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Clinical Registered Nurse (RN) – Remote Full-Time | Remote | $100,000 + Comprehensive Benefits Package We are recruiting RNs for a growing, technology-enabled healthcare organization, expanding its remote clinical...

Utilization Management Nurse The primary role of the Utilization Management Nurse is to review and monitor members' utilization of health care services with the goal of maintaining high quality cost-effective care. The role includes...

Cincinnati Children's is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case management, authorization, compliance, and education within the Utilization Review department.

About Clarity Pediatrics Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD. After successfully launching our virtual clinic for ADHD and anxiety, we are expanding our pediatric care platform to address other...

Southern Illinois Healthcare is seeking a Registered Nurse or LPN licensed in Illinois to join our Population Health team in a fully remote capacity. The role emphasizes patient advocacy, care coordination, and coaching patients toward...

Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the bedside while still making a massive impact on patient care? We are seeking a dedicated Utilization Review Nurse to join our...

American Health Plans Franklin, TN 37067, USA Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors...

Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Case...

Kaiser Permanente in Downey, CA seeks an experienced Registered Nurse for case management and discharge planning. You will coordinate admissions and post-hospital care with physicians, patients, and families to ensure safe, cost-effective plans.

Hone is a virtual medical clinic for men's/women's health, hormones, weight loss, and longevity.We are remote-first and fast-growing, focused on candid communication and joy.The Role:You will manage patient-doctor communications and clinical...

Sentara Health is looking to hire a Remote Integrated Case Manager. Candidates must reside in the State of Virgina. The Integrated Case Manager is responsible for case management services within the scope of licensure;...

HCSC is seeking a registered nurse or licensed clinician to provide care coordination to members via telephonic and field-based care management. You will educate members on health care programs, discuss goals, and support clinical operations with...

Baptist Health is seeking a Clinical Documentation Specialist to join our team in a remote capacity, requiring residence in Kentucky or Indiana. The role focuses on evaluating physician documentation to accurately portray illness severity for...

Nurse Case ManagerPosition Type: Full-Time Contract RoleLocation: Work from homeWork Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive)Schedule: Mon-Fri 8am-5pm ESTRegistered Nurse with active state license in...

Arkansas Blue Cross Blue Shield is seeking an Utilization Management Nurse to perform clinical reviews of prior approvals, network exceptions, and inpatient/outpatient procedures. The role requires an active RN license and a Bachelor's degree is...

University Health is seeking a Utilization Management Nurse RN for UH Truman Medical Center in Missouri. The role manages resource use, supports care transitions, and advises care teams on documentation and discharge planning to improve patient...

VIVA USA Inc. is seeking a Quality Review Specialist for a fully remote role across the United States (excluding NY, CA, AK). You will collaborate with Utilization Management, Case Management and Customer Service to ensure appeals comply...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...

Elevance Health seeks a Telephonic Nurse Case Manager II for California, primarily remote with required in-person training. The role involves assessing, coordinating, and evaluating care plans for members with complex needs, telephonically.

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Clinical Reviewer RN - Alabama Alabama, US 30+ days ago Requisition...

CVS Health Corporation in Illinois seeks a Case Management Coordinator to support member care by coordinating appointments, identifying benefits and providing education through care management tools. This full‑time, home‑based role...

Acentra Health seeks a Case Manager (LPN or RN) to join our growing team in a remote role open to residents of Oregon. You will coordinate care across social, medical, and behavioral services, ensuring high-quality, compliant care planning and...

JOB SUMMARY This is a full-time REMOTE position requiring weekend availability (Saturday and Sunday) in addition to three weekdays. Company Highmark Inc. Job Description This is a full-time REMOTE position...

Supports the values of service excellence, teamwork, and integrity while managing patient care. Acts as a liaison among patients, caregivers, multidisciplinary teams, and payers. Qualifications: Requires a...

Description RN- Registered Nurse - Case Manager Specialty: Case Manager Location: Los Angeles,CA,00000 Start Date: 2026-10-19 End...