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UnitedHealth Group in Las Vegas, NV is seeking an RN Case Manager Telephone Advice Nurse to join the team. This remote, full-time role supports telephonic patient care and education, with a daytime schedule and Nevada residency requirement.

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...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

**Job Description****Professional Development Specialist - Care Management****Cedars-Sinai | Integrated Care Management (ICM) & Integrated Service Planning (ISP)****Empower People. Elevate Practice. Make an Impact.**At Cedars-Sinai, exceptional...

HealthEdge is seeking a motivated Utilization Review RN to join our team. You will perform prospective, concurrent and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, length of stay...

Iconma Portal is seeking a Registered Nurse-Review Analyst for a remote position with a Health Insurance client. You will conduct prospective, concurrent, and retrospective reviews across inpatient, outpatient, ambulatory, and ancillary services...

Description RN- Registered Nurse - Case Manager Specialty: Case Manager Location: Los Angeles,CA,00000 Start Date: 2026-10-19 End...

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...

We are looking for a Travel Case Manager - RN RN for a great Travel nursing job in Los Angeles, CA. This Case Manager - RN Travel nursing job pays for 40 hours a week for 13 weeks. With Wanderly you can compare Travel nurse salary from leading Travel...

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...

You coordinate comprehensive care plans for patients in a remote environment. You advocate for patient needs and help navigate healthcare resources. Key Responsibilities: Perform telephonic nursing...

This is a fully remote position, open to candidates based in United States. Pay: $60–$70/hr Role Title: Registered Nurse Role Type: Contractor Location: United States,...

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

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...

Humana Healthy Horizons seeks a Behavioral Health Case Manager in South Carolina to assess enrollees' needs and coordinate clinical, community, and social resources for complex cases. This remote/field-based position requires travel, including to...

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...

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...

We are seeking experienced Registered Nurses with inpatient clinical expertise to contribute to a project focused on improving the accuracy, safety, and reliability of AI systems in healthcare. In this role, you will apply your nursing...

Travel Nurse RN - Case Manager - $2,300 Per Week Start date: ASAP Floating Expectation: No First Time Traveler: Yes but 1st time travelers must be screened Ratios: Days 1:20 Years of experience 2 years acute care case management/discharge...

University Health is seeking a Utilization Management Nurse RN for UH Truman Medical Center in Missouri. The role manages resource use, supports care transitions, and advises care teams on documentation and discharge planning to improve patient...

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...

Make It Happen At Hopkins Location: WhiteMarsh, MD and Westminster, MD Weekly Working Hours: Monday-Friday 8:00am-5:00pm (Hybrid position- 4 days onsite | 1 day remote, after 90 days of employment) Shift: Day Shift...

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...