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JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

RN Case Manager Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes...

Nursing Facility Care Manager 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 of people for the...

Providing telephonic case management in a workers' compensation environment, the full-time Registered Nurse Case Manager will coordinate resources and facilitate individualized treatment goals while working remotely.Key responsibilitiesConduct...

Sentara Healthcare Integrated Nurse Case Manager Location: Manassas, VA Work Shift: First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA. This is a...

Description: Estimated payment breakdown $2,244 per week in taxable pay and non-taxable stipends Specialty: RN Start Date: 8/3/2026...

Where You'll Work Founded in 1887, Dignity Health - California Hospital Medical Center is a 318-bed, acute care, nonprofit hospital located in downtown Los Angeles. The hospital offers a full complement of services including...

OPEN JOB: Registered Nurse - Home Health Manager LOCATION: Carson, California BASE SALARY: $109,240 to $144,197 INDUSTRY: Healthcare / Health Services - Nursing / LPNs / LVNs JOB CATEGORY: Nurse...

Asct is seeking a Nurse Manager for the Mother Baby unit at LBJ hospital in Houston, Texas. This position encompasses operational management and quality delivery of nursing care, ensuring standards set by regulatory agencies are met.The ideal...

Remote Registered Nurse (RN) - Principal Care Management (PCM) Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work...

Saint Luke's Is Looking To Add To The Ur Team! Schedule: Day Shift Status: PRN - 1 shift required every 2 weeks The Opportunity: The Utilization Review RN is responsible for assuring the receipt of high quality, cost...

Registered Nurse Duty Days: 187 Pay Grade: T07-T08 Salary Schedule: Click for Salary Schedule Primary Purpose: Ensure that learning is not hindered by a correctable health problem and educate students toward worthwhile decisions...

Are you a dedicated healthcare professional looking for flexible job opportunities across the country? Olaro is seeking skilled and compassionate nurses and allied health professionals for a variety of travel assignments in hospitals, clinics, and...

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...

Details Client Name St. Francis Medical Center - Lynwood Job Type Travel Offering Nursing Profession RN...

Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization Review Nurse is responsible for determining the clinical appropriateness of...

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...

Job Opportunity Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine,...

Job ID: 30396 *Description* Job Duties In this role, you will function as a clinic level supervisor, performing a variety of clinical and administrative duties related to clinical management of practice and patient care. You will...

Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...

Nurse 3 Job Number: 364864 Category: Administrative Description: Job Title: Nurse 3 Location: Redondo Beach, CA Zip Code: 90278 Pay Rate: Up to $65.09/hr. Schedule: 9x80 A Start Date:...

Job Title Details Job Type Local Profession RN Specialty MS / Tele Shift Details Shift Variable Shifts - 36 Hours Job Order Details Start Date 08/16/2026 End Date 11/15/2026 Duration 13 Week(s) Client Details State MA ...

Details Client Name Providence St. John's Health Center Santa Monica Job Type Travel Offering Nursing Profession RN...

Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

Full Time Days 7am-4:30pm 40 Hours/Week Utilization management and pediatric nursing experience preferred Summary: The Utilization Management Nurse is responsible for conducting medical necessity...