinate and advocate for patient care, collaborating with providers to address needs along the care continuum. Qualified candidates hold an active Compact RN...

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...

Case Manager - RN / Clinical Liaison Hours: 9 am to 530pm Start date: ASAP Pay rate: $65,000 to $70,000 Position: Remote - Home Base Clinical Liaison / Case Manager Position: Work closely with...

Elevance Health is seeking an experienced nurse to review complex cases for medical necessity, applying clinical guidelines and nursing judgment. The role involves collaboration with physicians, case managers, and Medical Directors to optimize...

Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

Full-time Company Description WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare...

UW Hospital and Clinics seeks a Nurse Case Manager (RN) to join our multidisciplinary team; remote work options available with flexible shifts. The role emphasizes utilization management, patient status assessment and collaboration with care teams...

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...

VIVA HEALTH in Birmingham, AL is seeking a Case Manager, Utilization Review to support members and high-risk patients. The role involves coordinating utilization review activities, performing timely medical records checks, and determining medical...

Who We Are UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that...