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Working remotely, the full-time RN Utilization Management will review and document member case histories and prior authorization requests, utilizing clinical judgment to determine coverage eligibility while ensuring compliance with policies and...

Care Manager—Registered Nurse 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 colleagues who care...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

Position Title: Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Location: Dallas, TX, USA Job Category: Medical Case Management Job Type: Full-Time Description:...

The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...

Provide nursing oversight and administer medications in accordance with physician orders and the Five Rights of Medication Administration Conduct medication audits for each medication cycle, ensuring adherence to the Eight Rights of Medication...

RN Case Manager Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes...

Inpatient Case Manager Based on an initial review of member care needs at the time of admission, establishes a discharge/transition plan in collaboration with the hospitalist team. On an ongoing basis reviews and identifies changes in...

Mission-Driven RN Educator, Clinical Documentation Integrity We're with you for life's journey. At Denver Health, purpose isn't just something we believe in—it's something we live every day. Our Values Respect | Belonging...

OPEN JOB: Registered Nurse - Home Health Manager LOCATION: Carson, California BASE SALARY: $109,240 to $144,197 INDUSTRY: Healthcare / Health Services - Nursing / LPNs / LVNs JOB CATEGORY: Nurse...

Registered Nurse Opportunity Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations...

Nurse Care Manager (Registered Nurse) The duties of the Nurse Care Manager (Registered Nurse) are but is not limited to the following: Assesses, plans, implements, and evaluates care-based age specific components.

Manager, Nursing Case Management (RN)Full-Time 100% McDonald Wright, Los Angeles, CA, USSalary Range: $124,000.00 To $131,000.00 AnnuallyProgram: Nursing Case ManagementDepartment: Health ServicesReports to: Associate Director, Clinical...

SCHOOL NURSE Published Date: Jul 7, 2026 Location: US Company: Los Angeles Unified School District SALARY DETAILS All Salary Tables located at School Nurse Salary Table - N Table APPLICATION FILING DATES...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...

RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...

At AdvisaCare , we believe that quality care deserves compassionate hearts and skilled professionals. We are excited to announce an opportunity for a dedicated Per Diem Hospice Registered Nurse to join our growing team in the Hospice teamAs a Per...

Workers' Compensation Telephonic Nurse Case Manager The Workers' Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

The Registered Nurse (RN) is responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on...

Job Description Travel Nurse - Case Management Epic Travel Staffing is hiring a Travel Nurse - Case Management. We`ll be your ticket to the travel RN - Case Manager job you`ll love with unparalleled recruiter support and...

Description Telephonic Nurse Case Manager (1099 Remote - NJ RN License Required) We are currently seeking an experienced Telephonic Nurse Case Manager (RN) to support workers'...

Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

Remote Registered Nurse (RN) - Principal Care Management (PCM) Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work...

Description: About Us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates,...