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TriWest Healthcare Alliance is seeking a Utilization Management Clinical Review nurse to assess medical necessity and manage prior authorizations for Behavioral Health and Medical/Surgical requests. You will apply InterQual criteria, document in...

Highmark Health is seeking a Community-based Case Manager in New Castle County for a RN/LPN role delivering comprehensive case management to DSHP Plus LTSS and DSNP members. The position requires frequent travel for home or site visits to assess...

Elevance Health, Inc. is seeking a Nurse Case Manager I to perform care management for members with complex and chronic needs. The role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans, with...

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were...

Benefits: Health insurance Company parties Flexible schedule Role Description The Case Management Nurse is a full-time, on-site role located in the Greater Chicago Area. This...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to...

Description Job Title Nurse Case Manager 2 Location Remote - OK Position Description The Case Manager utilizes a collaborative process of...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care...

Back RN/Managed Care Coordinator (Remote) Healthcare Columbia , South Carolina Contract Hybrid Nov 10, 2026 RN/Managed Care CoordinatorJob at a GlanceTitle: Managed Care...

Care Career is seeking a travel nurse RN Care Manager for a travel nursing job in Burbank, California. Job Description & RequirementsSpecialty: Care...

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...

CVS Health is hiring a Remote ICM Case Manager in the United States with 25-50% travel to Monmouth/Ocean Counties, NJ. The role focuses on proactive care planning, addressing health and social determinants, and coordinating services for...

Required Skills & Experience • Active RN license (Compact license required)\n• 2–4 years of clinical experience (neurology and/or endocrinology experience preferred)\n• Strong interest in chronic disease management across neuro and...

Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by...

Description Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most appropriate...

Details Client Name California Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

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...

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...

Hi. We're Hummingbird. We're elevating patient access so patients can get healthcare how, when, and where they need it. We partner with healthcare systems to transform how patients access care, enabling their providers to focus on what...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

Cambia Health is seeking an Utilization Management Nurse to perform prospective, concurrent, and retrospective reviews from a remote location across OR, WA, ID, or UT. The role emphasizes clinical judgment, compliance, and collaborative care...

RN Case Manager | Remote | Contract Walker Healthforce is seeking an RN Case Manager with 3+ years of clinical nursing experience to provide comprehensive care coordination...

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...

Telephonic Nurse Case Manager Davies Claims North America is seeking an experienced Telephonic Nurse Case Manager to join our team. You will be responsible for the management and independent decision making on medical claims. You will...