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Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We...

Professional Nursing Care Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

**JOB DESCRIPTION**This RN will act as a **Care Review Clinician** and provide clinical review support for Medicare inpatient utilization management activities. Conducts medical necessity reviews of inpatient admissions and ongoing services using...

Clinical Services Supervisor, RN Under the direct supervision of the Health Center Manager and in-direct clinical supervision of Nursing Administration, the Clinical Services Supervisor (CSS) shall perform licensed nursing duties under...

Nurse Case Management Senior Analyst Role is for Tuesday thru Saturday 0800AM-5PM this is a remote position within our plan states, IL, TX, NM, OK, MT, TN. Delivers specific delegated tasks assigned by a supervisor in the Nurse Case...

Ambulatory Care Manager In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Case Manager The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available...

Job Title : Registered Nurse (RN) Disease ManagerJob Overview :The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or complex health conditions. This role...

RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time...

Job Summary As a Clinical Services Manager - RN Telephonic Case Management, you will ensure optimum recovery on every claim while establishing trust, providing education, delivering information, and care. You will provide case direction to...

Remote Registered Nurse (RN) – Principal Care Management (PCM) Elaya Health is a leading provider of endocrinology and specialty care services for nursing home residents. We partner closely with long term care facilities to improve...

" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

AltaMed Nurse (RN) Case Manager/Care Coordination Team Leader 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 –...

Medical Management And Health Education Program Coordinator This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering,...

Dormont Manufacturing Co in Los Angeles is seeking a qualified Registered Nurse for a clinical care coordination role. The candidate will manage a caseload of patients and work closely with healthcare teams to ensure high-quality care.Five years...

Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Torrance, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 08/03/2026 Duration: 13 weeks 40 hours...

Overview Health Advocates Network is currently seeking a Central Service Tech to work at a facility in Torrance, CA . These are registry positions with our company.Pay Rate: $32 / hourShift details 8 hours40 hrs per weekDays, nights, weekends and...

Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

Job Details Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Dallas, TX, USA Medical Case Management Full Time Description Overview Are you looking to make a difference by providing...

RN Case Manager SNP Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united...

# RN Case Manager – Surgery ServicesWork Location **Los Angeles,CA**Job **#29435**Work Hours **4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidays**Employment Type **2 – Staff- Career**Duration **indefinite**Salary Range...

Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...

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...