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Your job is more than a job RN Care Manager - PRN - Remote You overthink every care option and scenario because, as a Care Manager, you're the hub of your patient's case management and care plan. You assure quality through...

Description Position at Northwell Health PART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected! Northwell is the largest not-for-profit...

City/State Newport News, VA Work Shift Multiple shifts available Overview: Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in the Hampton and Newport News area of...

Overview:Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Appeals and Grievance RN .*** Candidate must be authorized to work in USA without requiring sponsorship...

Telephone Triage Nurse Line Advisor Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other! Are you ready...

Job Description Harborview Medical Center has an outstanding opportunity for an experienced Registered Nurse to join our Care Management Team. WORK SCHEDULE: Full Time Day shift...

Location Address: 2925 Chicago AveLoading DockMinneapolis, MN 55407-1321 Date Posted: June 15, 2026 Department: 16007317 System Complex Care Management Shift: Day (United States of America)...

Registered Nurse - Case Management Duration:13 Weeks Start:03/10/2025 Job Type: Travel Minimum Guaranteed Hours: 40 Jobs Notes: Day Shift, inpatient RN CM Acute hospital experience,...

AltaMed Nurse (RN) Case Manager/Care Coordination Team Leader If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed –...

Deliver direct patient care in an outpatient dialysis setting Monitor patients, manage treatment plans, and respond to health changes Collaborate with a supportive clinical team, including Patient Care Technicians Educate patients and families on...

Job Title Provides overall supervision of the organization in collaboration with and in the absence of the administrative/executive team. Job Description Centered in the heart of Boyle Heights, Adventist Health White...

Remote Rn – Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled...

DescriptionThe Utilization Management (UM) Nurse supports appropriate level‑of‑care determination, patient flow, and revenue cycle integrity across inpatient, partial hospitalization, and intensive outpatient programs. The UM Nurse functions...

About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and...

L.A. Care Health Plan is seeking a Delegation Oversight Clinical Auditor RN II in Los Angeles, California. The role involves ensuring compliance with Utilization Management regulations and performing various audits. Applicants must possess an...

SIGN ON BONUS - $5,000 RELOCATION BONUS: (for those outside of San Diego County) - $5,000 - Bonus Available if Started prior to 06.31.2027 Job Announcement Position Title:...

About the job Remote | Nursing Clinical Review Expert - $65-$95/hour We are sharing a specialised part-time consulting opportunity for nursing professionals experienced in patient care, clinical monitoring, medication administration,...

Harris Health System is seeking a Utilization Management Review Nurse (UMRN) to assess the necessity and appropriateness of medical services. The UMRN utilizes clinical expertise to ensure care aligns with industry standards, works with healthcare...

Job Description Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a passion for the highest quality and patient happiness? Then please respond...

Remote - Candidate is required to reside in California. The RN School Support Manager is responsible for the clinical oversight of the designated medical care needs per the district contract. This oversight includes support of care...

Join Us in Shaping the Future of Health Care At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we...

Discharge Care Manager Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with...

Details Client Name Cedars-Sinai Medical Center Crisis Response Job Type Travel Offering Nursing Profession RN...

Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...

Duration: 12+ Months Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in her / his role and is responsible for managing...