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Elevance Health is seeking a Medical Management Nurse for AmeriBen to join our virtual team. This full‑time role allows remote work with required in‑person training, and a Monday–Friday, 8am–5pm MST schedule. Responsibilities...

Managed Medical Review Organization is seeking a licensed RN to join our team for remote, home-office work. This role emphasizes telephonic customer service, accurate documentation, and clinical review of medical records with no face-to-face...

Ways2Well is seeking a Registered Nurse to join a dynamic team in a fast-paced clinical environment. You will manage patient data, interpret lab results, and coordinate care across providers. The role emphasizes accurate documentation in...

Blue Cross and Blue Shield of Minnesota is seeking a dedicated RN Case Manager to provide telephonic support, conduct assessments, identify gaps in care, and develop individualized care plans. You will coordinate referrals to in-network providers...

ISYS Solutions Inc. is seeking a Telephonic Case Manager - RN (remote) to provide workers' compensation case management from Augusta or surrounding areas. You will coordinate care, communicate with providers, insurers and attorneys, and document...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Alameda Care Center in Burbank, CA is seeking Certified Nursing Assistants to join our clinical team. We welcome applicants whether starting their career or with experience, and we focus on delivering a best-in-class resident experience in a...

CVS Health is seeking a registered nurse to assess, plan, implement, coordinate and evaluate healthcare options for members. The role focuses on coverage determination and coordination within the utilization management framework. The...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing...

Highmark Health is seeking a full-time RN for a remote role that requires weekend availability (Saturday and Sunday) in addition to three weekdays. The role focuses on utilization management, reviewing care plans, applying criteria, and...

Alignment Health is seeking a compassionate Registered Nurse to join as a Telephonic RN Case Manager for SNP members, fully remote from anywhere in the U.S. You will navigate patient care, close gaps in care, and overcome barriers to better...

OUR MISSION We exist to create a more connected, compassionate, and confident experience for people with cancer and those who care for them. We make it easier to get answers, access high-quality care quickly, and feel...

The University of Kansas Health System is seeking a Care Management Nurse for days with broadmoor campus remote options. This role focuses on providing intensive care management, developing individualized care plans, and coordinating transitions...

Health Care Service Corporation (HCSC) is seeking a QOC Nurse to work under the QOC Manager. You will conduct review and investigation of potential quality of care issues and perform quality improvement activities in line with CMS, NCQA, and state...

Registered Nurse (RN) - Utilization Management Make an impact on patient care from wherever you are. We're seeking an experienced Registered Nurse (RN) to join our Utilization Management team. In this role, you'll use your clinical...

Healthcare Management Solutions, LLC is seeking experienced CHSD Audit reviewers to conduct independent medical record reviews for the STS CHSD program. This remote, part-time role focuses on data accuracy, source verification, and adherence to...

Supervisor Utilization Management The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

Healing Strides Counseling is seeking a Telephonic RN Case Manager for a remote, full-time role. You will manage treatment plans for injured or disabled individuals, coordinating with healthcare providers and employers to support recovery and...

CorVel Corporation is seeking a Field Case Manager (RN) in the Memphis, TN area to oversee medical case management for workers' compensation with a strong emphasis on in-person and telephonic coordination. This role supports patients, families,...

A leading health service provider in Kentucky is seeking experienced Registered Nurses for the Field Care Manager role. Nurses will conduct non-clinical, in-home assessments and manage their own schedules. The position offers a competitive salary,...

SCAN Health Plan is seeking a licensed RN to support frail seniors remotely in a part-time telephonic role during Pacific Time business hours. The RN will conduct assessments, design and monitor care plans, and coach members to manage chronic...

Bestica is seeking a travel nurse RN Case Management for a travel nursing job in Glendale, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

Reliant Medical Group, part of UnitedHealth Group, is seeking a Registered Nurse to deliver and manage patient care within a population health risk-adjustment context. The role focuses on accurate coding, chart reviews, and clinician training to...

Highmark Inc. is seeking a remote RN Case Manager to support utilization management and care coordination. The role requires weekend availability (Saturday and Sunday) in addition to three weekdays, with duties spanning review of services,...