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Molina Healthcare is seeking a licensed RN to join its remote care management team. The role focuses on coordinating integrated member care, working with interdisciplinary teams to improve outcomes while controlling costs. Travel up to 40%...

Case Manager RN Fully Remote • Any Location Remote US - Oklahoma City, OK 73102 Overview Position Type Full Time Job Shift Day Education Level High School or Equivalent Travel Percentage None Category Nurse...

Description: 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...

AccentCare is seeking a Regional Clinical Support Specialist IPC. The role supports hospice inpatient care programs with nursing teams across the Southeast region, emphasizing Florida and Georgia. This full-time, remote-friendly position requires...

UnitedHealth Group seeks a Registered Nurse in Texas to assess, plan, and implement person-centered care. This role allows remote work within the College Station area, with travel as needed to serve members and coordinate with providers,...

Dialysis experience required Western Regional Float, MULTI-STATE travel required PURPOSE AND SCOPE: The professional...

CVS Health is seeking a Utilization Management Nurse Consultant for the Specialty Spine Team to work remotely. You will review spine-related authorization requests, apply medical necessity guidelines, and collaborate with providers and Medical...

Sentara Health is seeking an Integrated Case Manager, RN to support Eastern Shore region members, concentrating on behavioral health, waiver services, and complex care management. This remote role requires Virginia residency with travel 50%–75%...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

Job Description & Requirements Urgent Care Nurse Practitioner or Physician Assistant(NP) StartDate: ASAP Available Shifts: Regular 8 Pay Rate: $82.45 - $89.25 This facility is seeking an Urgent Care Nurse Practitioner or...

Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you...

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...

Humana is seeking a remote Utilization Management Behavioral Health Professional 2 in Indiana. The role requires an active RN license in Indiana, an ASN (BSN preferred), and 1+ year of clinical and managed care experience. You will...

JOB DESCRIPTION This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes...

Sedgwick is seeking an RN Field Case Manager to collaborate with injured workers and medical providers, coordinating care, advocating for timely treatment, and facilitating return-to-work. You will operate in a remote/home-based setup with...

1 day ago Be among the first 25 applicants At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading...

ATC Healthcare Services is seeking a Registered Nurse (RN) for a 13-week assignment in Wilsonville, Oregon, with opportunities for renewal. The role involves providing quality healthcare to clients within correctional settings, requiring an active...

Community Registered Nurse (RN)Part-TimeJefferson CountyAt Chariton Valley Association (CVA), a proud partner of Center for Human Services, we EMPOWER people with disabilities to achieve their highest level of independence through high-quality,...

Ardent Health is seeking a Patient Safety Manager to coordinate safety initiatives across its PSO. The role requires analyzing safety events, leading just culture, and disseminating best practices throughout the organization. The manager...

Trillium Health Resources is seeking a Registered Nurse to join our Utilization Management team in North Carolina. The UM reviews, coordinates care, and supports discharge planning to improve outcomes and ensure appropriate utilization of...

CHC Wellbeing, Inc. is seeking experienced Nursing Professionals for our Seasonal Flu Clinics taking place at a variety of settings nationwide. You will administer flu vaccines, answer participants' questions, and monitor reactions while ensuring...

Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plansCompetitive pay ratesReferral opportunities ? Refer a friend & Cash in!Travel reimbursement and per diem...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality,...

Registered Nurse (RN) -Los Angeles,CA Local Pay: $56.75/hour (W2) Join our team and make a meaningful impact by delivering exceptional care in a professional healthcare setting.

Centene Corporation seeks an experienced nursing leader to direct long-term care management for members with complex health needs. The role oversees RN managers, drives data-informed care strategies, and ensures NCQA-aligned policies across a...