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A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must...

This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes telephonic...

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 assignments,...

RN Coordinator Utilization Management The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. This position reviews applicable...

Details Client Name Providence Health & Services - Southern California Job Type Travel Offering Nursing Profession RN...

Grace Community Care & Homes seeks a part-time Psychiatric Mental Health Nurse Practitioner (PMHNP) for planned New Jersey mental-health and substance-use services. The role includes psychiatric evaluations, prescribing, medication follow-ups and...

Unit Secretary The Unit Secretary fulfills the role of receptionist/secretary for the nursing unit, actively participating in positive interactions with nursing support and staff and performing clerical duties required for the unit. They...

Compunnel Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Mission Hills, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

CVS Health Case Management Coordinator 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...

Men's Health Foundation is seeking a Licensed Vocational Nurse (LVN) for a full-time role in West Hollywood, CA. The LVN will manage individualized patient care, collaborate with physicians, and support a diverse patient population.The role...

Company : Highmark Inc. Job Description :JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and...

AHMC Healthcare Inc. in Monterey Park seeks a dedicated Case Manager for the Utilization Review Department. This full-time role follows an 8-hour day shift with a Saturday through Wednesday schedule, reporting to the Chief Operating Officer.

Santa Barbara Cottage Hospital is seeking a Telephonic Nurse Case Manager to assess and coordinate care for injured workers. Responsibilities include planning and implementing medical case management, ensuring timely communication with all...

Details Client Name California Hospital Medical Center Job Type Travel Offering Nursing Profession Registered Nurse...

Clinical - Clinical Review Nurse - Concurrent Review Immediate need for a talented Clinical - Clinical Review Nurse - Concurrent Review. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Pay...

Behavioral Health Utilization Management Clinician 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...

Flexible PRN Opportunity for Nurse Practitioners – Health Risk Assessments We're looking for Nurse Practitioners (NPs) interested in a flexible PRN role conducting in-home Health Risk Assessments (HRAs) for Medicare Advantage members.

Field Nurse Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has...

Job Overview The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient...

Inpatient Case Manager The Inpatient Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified patients during an acute care episode. Assesses and develops a...

Licensed Vocational Nurse (LVN)Mission Community Hospital is seeking a compassionate, organized, and detail-oriented Licensed Vocational Nurse (LVN) to join the Case Management Department. The ideal candidate will have a minimum of one (1) year of...

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...

UnitedHealth Group's Optum Care at Home team is seeking a Telephonic RN Case Manager to provide high-quality, member-centered care for individuals with complex medical and social needs. This role conducts assessments, develops care plans, and...

Responsibilities The Remote Phone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during nights, holiday and weekends in accordance with...

Wound Care Utilization Management RN Wound Care Utilization Management RN Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility...