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Compassionate and experienced Registered Nurses will find a full-time remote opportunity as a California RN Telephonic Case Manager for Special Needs Plan members, focusing on telephonic case management, conducting health assessments, and...

Workers' Compensation Telephonic Nurse Case Manager The Workers' Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

" Licensed Psychiatric Nurse Practitioner Wage: Up to $196.58/hour Did you know that you can build a flexible...

Case Manager This position reports to the Director of Case Management. Accountability for the practice of nursing lies with the Senior Vice President of Patient Care Services. Performs chart reviews and quality assessments on all patients...

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...

Inpatient Case Manager The Inpatient Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified patients during an acute care episode. Assesses and develops a...

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify and attract...

DescriptionJob Summary:Under the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies...

Valeris Life Sciences Commercialization Partner Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

About the Opportunity We are seeking an experienced Case Management RN to coordinate patient care, discharge planning, and utilization review in a hospital setting. This role is ideal for nurses who enjoy...

Details Client Name Bio-Pacific - The Rehabilitation Center of Santa Monica Job Type Travel Offering Nursing Profession RN...

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 Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...

Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...

Remote in California onlyAre you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.Who Are We?

Job Summary As a Clinical Services Manager - RN Telephonic Case Management, you will ensure optimum recovery on every claim while establishing trust, providing education, delivering information, and care. You will provide case direction to...

Job Summary The Care Manager—Registered Nurse is a key member of the Special Needs Plan (SNP) care team, responsible for coordinating care for members with multiple chronic medical and behavioral health conditions and social determinants of...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted,...

Job Description Summary **Candidates in Sarasota region strongly preferred** Millennium Physician Group is seeking to hire a full-time / Case Manager to join the ACO team. We are looking for a new team member who is positive,...

Abby Care: Powering the Future of Care at Home for All of America Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50...

Deliver dialysis treatments and monitor patient status. Assess, troubleshoot, and respond to clinical situations. Educate patients and build meaningful relationships. Work as part of a supportive care team. Qualifications: Minimum of two (2) years...

Job Description Travel Nurse - Case Management Epic Travel Staffing is hiring a Travel Nurse - Case Management. We`ll be your ticket to the travel RN - Case Manager job you`ll love with unparalleled recruiter support and...