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Overview The Quality Outcomes Coordinator (QOC) works at the unit-level, in collaboration with bedside staff and unit leaders to deliver effective, efficient, high-quality care. The QOC continuously evaluates care at the bedside, identifies gaps...

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...

This is a work from home position paying $26-$28/hr Job Description The Clinical Quality Assurance Coordinator is responsible for ensuring case reports are of the highest quality and integrity and in full compliance with client...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

Ansible Government Solutions, LLC is recruiting multiple Remote Registered Nurse Case Managers to support the VA Office of Veterans Community Care. The role involves managing SEOC data, ensuring compliance, and reviewing provider and veteran...

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify...

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine...

SafeGuard Services (SGS), a Peraton subsidiary, seeks a Nurse Reviewer Team Lead to guide medical reviews and fraud investigations within the SGS team. You will oversee workload, mentor staff, and coordinate with investigations to develop cases...

JOB DESCRIPTION Opportunity in Southern California for an experienced Managed Care Leader to join our health plan in California. Candidates must have a minimum of 7 years of healthcare experience, 3 of those should be with a Managed Care...

About This Role The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and continued stays, ensuring appropriate levels of care. This role is ideal for experienced nurses who excel in a fast-paced...

A health care organization in Monterey Park is seeking a Case Manager (LVN or RN) to manage patient care effectively. This role involves working collaboratively with medical teams to establish discharge plans and ensure compliance with health...

Team Manager The Team Manager is the leader of the Patient Care Team that ensures that patients and families receive continuity and quality of care from admission to discharge or transfer to bereavement. Salary Range: $130,000- 140,000/...

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage of life.

Nurse Case Manager Position Type: Full-Time Contract Role Location: Work from home Work Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive) Schedule: Mon-Fri 8am-5pm EST...

ATC Candidate Medical Clearance Coordinator Serves as a member of a multidisciplinary team to provide assessment, planning, implementation, coordination, evaluation and monitoring of ATC Candidates throughout the medical clearance...

RN Care Coordinator Care Coordination Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest...

Job Description & Requirements Remote RN Utilization Management StartDate: 10/15/2026 Pay Rate: $1800.00 - $2500.00 POSITION SUMMARY – Remote RN Utilization ManagementPOSITION DUTIES Reviews medical records...

Support, Inc. is seeking a Nursing Coordinator/Registered Nurse to oversee medical care for individuals with intellectual and developmental disabilities. You will coordinate with physicians and interdisciplinary teams to promote health...

To support an upcoming clinical project, experienced Registered Nurses (RNs) will find a fully remote contract opportunity as a Remote RN Clinical Consultant, focusing on conducting comprehensive medical record and clinical chart reviews while...

Denials Case Manager, RNThe Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials, maximize accurate...

Cardinal Health is seeking a Nurse, Individualized Care Nurse Care Management to coordinate medical treatments, educate patients and bridge gaps between patients and care teams. The role is remote, full-time, with a 40-hour workweek and CST/PST...

Remote Registered Nurse (RN) – DH Direct Triage Part‑Time, 20 hours per week Position Summary The RN - DH Direct Triage provides high-quality, patient‑centered care through telephone triage and clinical assessment. This...

Job Description Utilization Review RN - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you...