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Clearlink Partners is seeking a Back Utilization Management Manager (CA Licensed) to lead UM program design and oversee QA, cost and quality improvements. This role operates in a remote, direct-hire capacity, serving managed care clients across...

Aetna in Providence, RI is seeking a qualified Registered Nurse to support clinic operations and patient care. You will perform clinical duties, participate in phlebotomy, vaccinations, vitals, and diagnostic assessments while ensuring...

Upper Peninsula Health Plan (UPHP) is seeking a Remote Community Based Clinical Coordinator - Care Manager in Michigan. The role supports care management across the continuum of care and involves in-home and facility visits, with a focus on...

Why Join Sunrise Senior Living At Sunrise Senior Living, we believe meaningful work starts with purpose. Our team members are passionate about making a positive difference in the lives of residents every...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is...

A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and...

Medical Reviewer, RN - Temporary Position Location: Remote *This role is a temporary position and that employment is expected to be for a limited duration. About J29 J29, Inc. (J29) has...

The Ambulatory Case Manager, RN is responsible for providing comprehensive care coordination and case management services to members, ensuring seamless...

The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care to the terminally ill patient/family unit. The Triage Registered Nurse provides continuity of care to...

CorVel Corporation is seeking a Telephonic Case Manager to coordinate medical care for injured individuals. This remote role emphasizes clinical assessment, cost-effective care plans, and communication with physicians, patients, and payers.

Alignment Health is seeking a Remote Complex Care Registered Nurse for California residents with an active California RN license. This role centers on owning the member journey, coordinating care across disciplines, and delivering proactive,...

JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but selected candidate must reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA...

Cedars-Sinai is seeking a Case Manager to oversee patient care from admission through discharge. The role involves assessing patient needs, coordinating with hospitalists and health plans, and ensuring timely, appropriate utilization of...

Curana Health, Inc. is seeking a Care Manager (LPN) to deliver telephonic care management for patients enrolled in value-based programs. You will collaborate with Curana providers and the interdisciplinary team to develop patient-centered...

HealthSnap is seeking a motivated Care Navigator (LPN/LVN) for a full-time remote role in the United States. You will support patients in chronic care management and remote patient monitoring, with a NY nursing license required to practice.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of the...

Telenett is seeking a Remote Utilization Review Nurse to review medical records and treatment plans from home. You will determine medical necessity, collaborate with providers, and help develop care plans that meet client needs. The role...

A healthcare organization is seeking a remote RN to manage patient care related to chronic kidney disease. Responsibilities include ensuring continuity of care, coordinating treatment plans, and documenting patient information. Candidates must...

A healthcare management firm is seeking an RN Care Management Coordinator – Compliance Specialist to ensure compliance with relevant regulations and standards. This remote position requires a minimum of five years of clinical experience, an...

Why Join Sunrise Senior Living At Sunrise Senior Living, we believe meaningful work starts with purpose. Our team members are passionate about making a positive difference in the lives of residents every day. At Sunrise Senior...

Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare service utilization. The role requires clinical expertise and collaboration with providers to...

Ecumen is hiring a Triage Nurse (RN) for telephone-based care in Shoreview, MN. The role supports Assisted Living and Hospice by providing triage guidance, documentation, and follow-up, all from a remote-friendly setting. The position...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and patient plans of care. The role offers remote work from anywhere in the U.S., with weekend coverage on a rotating basis and a...

Upper Peninsula Health Plan (UPHP) is seeking a Remote Community Based Clinical Coordinator - Care Manager to support members across the Eastern Upper Peninsula. The role requires frequent in-person visits to homes and facilities and periodic...

Position is Hybrid serving the Inner West Valley region of the Phoenix metro area, with proximity to Central Phoenix (S. Glendale, Avondale, Tolleson, Litchfield Park) (Time spent in the field, working from home and occasionally in the office for...