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Centene is seeking a Clinical Review Nurse for a remote role supporting members in Pennsylvania. The candidate will perform concurrent reviews, assess care necessity, and contribute to discharge planning, leveraging case management or utilization...

Job Type Full-time Description AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk...

Lee Health is hiring for a Utilization Management RN position. This remote role begins onsite for the first 90 days and requires licensure in Florida. The nurse will perform utilization management duties, ensure regulatory compliance, and document...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

UnitedHealth Group is seeking a dedicated RN Case Manager - HouseCalls in Columbia, MD. You will perform telephonic outreach, help coordinate appointments, and connect patients with social work and clinical resources while documenting all...

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

Case Manager Extended Care Coordinator RN-Per DiemPrimary Location Downey, California Schedule Per Diem Shift Day Salary $77.69 - $95.08 / hour Job Number 1435991 Date Posted 07/22/2026Job Summary: Responsible for the oversight and management of...

Compliance Nurse Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders,...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Profession: Registered Nurse Specialty: Case Manager Unit: RN Case Manager - 8714015 Shift: Day 5x8-Hour (08:00 - 17:00) Block Schedules: No Start Date: 05/19/2025 Job Duration: 13...

Travel RN-Case Manager RN-Case Manager travel nurse jobs at the facility in Arkansas let you coordinate patient-centered care across acute and rehabilitation settings, focusing on safe transitions and optimal outcomes. You will use your...

RN Case Manager – Workers' Compensation Salary Range: $110,000 – $115,000 per year Location: Los Angeles, CA Field-Based / Local Travel Required Position Summary RCM Healthcare Services is recruiting an experienced Field Nurse...

American Health Plans Franklin, TN 37067, USA Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for...

Guidehealth in the United States seeks an experienced RN Case Manager to work remotely with Illinois licensure. You will oversee member management, promote wellness, and support cost-effective care within a value-based care framework.

Telephonic Nurse Case Manager (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States...

Rate: $52 USD per hour 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...

Optum Home & Community Care is seeking a Telephone Case Manager RN to provide telephonic case management and patient education from a remote home office. You will coordinate appointments, refer to internal resources, and ensure HIPAA-compliant...

Registered Nurse - Case Management - Travel | Beverly Hills, California Estimated Weekly Pay: $2787.19 Start Date: 11/02/2026 | Duration: 13 Weeks Shift:...

JOB REQUIREMENTS: - 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. Due to nature of the role,...

Job Title: RN Case Manager City: West Hollywood State: CA Job Type: Travel Discipline: RN Speciality: Case Manager...

Medical Necessity Review Nurse Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of...

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We...

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...

US Army Reserve – Psychological Health Program Nurse Case Manager (RN) The US Army Reserve Psychological Health Program (PHP) provides comprehensive behavioral health support to Reserve Soldiers and their families nationwide. As a Nurse...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...