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Clinical Case Manager Opportunity 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?

Professional Nursing Care 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...

Job Opportunity Seeking 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...

TitleNurse EducatorLocationBased out of any of our sites in California: Torrance, North Hollywood, Colton, San Diego, or Sacramento. This position is in‑person.Salary Range$105,000 - $128,500 annuallyEmployment TypeFull‑TimeBenefitsMedical,...

Utilization Review NurseWork Location: Los Angeles, CAJob #: 30315Work Hours: Monday-Friday 8am-4:30pmEmployment Type: 4 – Staff- LimitedDuration: 6 monthsSalary Range: $74.16–107.75 hourlyPosted Date: May 15, 2026Bargaining Unit: CNA –...

Position InformationAgency: Department of HealthPay Plan: Career ServiceSalary: $65,137.28 / AnnuallyPosting Closing Date: 06/30/2026Location: Naples, Florida (required coverage in Immokalee one day per week)Position SummaryThis professional...

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource...

A Registed Nurse Care Manager (RNCTM) contributes to AHF by satisfying the AHF Core Measure of being Patient Centered, regulatory & contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on removing access to...

Registered Nurse (RN) – Utilization Management (24/7 Operations) Step away from bedside care and make a system-wide impact. Join our Utilization Management team and help ensure members receive the right care at the right time.

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Payment Integrity Nurse – Medicare Advantage We are currently hiring for a Payment Integrity Nurse – Medicare Advantage to join BlueCross BlueShield of South Carolina. In this role as a Payment Integrity Nurse, you will...

Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...

Nurse Educator The Nurse Educator is responsible for providing support to ensure safe, effective and appropriate use of PROVENGE® (Sipuleucel-T) from enrollment to completed infusion for commercial accounts prescribing the Product and...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

Grow Healthy 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 - it's nurtured, celebrated, and promoted,...

Company : Highmark Inc. Job Description : JOB SUMMARY This job has primary ownership and oversight over a specified panel of members that range in health status/severity...

Field Nurse Case Manager - Glendale, CA Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every...

Yourcommission is seeking qualified candidates for nursing roles in Beverly Hills, California. Applicants must have a valid RN license and a Bachelor of Science in Nursing. Experience in acute care nursing and case management is preferred.The role...

NeueHealth is a value‑driven healthcare company grounded in the belief that all health consumers are entitled to high‑quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make...

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 –...

Providence is seeking a Care Management Recovery Advocate (CMRA) in Los Angeles, responsible for managing communication of clinically based appeals. The role requires an Associate's Degree in Nursing and a California Registered Nurse License.The...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Director of Nurse Case Management based in the United States. Lead a high-performing clinical...

Clinical Nurse Consultant As part of the Oncology Field Medical organization, the Clinical Nurse Consultant (CNC) is a trusted clinical expert responsible for developing professional relationships and educating key Health Care...

Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...

The University of Southern California seeks a Case Manager who will coordinate care, manage case plans, and advocate for patients' needs. Responsibilities include documenting patient care and collaborating with health care teams to ensure...