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UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based...

Cambia Health is seeking remote Care Management RNs to provide case, disease, and care coordination from home within Oregon, Washington, Idaho or Utah. This role supports a person-focused health care experience with strong clinical judgment and...

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...

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...

A healthcare organization is seeking a full-time Case Manager (Registered Nurse) based in Baton Rouge, LA, to manage injury-related calls and coordinate treatment. This remote role requires a valid RN license and at least two years of nursing...

Details Client Name Cedars-Sinai Medical Center Job Type Travel Offering Nursing Profession Registered Nurse (RN)...

A leading healthcare company is seeking an experienced Telephonic Nurse Case Manager to manage medical claims and facilitate care for injured workers. The ideal candidate will have at least a year of experience in Florida Workers' Compensation,...

This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $140,000.00/yr - $170,000.00/yr Direct message the job poster from...

Discover Vanderbilt University Medical Center Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim...

A leading health service provider in Kentucky is seeking experienced Registered Nurses for the Field Care Manager role. Nurses will conduct non-clinical, in-home assessments and manage their own schedules. The position offers a competitive salary,...

UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience.

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...

Enlyte is seeking a Telephonic Case Manager (RN) to support injured workers. This full-time, remote role requires an active RN license (compact) and NY RN license, working with physicians, employers, and patients to develop treatment plans and...

CASE MANAGER LIAISON NURSE - OUTPATIENT COMPLEX CARE COORDINATION - PEDIATRICS! MUST LIVE IN WESTERN WA WITHIN COMMUTABLE DISTANCE TO A KPWA MEDICAL CENTER FLEXIBLE ROLE WORKING 4-10'S ~ (3) DAYS ONSITE KPWA MEDICAL CENTER AND (1) DAY REMOTE ~ MON...

Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare service utilization. The role requires clinical expertise and collaboration with providers to...

A healthcare company is hiring a Nurse Liaison to coordinate care and relevant medical information for injured workers. This remote, field-based role involves engaging with clients, maintaining communication with various stakeholders, and ensuring...

Cannon Cochran Management Services, Inc. is seeking a Senior Nurse Case Manager for a Nevada Workers' Compensation program. You will provide medical case management and utilization review, serving as a clinical resource and guiding treatment plans...

Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant...

Pay Range: $35.92 - $53.88 A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education. This position is responsible for the coordination of patients...

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...

National Care Advisors is seeking a full-time Nurse Case Manager based in Oakland, California. This role focuses on providing case management services for special needs clients while collaborating with family caregivers and professionals.

Registered Nurse Case Management Job Title: Registered Nurse Profession: RN Specialty: Case Management Duration: 13 weeks Shift: 8H Days Experience: Minimum 2 years License: California RN License...

Case Manager At Prestige Healthcare Services, we are committed to delivering exceptional care and support to our patients and their families. Our skilled facilities offer a range of short-term and long-term skilled rehabilitation services...

iMPROve Health seeks an RN Reviewer (Workers' Compensation Utilization Review) to perform independent external medical reviews remotely as an independent contractor (1099). The reviewer applies clinical expertise to evaluate cases, ensuring...

MedPOINT Management is seeking a remote RN/LVN Case Manager to assess, plan, and coordinate patient care across the continuum under the supervision of Leads & RN Clinical Manager for Case Management. You will advocate for patients and coordinate...