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Acentra Health is seeking a Clinical Operations Manager - RN to lead the case review teams, mentoring staff and ensuring quality and compliance with contractual, regulatory, and accreditation standards. The role requires active RN licensure and...

Elevance Health, Inc. seeks a Telephonic Nurse Disease Management I to deliver patient education and disease management interventions. This role supports health coaching for members across chronic diseases, with in-person training sessions and...

CVS Health is hiring a Remote Case Manager RN to support the Costco Team from home. You will assess member needs, develop care plans, coordinate resources, and collaborate with multidisciplinary teams to improve health outcomes. This role...

CVS Health is seeking a Case Management Coordinator to support members with scheduling, benefits access, and education through care management tools. This full-time role requires an IL RN license, strong analytical skills, and the ability to work...

Ladders is seeking a Nurse Case Manager for the West region. This remote role partners with patients, caregivers, provider offices, and cross-functional teams to support reimbursement, education, and care coordination. The ideal RN brings...

Oversee system-level matrix oversight of utilization management activities. Ensure use of medical necessity criteria (InterQual and/or Milliman). Manage professional staff with at least two years of management experience.

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Registered Nurse Full Time Service Worker Remote-Pennsylvania, US...

AHS Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Memphis, Missouri. Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 11/09/2026 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights...

Planned Parenthood of the Pacific Southwest is seeking an experienced remote telephonic RN to coordinate comprehensive care plans and advocate for patients in a virtual setting. You will perform nursing assessments, educate patients, and manage...

Infection Preventionist Nurse - Acute Care is an exciting opportunity to lead infection prevention initiatives at a respected Southern California medical center. The Infection Preventionist Nurse - Acute Care will advance patient...

Sentrex Health Solutions is hiring a Nurse Case Manager to coordinate patient support programs from a remote Canada location. You will liaise with healthcare providers, insurers, pharmacies, and patients to optimize access to therapies and ensure...

At Houston Methodist, the Manager Nursing position is responsible for 24-hour comprehensive operational responsibility for the delivery and quality of patient care provided in the designated areas(s) of responsibility. This registered nurse...

LifeSpring Recovery Center in Andover, Kansas seeks a compassionate Nurse Practitioner (NP) to join our clinical team on a PRN basis. The role involves medical assessment, detox and MAT management, and collaboration with a multidisciplinary team...

Elevance Health is seeking a Telephonic Nurse Disease Management I to deliver patient education and health coaching for chronic disease programs. The role supports flexible, virtual work with required in-person onboarding and periodic training...

Details Client Name AYA-Cedars-Sinai Medical Center Crisis Response Job Type Travel Offering Nursing Profession RN...

Navitus Health Solutions is seeking a Telehealth RN Case Manager to lead MTM activities for commercial and Medicare members. This remote role supports the Clinical Engagement Center and collaborates with pharmacy staff to optimize patient...

UBC in the United States is seeking a Clinical Case Manager to provide telephonic support for client funded contracts, reviewing payor criteria and performing clinical reviews for prior authorizations and appeals. The role builds...

Registered Nurse - Case Manager Join our team as a Registered Nurse - Case Manager and make a difference in patient care at Providence Saint Joseph Medical Center. What You'll Be Doing Perform care coordination and...

Position: Remote Nurse Consultant Company Overview: Absolute Elder Care is a leading provider of in-home care services for seniors. Our mission is to provide compassionate, personalized care to help seniors maintain their...

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...

Utilization Management Nurse Consultant 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...

Curana Health is seeking a Nurse Practitioner to join our National After-Hours Call Team, delivering telephonic care to residents across multiple states during evenings and weekends. This work-from-home role offers autonomy and meaningful impact...

Trillium Health Resources is seeking a Population Health Nurse to provide clinical care management and population health support for assigned members, focusing on prevention, wellness, and outcomes. The role uses nursing judgment as an RN to...

Full-time Company Description WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Nascentia Health is seeking a Remote Care Manager to provide care coordination for health plan members, develop PCSPs, and document care in accordance with plan standards. This role operates Monday–Friday, 8:00 AM–4:30 PM, with a remote-first...