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Sentara Health is seeking an Integrated Case Manager, RN, to join their team. This remote position requires candidates to reside in Lynchburg, VA, and involves providing case management services for members, including conducting clinical...

Position Title: Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Location: Dallas, TX, USA Job Category: Medical Case Management Job Type: Full-Time Description:...

Description: About Us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates,...

AHPCO is seeking a Registered Nurse in Anaheim, California, responsible for providing professional nursing care and coordinating care for patients under supervision. The role involves monitoring patient progress, ensuring effective communication...

Business Office Manager (Skilled Nursing Facility) Overview IMPORTANT: This position requires prior Skilled Nursing Facility (SNF) or Long-Term Care (LTC) Business Office experience. Candidates...

Job Description 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...

National Care Advisors is seeking a full-time Nurse Case Manager based in Oakland, California. This role focuses on providing case management services for special needs clients while collaborating with family caregivers and professionals.

A healthcare company is looking for a Medical Management Nurse to review complex cases and utilize nursing judgment to determine medical necessity. This role offers maximum flexibility with virtual work options and involves collaborating with...

A healthcare technology company is seeking a Remote Registered Nurse - Telehealth RN Case Manager responsible for coordinating and managing patient care using telehealth platforms. Candidates must have an unrestricted RN license in Michigan, at...

A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...

A leading claims management firm in New Jersey seeks a passionate RN for case management. This role involves delivering effective case management services while ensuring compliance with standard practices. Candidates must possess an active RN...

Healthmap Solutions, Inc. is seeking a Care Navigator to manage cases specific to kidney health. The role entails coordinating care for patients, including managing call interactions and educating on kidney health. Qualified candidates must...

A health services provider is seeking a Care Manager RN for a remote, contract role in Detroit. This position involves leading a multidisciplinary team to deliver holistic care and requires a Nursing Diploma or Associates degree, with a preference...

Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and...

Maximus is hiring a Clinical Reviewer RN/LPN to support our LTSS Tennessee contract. Areas will include but are not limited to PASRR Level 1 and Katie Beckett. In this role, you will review clinical documentation and requests submitted by...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement The base pay for this position is $80,000 Must be able to work Full-time on-site at DKH - Day Kimball Healthcare in...

Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top‑tier Compact Registered Nurses who want more than a typical remote role. This is a performance environment for nurses...

Kindred Hospital Paramount and Acute Rehabilitation Unit (ARU) is 177-bed hospital. With 159 long-term acute care hospital (LTACH) beds, we offer the same in-depth care you would receive in a traditional hospital, but for an extended recovery period.

A healthcare management organization based in Santa Fe, New Mexico, is seeking a Care Manager to support the Value Based Care Management program. This role involves telephonic case management, coordinating care plans, and ensuring positive member...

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 and clinical needs. The incumbent assesses health...

Lunera Health is seeking a Triage Nurse Supervisor who will be responsible for overseeing the triage nursing team to ensure timely and compassionate patient care in a remote setting. This role requires managing daily operations and providing...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

Nurse Care Manager (Registered Nurse) The duties of the Nurse Care Manager (Registered Nurse) are but is not limited to the following: Assesses, plans, implements, and evaluates care-based age specific components.

Find your calling at Mercy! Provides on call registered nursing support outside of regular business hours to meet patient care and operational needs across assigned departments or service lines. Utilizes clinical nursing knowledge and judgment to...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...