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Description EK Health is now hiring for a Full-Time Telephonic Nurse Case Manager (RN) for our Case Management Team! This role includes assessing, planning, implementing, coordinating, and evaluation of service options. The goal of the Case...

SCAN Group is seeking a remote RN to enhance frail seniors' ability to age in place by delivering person-centered care via telephonic care coordination. You will develop and implement plans of care, educate members, and coach them to manage...

CorVel Corporation in Tampa, FL is seeking a Telephonic Case Manager to coordinate care, assess treatment plans, and communicate with physicians, patients, and payers. This remote role focuses on cost-effective, personalized care and timely...

MedWatch is seeking a Registered Nurse Case Manager for a remote, work-from-home role in the United States. You will manage an individual caseload, authorize services, review treatment plans for medical necessity, and coordinate with providers,...

Virtua Health is seeking a remote RN to support the application of medical necessity tools, ensuring compliance and achieving positive patient outcomes. You will collaborate with Physician Advisors, manage denials, and document review activities...

Job Description ProMed Staffing Resources is seeking several Registered Nurses (RN) with 2 years of recent Case Management experience and we're offering amazing benefits and...

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...

Elevance Health in Florida is seeking a Medical Management Nurse to review complex cases, apply nursing judgment, and determine medical necessity for services. This role combines remote work with required in-person training sessions and periodic...

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...

Overview:Location: Culver City ...

JOB DESCRIPTION Must reside in Florida Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established...

Employment Type: Full time Shift: Night Shift Description: Position Summary: Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to...

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.

Guidehealth is seeking a Remote RN Case Manager licensed in Illinois to support member management, enhance satisfaction, and navigate the health care system as part of Value Based Care Services. The role focuses on data collection, clinical...

Crawford & Company is seeking an experienced RN Telephonic Case Manager to work remotely providing case management services for patients and employees. You will navigate their healthcare journeys, align with URAC standards, CMSA Standards of...

LVN Case Manager If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed – it's nurtured, celebrated, and promoted,...

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...

The Aspen Group (TAG) is seeking a remote RN Pre-Op Case Manager to assess, plan, implement, and document nursing care for patients in preoperative clearance. This is a home-based role with Monday–Friday, 8 hours per day, working in MST or PST.

Valenz Health is seeking a Bilingual Case Management Nurse for a fully remote US-based role. You will assess patient needs, develop individualized care plans, coordinate with multidisciplinary teams, and advocate for patients to ensure seamless...

Forthright Case Management Llc is seeking a self-motivated Registered Nurse (RN) for a per diem, hybrid role based in Albuquerque, NM. You will coordinate medical care for injured employees and collaborate with the treatment team, insurers, and...

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...

Amedisys is seeking an Intake/Referral Coordinator to join our home health and hospice team in Baton Rouge. You will be the first line of contact for customers, intake referrals, and scheduling evaluation visits. The role requires a high...

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...

Job Title: Clinical Operations Manager - Virtual Care Management (RN) Location: Remote - United States Employment Type: FT Exempt Direct Reports:...

CorVel Corporation is seeking a Utilization Review Case Manager for a fully remote role in the United States. The position requires current nursing licensure and 4+ years of clinical experience with preferred exposure to utilization review.