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Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

hireops is seeking a contract role for a discharge care coordination position in Chicago, IL. This role involves responsibilities for episodic case management and counseling, ensuring follow-up for acute conditions. Qualified candidates...

RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization Management *SRMC Care Management *Full Time *Part Time Receive 17% Weekday Nights, 26% Weekend Nights and 15%...

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...

Guidehealth is seeking a Care Manager to guide patients and families through complex health journeys. This remote role blends clinical expertise with holistic care to address medical, behavioral, and social needs. You will build...

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.

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...

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.

UnitedHealth Group is seeking an experienced Utilization Management Nurse to ensure efficient and effective health services administration. The role involves assessing member needs, interpreting guidelines, and recommending appropriate care levels...

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...

Host Healthcare is the #1 ranked travel healthcare company in the U.S. with an immediate option for this RN position in Burbank, CA. Sign-up here to submit your application for this role or for more information about this role, contact a member of...

Kaiser Permanente is seeking an experienced Registered Nurse to coordinate admissions, screen for medical necessity, and develop safe, cost-effective discharge plans in collaboration with an MD and multidisciplinary team.The role includes...

University of Miami is seeking an Oncology Prior Authorization Case Manager, Non-RN, to work remotely with a focus on efficient utilization review and patient care coordination. The role involves chart reviews, payer policy application, and...

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...

A leading health and safety firm is seeking an experienced telehealth RN to join their case management team. This remote position requires strong communication and decision-making skills, along with a minimum of 5 years of clinical experience.

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...

Providing telephonic care management for members with complex and chronic care needs, the full-time Telephonic Nurse Case Manager I will assess, develop, implement, coordinate, monitor, and evaluate care plans while working remotely with...

Optum NY is seeking an RN Case Manager to join our team anywhere within the U.S. The role coordinates referrals, educates members, and supports quality programs, bridging care between members, providers, and health plans. Required BSN or 5+...

Position Summary The RN Case Manager is responsible for performing clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge...

RN Clinical Assessor - (Hybrid Remote - Waldo/Kennebec County, Maine) General information Date Friday, August 21, 2026 City Augusta State ME Country United States Working time...

Molina Healthcare is seeking a TX-licensed RN to join our Medicare team in a remote role focused on hospital discharge transition for members. The incumbent will coordinate resources, appointments and follow-up to ensure smooth transitions, with...

Field Nurse Case Manager - Glendale, CA Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every...

RN Case Manager Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes...

aptihealth is seeking a Registered Nurse Case Manager to support both patients and providers across the care continuum. In this key role, you will assess patient needs and coordinate care while ensuring compliance with regulatory requirements.

UnitedHealthcare is seeking a Care Manager to coordinate individualized care interventions and advocate for members in an Integrated Care Model. The role involves field visits, remote work, and collaboration across care teams. The position...