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WebTPA, a GuideWell Company, seeks an experienced RN Case Manager to create, implement, and monitor treatment plans for members. You will coordinate care with health professionals, assess needs, and ensure evidence-based, cost-conscious plans.

Evening Virtual RN Position This is an evening virtual RN position from 11AM to 11PM. Performs intake functions pertaining to the documentation of patient medical history. Conducts assessment interviews using virtual technology and...

SCAN Managed Care Plan Auditor Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community...

Company Overview: About Function & Ezra Function Health was founded with a singular focus: empower you to live 100 healthy years. We're doing that by using the best available...

Build relationships with patients based on trust and motivational communication techniques.Triage vital signs and collaborate with care teams to set patient-centric health goals.Responsibilities:Manage physiological markers and patient messaging...

Field & Infusion Nurse (RN) Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that...

Nurse Care Manager The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while...

BCBST BlueCross BlueShield of Tennessee, Inc. is hiring an Appeals & Grievance Nurse Analyst to review and process member and provider appeals, ensuring timely and compliant resolutions under CMS, Medicare, and TennCare guidelines. The role...

About the Role: Our client, a leading telehealth platform, is expanding rapidly and looking for a dedicated Nurse Practitioner to join their virtual care team. You will provide exceptional primary care services to a diverse patient...

School Registered Nurse (RN) Setting: Schools Job Type: Contract - Full Time Pay: $50 / Hour Hours: 35.00 Location:...

Care Career is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 10/26/2026 Duration: 13 weeks 40...

Licensed Vocational Nurse (LVN) The VA Greater Los Angeles Healthcare System is seeking a Licensed Vocational Nurse (LVN) within Nursing, Mental Health for the night shift at the West Los Angeles VA Medical Center. As a vital member of...

Job Title Day to Day Responsibilities Research and design treatment/care plans to promote quality of care, cost-effective health care services based on medical necessity complying with contract for each appropriate plan type.

A healthcare company is hiring a Nurse Liaison to coordinate care and relevant medical information for injured workers. This remote, field-based role involves engaging with clients, maintaining communication with various stakeholders, and ensuring...

BLEHEALTH, LLC seeks a Lead Care Manager (LVN) to collaborate with chronically ill members and their families, providers, and community resources in a team approach. You will coordinate services, engage eligible members, oversee ECM...

Telephonic Nurse Case Manager Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with...

Certified Nurse AssistantJOB SUMMARY: The Certified Nurse Assistant, reporting to the Nursing Unit Director, with assignment and direction from the Registered Nurse &/or LVN. This position is directly responsible for the delivery of high quality...

Job Description Registered Nurse (RN)- Torrance,CA Local Pay: $56.75/hour - (W2) Join our team and make a meaningful impact by delivering exceptional care in a professional...

Power Personnel in Los Angeles, CA is seeking a compassionate Licensed Vocational Nurse (LVN) to join a collaborative care team. You will administer medications, monitor patients, and support diagnostic procedures under physicians and RNs.This...

Position SummaryThe Case Manager is a Registered Nurse who provides case management, education and outreach services telephonically to Medicare members in the Chronic Case Management Program. This position requires licensure as a Registered Nurse...

Greenlife Healthcare Staffing is seeking a Registered Nurse Clinical Reviewer for a remote, full-time role with a nonprofit client in New York. The RN should have 1–3 years in utilization review, appeals, and prior authorization and be...

MedWatch LLC is seeking a Remote Utilization Review Coordinator licensed practical nurse (LPN) to perform review and certification duties. The role requires an unrestricted LPN license and at least three years of clinical nursing experience.

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable,...

Registered Nurse (RN) – Remote Care Management & Coordination Location: remote Job type: Contract Job Summary: The Registered Nurse (RN) plays a critical role in delivering remote patient support, care management, and care...

UnitedHealth Group seeks an OptumCare MB I NCM to serve as a direct clinical liaison between OptumCare/Care Delivery customers and the clinical network. This role coordinates plans, monitors outcomes and uses education and communication to promote...