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A leading health solutions company is seeking a Care Manager-Registered Nurse in Connecticut. This role requires developing and coordinating care plans for members with multiple chronic conditions while ensuring effective telephonic engagement.

Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...

Job Title: Nurse Manager 1, Neuro/Trauma/Burn Clinics Department: Brain and Spine | Neurovascular Stroke Center In collaboration with the Service Line Administrator, the Manager 1 services assists with the...

Job Type Full-time Description Job Summary The Utilization Review (UR) Nurse is responsible for analyzing medical records for medical-legal reviews and producing high-quality, professional executive...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health...

Description Clinical Documentation Specialist RN Location: UCHealth Leprino Building AMC, US:CO: Aurora Department: Clinical Documentation Integrity Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $37.06 - $57.44 /...

Overview 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.

Please note: Effective October 1, 2025, the Ohio Department of Mental Health & Addiction Services has transitioned to its new name-the Ohio Department of Behavioral Health. This change reflects our continued...

Additional Information About the Role Part time position (2) 12 Hour Day Shift - 6:00 am to 6:30pm Located at BJC Commons Minimum of 2 -5 plus years of RN experience needed Recent bedside RN experience in Acute Med/ Med Surg needed We are seeking...

Job Address: 10270 Blacklick - Eastern Road NWPickerington, OH 43147 RN Staff Nurse Shifts Available: Days 7a-7p, Nights 7p-7a. Pay Range: $35-40/hr At Solero, our passionate and highly trained team of...

A healthcare organization in California is seeking an RN, Clinical Care Manager I to enhance member care through assessment and coordination. Applicants should have a Bachelor's Degree in a health-related field and an active RN license. The role...

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and...

Per Diem Emergency Department Based Rn Case Manager This position is a per diem role, providing department coverage and cross trained to cover utilization review and discharge planning as needed. It is eligible for the per diem...

Say Goodbye to Unpredictable Schedules! Tired of last-minute shift changes, late nights, and weekend work? This is your chance to step into a full-time Registered Nurse role with a Monday-Friday, 8:00 a.m. -...

" Licensed Psychiatric Nurse Practitioner Wage: Between $89-$203 an hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?

A healthcare service provider is seeking a Registered Nurse to deliver nursing care to patients in their homes. This role emphasizes coordinating care with other health professionals, ensuring high-quality clinical services, and completing...

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

A leading health care organization is seeking an experienced RN for a remote Utilization Review role. This position requires at least 2 years of nursing experience and skills in analyzing and determining the appropriateness of patient care levels.

Telephonic Case Manager 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 health solutions...

A healthcare insurance provider is seeking a qualified individual for a clinical oversight role in Phoenix, AZ. The position requires significant clinical experience, including work with Medicaid/Medicare, and offers a hybrid work model.

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Minimum Requirements ...

A leading healthcare organization is seeking a Clinical Appeals RN to ensure timely resolution of clinical/pharmacy appeals. This role involves collaborating with various teams to analyze clinical cases and provide recommendations. Candidates must...

Registered Nurse (RN) | Outpatient Clinic Location: Columbus, OH Agency: TechLink Systems, Inc. Pay: Competitive weekly pay (inquire for details) Shift Information: Rotating - 5 days x 9 hours Contract Duration: 13 Weeks Start Date: ASAP About the...