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Enlyte is seeking a full-time RN case manager positioned remotely with regular travel to Denver, CO for in-person appointments. The role combines clinical expertise with case management to support injured workers' recovery and safe return to work.

To support the Utilization Management team, the full-time Utilization Management Nurse (RN) will conduct inpatient, behavioral health, and post-acute authorization reviews remotely, ensuring compliance with CMS and Medicare Advantage...

Guidehealth is seeking a remote-based Care Manager (RN) to guide patients and families through complex health journeys. You will blend clinical expertise with holistic care, addressing medical, behavioral, and social needs while coordinating...

Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed‑care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is good for...

A prominent healthcare company is seeking a Case Management Nurse to conduct comprehensive assessments and develop care plans for beneficiaries. The ideal candidate will have 5+ years of clinical RN experience and a current RN license.

Central Health seeks a Nurse Case Manager to identify, screen, track and coordinate care for members with multiple co-morbidities and psychosocial needs. This role may work remotely with occasional travel to Austin, TX, under the Manager of Case...

Description This posting is for multiple openings of a Call Center Advice RN at The Nurse Advice Call Center in Brea, CA! We offer Part Time and Full Time positions, based on availability. Please ask at the time of...

RN Clinical Review Nurse (Utilization Review Nurse) The Clinical Review Clinician for Appeals is responsible for performing clinical reviews to resolve and process appeals by examining medical records and clinical data. This role ensures...

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging...

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...

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...

argenx is seeking a Nurse Case Manager (NCM) to serve as the primary contact for patients and their caregivers, educating them about gMG, argenx therapies, and available support services. You will coordinate treatment logistics and work with...

A healthcare organization is seeking a remote RN to manage patient care related to chronic kidney disease. Responsibilities include ensuring continuity of care, coordinating treatment plans, and documenting patient information. Candidates must...

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 love of God. Its...

Become a part of our caring community Humana Gold Plus Integrated is seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and...

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden Grove Hospital Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand...

Home Health Registered Nurse Assisted is looking for a Home Health Registered Nurse for our Covina branch. We offer flexible scheduling! Assisted offers great and rewarding career opportunities making a difference in the lives of people.

Nurse Case Manager II The Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and...

A healthcare services provider in the United States is looking for a Nurse Liaison to coordinate care for injured workers. This remote, field-based role involves communicating medical information and facilitating treatments. Candidates must hold a...

A leading health and safety firm is seeking an experienced telehealth RN to join their case management team. This remote position requires strong communication and decision-making skills, along with a minimum of 5 years of clinical experience.

A leading health company is seeking a remote RN Case Manager responsible for assessing and coordinating case management activities for members. Candidates must possess an active RN license and have at least 3 years of acute care experience. Strong...

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 love of God. Its mission is to...

Company : Highmark Health Job Summary This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...

Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...