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CVS Health is seeking an LTSS RN Case Manager to assess, plan, coordinate, and monitor care for dual‑eligible Medicare and Medicaid members. The role includes in‑home visits, waiver coordination, and development of person-centered service...

UnitedHealthcare is seeking an experienced registered nurse to join a frontline clinical resource program that educates and supports members about health management. The role emphasizes customer service, nursing judgment, and collaboration to...

Overview CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. We are currently seeking a full-time Case Manager (Registered Nurse)...

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...

Berkley Medical Management Solutions (BMMS) is hiring a Telephonic Nurse Case Manager to coordinate medical case management and facilitate timely return-to-work for injured workers in the United States. The role involves close communication with...

Care Management Coordinator/RNLocation: 100% Remote Duration: 3+ Months (FT conversion)This is a Utilization Management RN part time position - working every other weekend (2 days a week in a 2 week cycle). Must be available M-F 8:30-4:30pm for...

Job OpportunitySeeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the opportunity...

A healthcare services provider in Cleveland, Ohio, is seeking a Case Manager Nurse Advocate. This position offers remote work flexibility and requires an active nursing license and a Bachelor of Science in Nursing (BSN). The ideal candidate will...

Enlyte is seeking a Telephonic Case Manager (RN/LPN) in New Jersey for a temporary, full-time, work-from-home assignment. The role involves collaborating with physicians, employers, and patients to develop and implement treatment plans aimed at...

EK Health is seeking a Telephonic Nurse Case Manager (RN) for our Case Management Team. The role involves assessing, planning, coordinating and evaluating service options to help injured workers receive cost-effective medical care and expeditious...

Kaiser Permanente in Los Angeles is seeking an experienced RN for a case management role within a multidisciplinary team. You will assess patient needs, develop individualized care plans, and coordinate access to services across physicians,...

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...

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...

Job Description: We are seeking a compassionate and dedicated Registered Nurse (RN) to join our hospice care team. In this role, you will provide holistic, patient-centered care to individuals with terminal illnesses, ensuring comfort, dignity,...

PriMedical, Inc. is seeking a Field Case Manager to ensure injured workers receive the care they need and return to work safely. This home-based position coordinates with providers, monitors progress, and develops individualized care plans...

COPE Health Solutions is seeking a qualified Utilization Management Nurse (RN) to assess member needs, determine medical necessity and coordinate care across providers and care teams. This full-time, remote position reports to Medical Management...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare, AHCCCS, Self-pay, and other payer guidelines. The...

PIH Health Downey Hospital is seeking an RN Case Manager to oversee a continuum of care from pre-admission through post-discharge, ensuring efficient progression for assigned patients.Focus on appropriate utilization of hospital services,...

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.

Oscar Health is hiring a Case Manager to join our Complex Case Management team. You will collaborate with Oscar teams to deliver high-quality care and improve member health outcomes, educating members, evaluating SDOH, and connecting individuals...

Job title Senior Care Specialist (Registered Nurse) – Work From Home About Sagility Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to...

Wellmark is seeking a Case Management Nurse I to actively engage members through various channels, build individualized care plans, and coordinate services with providers and families. You will support chronic and complex health needs while...

Self Fund Health Nurse Navigator Remote · Full time The Nurse Navigator is a remote WI-based RN who acts as the member's single point of contact through the healthcare system — coordinating care, advocating for patients, and steering...

Seeking a compassionate and experienced Multi-State RN Telephonic Case Manager, this full-time remote position will manage case records, evaluate medical statuses, and facilitate return-to-work solutions for injured workers while ensuring...