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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...

A health care organization in Monterey Park is seeking a Case Manager (LVN or RN) to manage patient care effectively. This role involves working collaboratively with medical teams to establish discharge plans and ensure compliance with health...

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...

Case Manager II (RN or LVN)Department: HS - ICMEmployment Type: Full TimeLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Reporting To: Annie LaiCompensation: $35.00 - $45.00 / hourDescriptionThe Case Manager II is an experienced...

CorVel Corporation is seeking a caring, self-motivated Registered Nurse to fill a Medical Case Manager role covering Newnan, Columbus, LaGrange, Fayetteville, Stockbridge, Metro ATL and surrounding areas in Georgia. The position blends...

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

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...

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

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...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

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) ...

Field Nurse Case Manager As a 501(c)(3) nonprofit organization, NTSOC prioritizes client-centered care without the influence of profit-driven interests. Our mission is to serve families in southern Colorado by supporting children and...

To support timely and compliant care decisions, the full-time Utilization Management Nurse RN will review medical necessity requests, apply evidence-based criteria, and document determinations while working Monday to Friday, 8:00 AM-5:00 PM...

Company Archimedes About Us Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of...

AmTrust Financial Services Inc. is seeking a Telephonic Medical Case Manager, RN, to deliver comprehensive remote case management in Texas. You will drive medically appropriate return-to-work through collaboration with injured employees, providers...

Crossbridge Hospice At Crossbridge Hospice, we believe a role is truly fulfilling when it aligns with your personal values, reflects your interests, leverages your strengths, and supports your professional growth. Our mission—people...

Clinical Specialist The Clinical Specialist provides clinical and technical support for peripheral vascular medical devices in commercial and pre-commercial settings. This role partners with the Regional Sales Director (RSD) and Territory...

Job Overview: Pay Range: $46.76hr - $51.76hr Requirement/Must Have: 5+ years Clinical nursing experience. 2+ years Care Management. Bachelor's Degree in Nursing. In...

Permanent Case Manager Registered Nurse in Torrance, CA Job Details Profession: Registered Nurse Pay: $58.54 to $91.82 per hour Schedule: 5x8-Hour 08:00 - 16:30 Openings: 1 Experience: 1 year For...

Job Details Job Location: COLUMBUS, OH 43213 Position Type: Full Time Salary Range: $57,648.00 - $81,051.00 Salary Summary: The RN Care Coordinator - Remote Patient Monitoring (RPM) functions as a registered nurse...

Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

Job TitleWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity...

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...

Care Manager (RN) A TEAM OF DIFFERENCE MAKERS: At Author Health, we're revolutionizing how mental health care is delivered, and we want you to be part of it! Our mission is to bring compassionate, high-quality care to...