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Alignment Health is seeking a Telephonic RN Case Manager for the SNP program, fully remote within the U.S. The role focuses on guiding Medicare Advantage SNP members through their care journeys from home, with emphasis on closing gaps in care.

nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure...

Enlyte is seeking a Telephonic Case Manager (RN/LPN) in New Jersey for a temporary, full-time, work-from-home assignment. The role involves collaborating with physicians, employers, and patients to develop and implement treatment plans aimed at...

Elevance Health seeks a Nurse Case Manager I to manage care plans for members with complex and chronic needs, working primarily remotely with some in-person training. The role supports discharge planning and coordination across the care continuum.

RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...

Job ID: 30920 *Description*The Stroke Nurse Practitioner provides comprehensive inpatient stroke and neurologic care at UCLA Santa Monica Hospital as part of a 24/7 stroke program supporting emergency, inpatient, and critical care services. The...

Clinical Safety TechnicianAbout The Role We're looking for a Licensed Vocational Nurse or Licensed Practical Nurse to play a vital role in safeguarding the wellbeing of clinical trial participants and supporting the highest standards of...

UnitedHealth Group seeks a Transitional Care Nurse Liaison to educate high‑risk patients during transitions from acute care. You will prevent readmissions through disease management, self-care coaching, and connecting patients with community...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Elevance Health in California is seeking a RN Case Manager II for our California HMO program. This virtual, full-time role handles telephonic care management for members with complex needs, coordinating plans across providers and resources.

Telepsychiatry Opportunity with Ethos Care At Ethos Care, we're pioneering the future of healthcare with our all-telehealth platform and digital assessment tools to enhance patient outcomes. We understand the importance of seamless...

Care Manager LPN LVN – Remote Candidates residing in Oregon are encouraged to apply. The purpose of this position is to provide care coordination services to Providence Health Plan (PHP) members. Care coordination services include...

Registered Nurse- RN Opportunities Brewster Village is looking for dedicated and compassionate caregivers who want to work in a team-based environment, where person directed living is our top priority. Reporting to the Nursing Supervisor,...

Who We Are Weight Watchers (WW) is a global, science-backed weight health company with over 60 years of expertise, offering comprehensive solutions that integrate behavioral science, nutrition, and clinical care, including...

Integra Partners seeks an experienced Utilization Management Nurse Supervisor to lead the UM nursing team, ensuring performance, accountability, and professional development. You will conduct regular 1:1s, manage performance reviews, and drive...

Primary City/State: Virtual Arizona Category: Case Management Shift: Day Department: Case Management Seeking Applicants That Can Work at Least 8 Shifts per Month Great care starts...

Psychiatric Mental Health Nurse Practitioner ZoomCare is seeking an experienced Psychiatric Mental Health Nurse Practitioner to join our team! The Psychiatric Mental Health Nurse Practitioner is responsible for providing mental health...

Telehealth Nurse Practitioner Our client is hiring a fully remote Nurse Practitioner to support post-discharge and high-risk patients across Arizona and Georgia. This is a telehealth-based, on-demand role focused on transitions of care,...

Remote Triage Registered Nurse (RN) – Hospice Shift: Nights- on call Job Type: Remote Pay: $38-43/hour plus stipend At Sequoia Hospice, we're passionate about delivering life-changing service to our patients and...

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and...

Elevance Health is seeking a Wound Care Utilization Management RN to perform pre-certification and authorization for Home Health Services for members with wound care needs. You will review records, coordinate with physicians and home health...

Are You Ready to lead in Healthcare? We are currently seeking a Full-Time Case Manager(LPN/LVN) to join our outstanding healthcare team!Salary Range: $83,203-$93,936 per yearWe are passionate about providing high-quality care and fostering a...

Remote Advanced Practice, Adult Telemedicine, Nurse Practitioner page is loaded## Remote Advanced Practice, Adult Telemedicine, Nurse Practitionerlocations: Personalized Health Partners: Personalized Health Partners - Indianapolis, IN:...

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...

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical...