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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...

Utilization Management Nurse Consultant - Behavioral Health (Remote)### Utilization Management Nurse Consultant - Behavioral Health (Remote)Apply: Remote/Hybrid: AZ - Work from home: Full time: Posted Today: End Date: November 23, 2026 (13 days...

Nascentia Health is seeking a Care Manager to provide care management for health plan members, create PCSP, coordinate services, and document care per plan standards. This is a remote-first role, Monday–Friday, 8:00 AM–4:30 PM. This...

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

Yale University is seeking a Utilization Management RN for revenue integrity. This remote (Connecticut) role reviews documentation against payer policies and medical necessity criteria, prepares denial appeals, and educates providers to ensure...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN. PRIMARY PURPOSE:To provide comprehensive quality telephonic case management to...

Leveraging clinical expertise in a dynamic environment, the full-time Registered Nurse Utilization Management will assess, plan, and coordinate healthcare services for members while working remotely and requiring flexibility for evenings,...

Care Manager Registered Nurse (CMRN) At Hopscotch Primary Care, we believe great healthcare should be accessible to all people across all communities. Today, almost 20% of Americans live in a rural community, yet only 11% of physicians...

Title: Clinical Review Nurse Concurrent Review Location: Remote Duration: 12 months (Potential Extension) Schedule: Mon-Friday, 11AM to 8pm CST; Weekends and Holidays on a rotation basis based on...

Manage patients assigned to your Care Team, ensuring visit frequencies align with acuity levels. Communicate via phone and video conferencing, assess and enroll patients, and develop care plans. Manage medications,...

TalentBurst, Inc is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty:...

Mary Washington Healthcare Incorporated is seeking a Level II Registered Nurse for a Virtual Registered Nurse (VRN) role. The VRN provides professional nursing care via two-way audio/visual technology, conducts virtual assessments, and...

The University of Texas MD Anderson Cancer Center is seeking a Denials Management Coordinator to support revenue cycle operations by coordinating review, analysis, and resolution of insurance denials and to help secure accurate reimbursement. This...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe position requires flexibility to travel and float to other clinic...

Health & Human Services in North Carolina seeks a Nurse Consultant I (NS) to perform regulatory nursing home inspections, ensuring compliance with federal and state requirements and preparing deficiency reports. The role is home-based with regular...

Humana Inc. is seeking a Registered Nurse to join the Wisconsin Care Coaching team, coordinating member care, providing education, and helping members navigate their care with confidence. The role is remote with travel up to 40%; requires...

HCSC is seeking a remote QOC Nurse under the supervision of the QOC Manager to conduct review and investigation of quality of care issues. The role supports quality improvement activities in compliance with CMS, NCQA and other regulatory...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care...

Deliver comprehensive nursing care using the nursing process, including assessment, planning, and evaluation.Monitor patient conditions, adjust care plans, and collaborate with the team to improve outcomes.Requirements:Active RN license, BLS...

Hines & Associates, Inc. is seeking a full-time Case Manager to leverage clinical nursing experience to design care plans and advocate for patients. This fully remote role focuses on coordinating healthcare services while supporting...

Health & Human Services in North Carolina seeks a Nurse Consultant I (NS) to perform regulatory nursing home inspections, ensuring compliance with federal and state requirements and preparing deficiency reports. The role is home-based with regular...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

Paradigm is seeking a full-time Telephonic Case Manager with compact RN license, CA RN license, and CCM to work Monday – Friday, 8 AM to 5 PM. The role provides remote medical case management to injured individuals, coordinating care, exploring...

Conduct telephonic nursing assessments and triage using protocols.Provide health education and referrals to diverse patient populations.Work Schedule:Full-time evenings with weekend shifts every two weeks.Virtual training for 2-4 weeks, 100%...