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Risk Management SpecialistLocated in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating...

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not...

COPE Health Solutions is seeking a qualified Utilization Management Nurse (RN) to assess member needs, determine medical necessity and coordinate care across providers and care teams. This full-time, remote position reports to Medical Management...

Nurse Disease Management II Telephonic Nurse Disease Management II Sign-on Bonus: $2000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions,...

RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization Management *SRMC Care Management *Full Time *Part Time Receive 17% Weekday Nights, 26% Weekend Nights and 15%...

CVS Health is seeking a Registered Nurse for a full-time remote telehealth role focused on case management for vulnerable members facing complex medical, behavioral, and social challenges. You will assess, plan, implement, and coordinate care to...

OverviewThe Manager of Case Management is accountable for overseeing all aspects of daily operations of the Case Management Department. Ensures standards of operations are in accordance with all state and federal healthcare regulatory guidelines.

Care Manager RN - No weekends or on-call - Remote At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions...

Research Nurse Coordinator III The Research Nurse Coordinator III is responsible for all activities associated with clinical study coordination, subject enrollment, data management/integrity, regulatory compliance, project/study...

Registered Nurse - Communications Center (Central Triage) Location: Riedman Center/Remote *IN PERSON TRAINING (8 WEEKS)* *Working from home / hybrid schedule is an option once trained, will be expected to come into the...

AltaMed seeks an IPA RN Inpatient Case Manager to support daily care coordination, concurrent reviews, and discharge planning for patients in hospital or SNF. The role involves coordinating with IPA clinics and the care team to arrange...

A prominent healthcare organization is seeking a Telephone Triage Nurse Line Advisor in Saint Paul, Minnesota. The role requires a current Minnesota RN License and 3+ years of RN work experience. You will independently triage patient calls and...

Schedule Available: 9:00 AM to 5:00 PM, Monday - Friday * With additional hours during evenings, weekends, and on-call; as needed. Benefits Include: Low patient-to-nurse...

Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members during critical moments in...

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 deeply, innovate with purpose, hold...

Job OpportunitySeeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the opportunity...

Genex Service LLC is seeking a Medical Field Case Manager in the El Monte, CA area. The role is full-time and hybrid, requiring regular local travel for in-person patient appointments.The base pay ranges from $95,000 to $100,000 annually, with a...

McLendon Leadershi in Glendale, CA is seeking a Case Manager Nurse to coordinate patient care across hospital and home health settings, optimize utilization, and support smooth transitions for patients. The ideal candidate will bring expertise in...

Optum is seeking a SSBV Clinical Claim Review Nurse Manager – Remote to lead a team conducting clinical reviews and ensure determinations meet guidelines and regulatory requirements. The role supports a fast-paced, production-driven environment...

A healthcare solutions provider is looking for a qualified RN to perform medical reviews and coordinate care for members. This role involves assessing service needs, engaging in patient education, and ensuring compliance with healthcare...

Job Description We are hiring a Registered Nurse at our Primary Care clinic in Mission Farms! Monday - Friday, 830am-5pm No Nights, No Weekends, No Holidays This is a Hybrid position, in office one week and remote one week after...

Community Hospital of Huntington Park is seeking a Case Management Supervisor to assist the Director in developing and implementing the hospital's case management program. You will oversee a team of case managers, ensure policies align with...

OncoHealth is seeking an UM Trainer to design, coordinate, and deliver training programs for the Utilization Management team. This role supports onboarding, development, and ongoing education to ensure compliance with regulatory and client...

Overview: Mountain Ridge is HIRING MDS Coordinator Flexible Schedule - Full time OR Part time This is not a remote role, onsite is required Offering $10,000 Bonus We are dedicated to improving the lives we touch through the delivery of...

Join The BILH Team When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. LPN's encouraged to apply! Pay Range: $30.00 – $44.58 The pay range listed for this position is...