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UnitedHealthcare is seeking an experienced registered nurse to join a frontline clinical resource program that educates and supports members about health management. The role emphasizes customer service, nursing judgment, and collaboration to...

Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must Have requirements: RN,...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Clinical Facility Site Review SupportProvides support for clinical facility site reviews. Under the supervision of leadership, uses clinical judgement within appropriate scope to independently conduct reviews and other monitoring activities for...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

McLendon Leadershi is seeking a Case Manager Nurse to coordinate patient care across hospital and community settings. The role focuses on optimizing utilization and seamless transitions, with emphasis on advocacy and care coordination for diverse...

BLEHEALTH is seeking a Lead Care Manager (LVN) to coordinate care for chronically ill members in collaboration with care teams. You will engage members, oversee ECM services, and implement care plans, with visits to member homes or facilities as...

Job Summary Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial...

Utilization Review Specialist (RN) – Work From Home (Florida-Based Candidates Only)Concierge Home Care | Work From Home Opportunity – Must Reside in Florida At Concierge Home Care, we are growing and looking for an experienced...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of...

Case Manager RNTorrance, CA, United StatesSalary - $51.44 to $64.87 (US Dollar)Job Summary:Salary - $51.44 to $64.87Experience: Requires Case Management (Care Coordination or Utilization Management) in acute care.Job Location: Torracne, CAJob...

Santa Barbara Cottage Hospital is seeking an experienced RN/LPN to perform remote clinical reviews for appeal cases. You will review medical records, apply InterQual criteria, and prepare clinical determinations for physician review. The...

NK Consultancy LLC in California is seeking a Registered Nurse (RN) Field Case Manager for Workers' Compensation. This field-based role coordinates medical care and advocates for injured workers, helping them safely navigate recovery and return to...

About This Role The Case Manager Extended Care Coordinator RN is responsible for overseeing and managing skilled patients in rehabilitation at contracted Skilled Nursing facilities. This role is ideal for those who excel in coordinating care and...

Job Description Harborview Medical Center has an outstanding opportunity for an experienced Registered Nurse to join our Care Management Team. WORK SCHEDULE: 80% FTE (4 days a week)...

MedPOINT Management is seeking a remote RN/LVN Case Manager to assess, plan, and coordinate patient care across the continuum under the supervision of Leads & RN Clinical Manager for Case Management. You will advocate for patients and coordinate...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

Case Manager RNGlendale, CA$2824/Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur13 Weeks40Short Term Acute Care Hospital313EPICRequirementsAt least 2+ years' experienceEither an Associate...

Evergreen Nephrology in Nashville, TN, is seeking a Nurse Care Manager to join our patient-centered team. You will manage an assigned patient panel, collaborate with physicians, APPs, and IDTs, and drive programs like Chronic Complex Care...

CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...

Grow Healthy 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, allowing you to...

JOB SUMMARYThe Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures the correct level of care critical, telemetry, acute, observation, for all patients. The...

Select how often (in days) to receive an alert: Date: Sep 21, 2026 Location: Any city, KS, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Alliance Liaison If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where...