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Lee Health is hiring for a Utilization Management RN position. This remote role begins onsite for the first 90 days and requires licensure in Florida. The nurse will perform utilization management duties, ensure regulatory compliance, and document...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

Details Client Name CSMN- Inpatient Specialty Program Crisis Response Job Type Travel Offering Nursing Profession Registered...

Centene is seeking a Clinical Review Nurse for a remote role supporting members in Pennsylvania. The candidate will perform concurrent reviews, assess care necessity, and contribute to discharge planning, leveraging case management or utilization...

Guidehealth in the United States seeks an experienced RN Case Manager to work remotely with Illinois licensure. You will oversee member management, promote wellness, and support cost-effective care within a value-based care framework.

Telephonic Nurse Case Manager (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States...

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...

Case Manager Extended Care Coordinator RN-Per DiemPrimary Location Downey, California Schedule Per Diem Shift Day Salary $77.69 - $95.08 / hour Job Number 1435991 Date Posted 07/22/2026Job Summary: Responsible for the oversight and management of...

American Health Plans Franklin, TN 37067, USA Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for...

Travel RN-Case Manager RN-Case Manager travel nurse jobs at the facility in Arkansas let you coordinate patient-centered care across acute and rehabilitation settings, focusing on safe transitions and optimal outcomes. You will use your...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

Optum Home & Community Care is seeking a Telephone Case Manager RN to provide telephonic case management and patient education from a remote home office. You will coordinate appointments, refer to internal resources, and ensure HIPAA-compliant...

Profession: Registered Nurse Specialty: Case Manager Unit: RN Case Manager - 8714015 Shift: Day 5x8-Hour (08:00 - 17:00) Block Schedules: No Start Date: 05/19/2025 Job Duration: 13...

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We...

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...

RN Case Manager – Workers' Compensation Salary Range: $110,000 – $115,000 per year Location: Los Angeles, CA Field-Based / Local Travel Required Position Summary RCM Healthcare Services is recruiting an experienced Field Nurse...

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...

Rate: $52 USD per hour Description Mission Statement The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the...

US Army Reserve – Psychological Health Program Nurse Case Manager (RN) The US Army Reserve Psychological Health Program (PHP) provides comprehensive behavioral health support to Reserve Soldiers and their families nationwide. As a Nurse...

Job Title Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital...

Medical Necessity Review Nurse Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of...

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

Registered Nurse - Case Management - Travel | Beverly Hills, California Estimated Weekly Pay: $2787.19 Start Date: 11/02/2026 | Duration: 13 Weeks Shift:...

Job Title: RN Case Manager City: West Hollywood State: CA Job Type: Travel Discipline: RN Speciality: Case Manager...

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...