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Elevance Health is seeking a Telephonic Nurse Case Manager II in New York. The role is remote with occasional in-person training, requiring multi-state licensure and an RN license in the relevant states. Responsibilities include assessing,...

Discharge Care Manager 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...

Details Client Name USC Keck Job Type Travel Offering Nursing Profession RN Specialty Case Manager...

Remote, USA Remote, GA Remote, MS Remote, OH Remote, NC Remote, TN Remote, AR Remote, TX Remote, KY Remote, AL Remote, IN Full time R260000007933 At R1, we're...

Your Future Role At A Glance Location: Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l Full-Time Salary range: $78,561.60 - $110,905.60 per year (Texas) | Pay...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Registered Nurse (RN) Utilization Management We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate...

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...

Job Title This is a remote, PRN position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values...

Job Title This position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

Registered Nurse - Review Analyst | Remote | Contract Walker Healthforce is seeking a Registered Nurse - Review Analyst with at least 2 years of acute care nursing experience to provide clinical documentation review, apply...

Job Title Real Job *Works with any department, if a patient complaint arises* *Experience in Critical Care or ED is a plus* *Weekends will not typically be required unless survey is on site* *2 years experience required, hard stop* *First...

Sagility is hiring an RN Utilization Management Reviewer to perform day-to-day clinical and service authorization reviews for medical necessity, ensuring CMS compliance in decision-making. Requires RN license in Massachusetts, Associate...

Travel - Registered Nurse - Case Manager Location: Burbank, California Type: Travel Job 19393236 Salary: $2,598 - $2,735/week Apply Now Travel Registered Nurse - Case Manager...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...

Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...

RN - Registered Nurse - Case Manager CoreMedical Group Los Angeles, CA Travel | Days | 40 hrs/wk Up to $2,270/week Client in CA seeking Registered Nurse: Case Manager for the following shift(s): Days We...

PIH Health in Los Angeles is seeking an RN Peer Review Analyst responsible for retrospective medical record reviews, data compilation to validate quality and accuracy of documentation, and auditing charts for admission/continued stay. You will...

Nurse Care Manager We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading...

Overview The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This roles monitors...

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

Utilization Management (UM) Nurse Supervisor The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and...

Utilization Review Nurse Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical...

Optum is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services, assess patient needs, and identify solutions to help members live healthier lives. This role supports a collaborative clinical and business team...

Required Skills & Experience • Active RN license (Compact license required)\n• 2–4 years of clinical experience (neurology and/or endocrinology experience preferred)\n• Strong interest in chronic disease management across neuro and...