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Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ, or CT) Schedule: Monday – Friday, 9:00 AM – 5:00...

Care Career is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN...

Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...

Immediate need for a talented Utilization Management RN - Prior Authorization. This is a 12+ Months Contract opportunity with long-term potential and is located in US (Remote). Please review the...

Care Management Coordinator/RNLocation: 100% Remote Duration: 3+ Months (FT conversion)This is a Utilization Management RN part time position - working every other weekend (2 days a week in a 2 week cycle). Must be available M-F 8:30-4:30pm for...

Medlogix, LLC is seeking a Precertification Nurse (LPN/RN) to determine medical necessity for auto No-Fault claims. This full-time role is remote with training in Hamilton, NJ, and requires NJ nursing licensure and 3 years med-surg experience.

CVS Health is seeking a Nurse Consultant for a 100% remote role. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient services, authorize care, and escalate cases as needed, while coordinating with...

Sedgwick is seeking a Telephonic Case Manager (RN) for a fully remote role in the United States. You will partner with injured workers, employers, and medical providers to develop case management strategies aimed at medical recovery and successful...

ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we...

Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role involves developing and implementing...

Freeman Health System is hiring for a remote/hybrid position in Utilization Review and Case Management. The role focuses on assisting Emergency Department patients with their social and discharge needs. Candidates must be licensed RNs with strong...

100% Remote Oncology Nurse The Telehealth Remote Oncology Triage Nurse provides expert telephonic triage and remote patient care for oncology patients, assessing symptoms, determining the appropriate level of care, and coordinating timely...

Remote TCM Nurse Care Manager At Duly Health and Care you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center...

Centene is seeking a RN/UM Supervisor to oversee Prior Authorization, Concurrent Review, and Retrospective Review teams, ensuring compliant and quality care for members. The role collaborates with the UM team and senior management to improve...

Humana is seeking a remote behavioral health clinician to support coordination, documentation, and communication of medical services and benefit determinations. The role requires an active RN license or a master's in behavioral health with...

Nurse Case Manager II Our client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Falls Church, Annandale, Springfield, Arlington, Alexandria Counties, VA location. Responsibilities: The Case...

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,...

Adjunct Nursing Faculty To participate in a remote work arrangement, employees must reside in the United States. No remote work arrangement will be considered for working from outside the United States. If you are a current...

Pay: $30 - $35 an hour Weekly Pay | Flexible Scheduling Provide Care One Patient at a Time Join Maxim Healthcare and deliver personalized 1:1 nursing care in patients‘ homes. Enjoy consistent...

La Casa Health Care | Take Your Nursing Career Beyond the Bedside!Location: Tarzana, CAJob Type: Full-Time | Office-BasedPay: $30.00 per hourSchedule: Monday–FridayLicense Required: Active California Licensed Vocational Nurse (LVN)...

Hummingbird Healthcare Inc. is seeking an RN to perform telephone triage in a remote, centralized contact center. You will assess symptoms, determine urgency, and guide patients to the appropriate level of care using client-specific protocols and...

Bilingual Women's Health Nurse Practitioner Harbor City, California We're hiring a Bilingual Women's Health Nurse Practitioner in Harbor City, California who wants a predictable weekday schedule,...

VA Greater Los Angeles Healthcare System is seeking an experienced Registered Nurse for Inpatient Case Management in Los Angeles, CA. The role requires coordinating care for complex/high-risk patients and leading discharge planning to ensure safe,...

A healthcare staffing agency is seeking a Remote Nurse Care Manager to guide high-risk members through their healthcare journeys. In this role, you will engage through telephonic outreach, develop care plans, and collaborate with a...

Provide remote clinical support via video and phone to village employees.Deliver evidence-based reviews, clinical teaching, and incident management.Work casually on an as-needed basis with flexibility to cover shifts at short notice.About You:Hold...