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Job Title Provides support for clinical member services review assessment processes. Job Description Verifies that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Description: Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates...

POSITION SUMMARY The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility and as directed by your supervisors.

AHMC Healthcare Inc. is seeking a full-time Case Manager in Monterey Park, CA, within the Utilization Review Department for an 8-hour day shift Saturday through Wednesday. The role requires coordinating admissions, discharges, and post-acute...

General Purpose The primary purpose of your job position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and as may be directed by your...

Sentara Health is hiring an Integrated Case Manager, RN. The position is remote but requires in-person face-to-face assessments, with travel to Roanoke and northern areas up to 60-90 minutes, roughly 50-75% of the week. The role involves...

Details Client Name Adventist Health White Memorial Job Type Travel Offering Nursing Profession Registered Nurse (RN)...

INTEGRIS Health is seeking a remote RN Case Manager – Utilization Review for a full-time days position in Oklahoma City, OK, with every-other-weekend rotations. You will assess clinical, psychological, and financial needs, coordinate transfers,...

Become a part of our caring community Why Humana? At Humana, caring is everything. You look after our members and patients. We look after you. If caring means something to you too, we've got a spot for you. We design...

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 in our mission to put the...

Elevance Health is seeking a Nurse Case Manager II to manage complex patient care telephonically or on-site, coordinating plans across the care continuum. The role requires a RN license, BA/BS in a health field, and 5+ years of clinical...

LPNAbout the PositionSpecialty: Licensed Practical Nurse (LPN) Experience: Minimum 1 year of recent experience required License: Active LPN license in the state of practice Certifications: BLS – AHA required; all certifications must be submitted...

Amedisys in Garner, NC is seeking a Hospice RN On-Call to provide after-hours clinical support, triage patient needs, and coordinate care across remote and field settings. You will assess conditions by phone and in person, collaborating with...

LPN/LVN Charge Nurse Kindred Hospital Greensboro is a 101-bed long-term acute care hospital treating chronically, critically ill patients who require an extended stay in a hospital setting with individualized care plans. We offer a 6-bed...

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 better. Come build the health care system...

HealthEdge is seeking a Registered Nurse to coordinate utilization/benefit management for health plans in a remote US role. The candidate will review authorizations, coordinate care plans, and communicate with providers to ensure medical necessity...

National Care Advisors is seeking a Nurse Case Manager based in Orlando to deliver case management services focused on eldercare and special needs, working with families, attorneys, and financial professionals. The role requires a BSN, 5+...

Staff Nurse Case Manager 10/12/26 08:00 AM-04:30 PM Day Shift, 8-4:30PM, T-Sat, 40 hrs/week. No on call. Must have an RN CM certification. Looking for staff with IP CM experience, preferred staff that are used to strike force for KP or...

Job Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the...

Seeking a full-time RN Case Manager - Remote, who will manage care for members with complex and chronic needs by assessing, developing, implementing, and evaluating care plans while working primarily through telephonic communication.Key...

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 with the care, pharmacy benefits, data...

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 better. Come build the health care system...

Compensation: $154,000 - $260,000 / year Compensation: $154,000 - $260,000 / year Department: Clinical Care Location: California (Remote) Description WellPsyche Medical Group is...

Molina Healthcare is seeking a registered nurse for a 100% remote care management role on our fast-paced auto-dialer team. This position supports coordinated member care across the continuum to achieve desired outcomes and cost-effective care.

Overview Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource and care coordinator,...