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Elevance Health is seeking a Nurse Case Manager I (US) to perform care management for members with complex needs. The role can be remote full-time with required in-person training and occasional site visits, centered in Latham, NY. The...

ISYS Case Management is seeking a Telephonic Case Manager (RN, RN-BC) to operate remotely from Tampa or surrounding areas. You will provide telephonic case management for injured workers, coordinating care with providers, carriers, employers and...

Working remotely in a full-time capacity, the RN Telephonic Case Manager will manage treatment plans for injured or disabled individuals, collaborating with healthcare providers and employers to facilitate effective recovery and return to work.Key...

Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Registered Nurse (Utilization Management) .Candidate must be authorized to work in USA without requiring sponsorshipLocation: 100% Remote for California...

Alight Solutions is seeking a Clinical Case Manager-RN in New Jersey to provide clinical case management, coordinate disability and absence claims, and support medically sound decisions for client employees. The role requires RN/NP...

Hines & Associates, Inc. seeks a Registered Nurse reviewer to assess patient conditions and certify treatments according to URAC and applicable regulations. The role emphasizes clinical judgment, documentation, and collaboration with case managers...

Davies North America is hiring a Telephonic Nurse Case Manager to work from home in the United States. You will monitor, evaluate, and coordinate medical treatment under Workers' Compensation, report to the Case Management Supervisor, and assess...

Quartz Health Solutions is seeking a licensed RN for a Utilization Management RN Case Manager role in Wisconsin. You will review prior authorization requests, coordinate transitions back to in-network services, and collaborate with physicians,...

Who We Are: Since 1985, BHCHP's mission has been to provide or assure access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. We care for over 11,000 homeless individuals each...

Sentara Health in Harrisonburg, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Harrisonburg and surrounding areas as travel is required. The...

AmTrust Financial Services, Inc. is seeking a Telephonic Medical Case Manager, RN, to provide comprehensive telephonic case management and drive a medically appropriate return to work for injured employees. This remote role supports PA and...

INTEGRIS Health in Oklahoma City, OK is seeking an experienced RN Case Manager for Utilization Review to join our remote team. This full-time daytime role includes every-other-weekend shifts and focuses on coordinating care and discharge planning.

CorVel is seeking a Utilization Review Case Manager to gather demographic and clinical data for in-patient and outpatient reviews, certify medical necessity, and assign appropriate LOS while supporting the Case Management department's goals. This...

EK Health is hiring a Full-Time Telephonic Nurse Case Manager (RN) for the Case Management Team. You will assess, plan, implement, coordinate, and evaluate service options to help injured workers receive timely, cost-effective care and return to...

CVS Health is seeking a remote RN Case Manager to support members nationwide via telephonic case management. The role includes applying clinical criteria, coordinating care, and addressing barriers to improve outcomes. A multi-state license and...

Telephonic Insurance Case Manager (RN) | ARIZONA RESIDENTS ONLY Insight Global is seeking a Telephonic Insurance Case Manager (RN) to join a growing and well-established organization focused on helping injured employees navigate their...

Immediate need for a talented Utilization Management RN - Prior Authorization. This is a 12+ Months Contract opportunity with long-term potential and is located in US (Remote). Please review the...

A reputable healthcare staffing firm in Oregon is seeking a care manager specializing in phone communication with patients across all ages. The role involves coordinating care services, educating patients on their health conditions, and conducting...

Elevance Health is seeking a Nurse Case Manager I for a fully remote, full-time role. The position supports care management for members with complex and chronic needs, via phone or on-site discharge planning, with mandatory in-person training...

Ochsner Health, a leading not-for-profit healthcare provider in the Gulf South, seeks an experienced RN for a remote case management role. You will coordinate care by liaising with patients, caregivers, multidisciplinary teams, and payers to...

Health Plan of San Joaquin is seeking a Case Manager Nurse for a remote position. Candidate must reside in California and have a valid California RN license with 3+ years of RN and case management experience. You will conduct case...

Womble Bond Dickinson (US) LLP seeks a Nurse Consultant to join our team. The Nurse Consultant provides high-level medical analysis and insight in support of legal matters, reviewing, interpreting, and synthesizing complex records into clear,...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Part Time Southborough, MA, US Salary Range: $38.00 To $40.00...

The Elevance Health Companies, Inc. in California is seeking a Telephonic Nurse Case Manager II to assess, plan and coordinate care for members with complex needs. This hybrid/remote role allows remote work with required in-person training...

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...