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RN Case Manager SNP Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health...

JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must...

Nurse Reviewer 1 Nurse Reviewer 1 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes...

Home Health RN Case Manager Lake Prince At Home **$10k Sign on Bonus** Are you currently a Home Health RN or would you like to become a Home Health RN? We encourage RN's with or without Home Health...

Medical Reviewer, RN J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee-centered healthcare management consulting company. Our team of 260...

Join Sailor Health Join a mission-driven team transforming senior mental health care with compassion, flexibility, and support. Work remotely from your home and on your own hours. Sailor will take care of finding patients to you so that...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

Telephone Case Manager RN 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 Summary As a Clinical Services Manager - RN Telephonic Case Management, you will ensure optimum recovery on every claim while establishing trust, providing education, delivering information, and care. You will provide case direction to...

Location: Fully remote. Candidates must be available to work Pacific Time hours, Monday through Friday, from 8:00 a.m. to 5:00 p.m. Description: Join a fast-growing, dynamic team that is redefining...

Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (Possible FT conversion) The Care Management Coordinator primary responsibility is to evaluate a member's clinical condition through the review of medical...

We are hiring a Home Health Case Manager at BCBST! In this role, you will support TennCare (Medicaid) members with complex medical, functional and social needs. You will coordinate home and community-based care, conduct required home...

Summary The Nurse Manager (NM) is the designated first-line supervisory authority and is responsible and accountable for the operation of their assigned units and provides coverage for other NMs as needed. Responsible and accountable...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit...

Description As an integral member of the CHAT or ACO team, the Case Manager RN evaluates and manages the changing health and service needs of the patient. The Case Manager RN is responsible for providing optimum individual care for the...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

Job Title Job Description Duties and Responsibilities include but are not limited to: Provides administrative and clinical leadership for the Referral Coordination Program (RCP), ensuring effective coordination of...

City/State Fairfax, VA Work Shift First (Days) Overview: Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however,...

Case Manager The Case Manager manages an individual caseload using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of services,...

Job Description Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible...

US Army Reserve – Psychological Health Program Nurse Case Manager (RN) The US Army Reserve Psychological Health Program (PHP) provides comprehensive behavioral health support to Reserve Soldiers and their families nationwide. As a Nurse...

Seeking a part-time Utilization Review Nurse RN, the candidate will perform medical-necessity reviews and level-of-care determinations, ensuring compliance with established guidelines while working up to 28 hours per week, including weekends.Key...