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A leading health solutions company seeks a Nurse Case Manager in Alexandria, Virginia. This full-time role involves assessing and coordinating case management activities to support member wellness. Applicants must have an unrestricted RN license...

A leading health solutions company based in Trenton, NJ is looking for a Clinical Care Manager who will conduct assessments and coordinate care for dual eligible members. This position requires a minimum of 3 years of clinical practice experience...

Join a forward-thinking healthcare technology firm as a Nurse Consultant, where your clinical expertise will drive improvements in patient care and cost efficiency. You'll play a vital role in analyzing patient data, fostering relationships with...

A leading healthcare provider is seeking a Nurse Case Manager for a hybrid role to support injured workers and facilitate their return to work. The ideal candidate must hold a Georgia RN license and have two or more years of clinical experience,...

A leading health insurance provider is seeking a Utilization Management Nurse 2 to support coordinated care for members healing at home. The ideal candidate will have an Associate Degree in nursing, a valid RN license, and at least three years of...

ResCare Community Living Join a team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our clients in a variety of settings such as Home...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Employer Industry: Healthcare Services Why consider this job opportunity Opportunity for career advancement and growth within the organization Work remotely, with flexibility in scheduling Engage in...

A fast-growing insurance company is seeking a Clinical Review Nurse to assess medical necessity for Workers' Compensation claims. This role offers a remote or office location option and requires an active RN license along with 5+ years of related...

RN Utilization Management MCHP RN Utilization Management MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member's family and other resources as appropriate. Assist in the...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

A leading healthcare provider in Winston-Salem is seeking a Telehealth Nurse to provide nursing services remotely. Applicants should have a valid RN license and at least 3 years of clinical experience, preferably in telephone triage. Strong...

Remote Registered Nurse (RN) Nurse Triage The Overnight RN Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is 100% hands-on, responsible for assessing patient symptoms,...

A healthcare provider is seeking a Case Management Coordinator for their Home Health division. This role involves functioning as a clinical liaison with managed care customers, collaborating with external case managers, monitoring service...

Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

Cvs Health Care Manager At CVS Health, we are building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

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 with the care, pharmacy benefits, data...

Employment Type: Full Time Shift: Evening Shift Description Must be within a 50 mile radius of Livonia, MI Work shift Monday through Friday 12:30pm 9:00pm Will work a weekend rotation, one every 6 weeks...

CVS Health Remote Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading...

ResCare Community Living Join a team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our clients in a variety of settings such as Home...

Quality Assurance (2 Openings) Responsibilities: Perform quality assurance review of peer review reports, correspondences, addendums, or supplemental reviews. Ensure clear, concise, evidence-based rationales are...

We are hiring a Patient Care Manager and RN Dual role with Home Health experience. At Caretenders Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections...

We Are More Than A Health System We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care...

Wolters Kluwer is a global leader in professional information services that combines deep domain knowledge with specialized technology. Our portfolio offers software tools coupled with content and services that customers need to make decisions...