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Providing direct leadership and oversight to the UM nursing team, the full-time Utilization Management Nurse Supervisor will manage team performance, conduct performance evaluations, and ensure compliance with regulatory standards in a remote work...

Oakmont Management Group seeks a Health Service Director (LVN/RN) for the Torrance, CA community. The role coordinates resident care and medication management under physician supervision to maximize resident independence. The Health...

Responsive recruiter Replies within 24 hours Benefits: Competitive salary Opportunity for advancement Paid time off Training & development Wellness...

Bank Night Palliative Nurse We are looking for a Registered Nurse to fulfil the role of Bank Night Palliative Nurse within our dynamic and dedicated team. This post offers the applicant the opportunity to work overnight (9 hour shift).

Concurrent Review Registered Nurse (RN) Location: Fully remote. Our client is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team. In this role, you will perform concurrent...

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...

Molina Healthcare is seeking a licensed RN Case Manager in Texas to support women's health and LTSS coordination from a home-based setting. You will evaluate member needs and lead care coordination for high-risk pregnancies, using the Molina...

Advantagecaredtc is seeking a Registered Nurse (RN) or Licensed Practical Nurse (LPN) to support Chronic Care Management (CCM) and Advanced Primary Care Management (APCM) programs. The role involves ongoing care coordination, patient outreach,...

Teladoc Health is seeking a Nurse Care Coordinator to provide proactive utilization management for members with high-risk needs and complex medication needs. This role facilitates conversations between interdisciplinary care teams including...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

A leading healthcare company is seeking a Tele-Health Nurse to provide high-quality service for specialty prescription drugs. This role includes case management and patient coordination. Ideal candidates should possess a Vocational or technical...

Actalent seeks an LVN Nurse Consultant for a fully remote, contract-to-hire role based in Dallas, TX. Schedule is M-F with daytime CST hours; pay is 29.00 USD per hour. The role focuses on telephonic patient support, therapy adherence, and...

Overview Carenet Health is not authorized to hire in certain states due to internal business considerations: IL, AK, CA, MA, MI, MN, NY, NV, NJ, OR, RI, WA, WV, HI, CT, DE, VT, Puerto Rico Start date: 10/12/2026...

Home Health Nurse North Hollywood, California Full Time The Home Health Registered Nurse (RN) plays a vital role in achieving our mission by performing skilled duties at home under CMS approval, bringing...

A healthcare services provider in Cleveland, Ohio, is seeking a Case Manager Nurse Advocate. This position offers remote work flexibility and requires an active nursing license and a Bachelor of Science in Nursing (BSN). The ideal candidate will...

National Care Advisors is seeking a Nurse Case Manager in the DC/Baltimore area to coordinate case management for eldercare clients, working with families, attorneys, and trustees to support quality of life. The role emphasizes timely...

Elevance Health is seeking a Wound Care Utilization Management RN to work primarily virtually with periodic in-person training sessions. The role requires an active RN license, WOCN or CWS certification, and at least 3 years in diverse health care...

Triage Telephonic Nurse Case Manager (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States Reporting To: Medical MGMT...

On-Call Registered Nurse We are seeking a dedicated On-Call Registered Nurse to join our team. This unique role offers full-time pay for working every other week, providing after-hours and weekend care and support to our participants in...

University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and...

RN Case Manager PAY: $ 2922 weekly gross for 36 hr W2: $ 36.30/hr Weekly stipend: $1470 Position: RN Case Manager Facility Name: Providence Saint Mary Medical Center Location: Burbank, CA 91505 Shift: Day 5x8-Hour (08:00 -...

Monte Nido is seeking a Registered Nurse to join our remote, part-time team supporting eating disorder treatment programs across the PST region. This role emphasizes evaluation, monitoring, planning, administration, and direct patient-care...

Spectrumforce Technologies, Inc. is seeking a Care Manager (RN) to support Medicaid members remotely in Florida. The role involves reviewing referrals, proactive outreach, and guiding members through care management, education, and coordinated...