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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.

CVS Health Corporation is seeking a seasoned RN to administer and coordinate comprehensive patient care plans, ensuring smooth transitions across care settings. You will analyze medical data, organize files, and communicate securely to support...

Valley View Hospital in Glenwood Springs, CO seeks a TEMPORARY Remote Outpatient RN Case Manager to assist outpatients and their families in the overall Management of their plan of care across the continuum, to include prior authorizations.

New York Community Care in Brooklyn is seeking a dynamic Geriatric RN Case Manager with Oasis experience to join our team in our Brooklyn office. The Case Manager will coordinate and manage patient care, supervise clinical staff, and help develop...

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

AptiHealth, Inc is seeking a Registered Nurse Case Manager to support patients and providers through comprehensive case management and medication management. This role involves assessing patient needs, developing care plans, and collaborating with...

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...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

City/State Fairfax, VA Work Shift First (Days) Overview: Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however,...

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...

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is primarily a day‑shift role (8 hours/day,...

Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with...

A leading company in the Property & Casualty industry seeks a Medical Field Case Manager to work closely with patients and healthcare providers. This full-time, remote role requires local engagement for patient visits. You will manage treatment...

A leading case management firm is looking for a passionate RN to provide effective case management services. This remote position in Tallahassee involves evaluating medical cases, facilitating return to work solutions, and maintaining contact with...

Acute Care Case Manager Experience: 3 years acute care case manager experience CA RN License Certs: BLS FLU VACCINE (no exemptions) Flu season starts September Special Requirements: EPIC highly preferred...

Mercor is seeking a Utilisation Management / Case Management leader (RN/Physician-advisor) to join their team remotely. This position involves leading operations and evaluating AI-generated clinical review outputs to ensure accuracy and...

Join kozmetickesluzby.vecnakraska.sk as a Hospice Registered Nurse (RN) Case Manager in Greensboro, NC. This full-time position allows for remote working and offers a competitive salary of $43.00 per hour. You will be part of a dedicated hospice...

Highmark Inc. is seeking an experienced RN in a remote role, with weekend availability on Saturdays and Sundays plus three weekdays. The position emphasizes utilization management, care coordination, and provider/member education. The RN...

Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

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...

Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

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...

The RN Case Manager will work collaboratively with surgeons and patient/family in developing, implementing and documenting individualized plans of care to ensure continuity, quality and appropriate resource use. • Plan, develop, assess...

Nurse Case Manager II Location: Georgia Shift: M-F 9am-5:30pm with one 11:30am-8pm shift each week. Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions,...

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...