• Oncology Prior Authorization Case

    University of Miami (Miami, FL)
    …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, concurrent and ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
    University of Miami (11/25/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager Registered

    CVS Health (Trenton, NJ)
    …community. + Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN ... all with heart, each and every day. **_Field Based RN role in Northern New Jersey-Preference to residents of...of Essex and Mercer Counties._** **Position Summary** The care manager is responsible for assessing and evaluating members with… more
    CVS Health (12/02/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager , Registered

    CVS Health (Frankfort, KY)
    …And we do it all with heart, each and every day. **Job Summary** The Care Manager - Registered Nurse is a key member of our Special Needs Plan (SNP) ... Meets regulatory requirements within specified timelines. + The Care Manager RN supports other members of the...skills. **Required Qualifications** + Must have active and unrestricted Registered Nurse ( RN ) licensure in… more
    CVS Health (12/05/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager , Registered

    CVS Health (Little Rock, AR)
    …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (12/11/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager RN

    CVS Health (Topeka, KS)
    …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote , and the employee can live in any ... as appropriate when the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound judgment… more
    CVS Health (12/11/25)
    - Save Job - Related Jobs - Block Source
  • RN Case Manager - Commercial…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Blue Cross and Blue Shield of Minnesota Position Title: RN Case Manager - Commercial TOC Location: Remote Career Area: Health Services About Blue Cross ... difference, join us. The Impact You Will Have The Case Manager is a critical component of...of care between settings. Required Skills and Experience * Registered Nurse licensure in the state of… more
    Blue Cross and Blue Shield of Minnesota (10/08/25)
    - Save Job - Related Jobs - Block Source
  • MSW Inpatient Case Manager

    Henry Ford Health System (Detroit, MI)
    …Management department has recently redesigned into a dyad Social Work/ RN Case Manager model where UR is remote , allowing staff to excel in their chosen ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
    Henry Ford Health System (10/07/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse ( RN

    Ochsner Health (New Orleans, LA)
    …team to develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC ... to change at the company's discretion. **Education** Required - Registered nurse diploma or equivalent. Preferred -...Certification in Case Management (CCM) or Accredited Case Manager (ACM). **Knowledge Skills and Abilities… more
    Ochsner Health (10/29/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse RN

    Banner Health (Phoenix, AZ)
    …of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For assignments in an ... better nursing. Our Care Management staff is seeking an RN Case Manager to work...telephonic, home visits, and televisit platforms. It is fully remote with the exception of a few in person… more
    Banner Health (11/19/25)
    - Save Job - Related Jobs - Block Source
  • Care Advocacy Case Manager RN

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services About Blue Cross ... care coordination, and transition of care between settings. Required Skills and Experience * Registered nurse with current MN license and with no restrictions. *… more
    Blue Cross and Blue Shield of Minnesota (10/21/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse ( RN )…

    Ascension Health (Austin, TX)
    …for post-discharge care. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Texas Board of Nursing ... Network + **Schedule:** Monday - Friday; 8-5pm + **Location:** Remote - Austin - requires occasional travel to Post...American Heart Association or American Red Cross accepted. + Case Manager credentialed from the Commission for… more
    Ascension Health (12/05/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse - Case

    STG International (Rockville, MD)
    STGi is currently seeking a Registered Nurse - Case Review Specialist . The position is remote and open to candidates nationwide. JOB SUMMARY: Provides ... delivery with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist...met, relay any concerns raised by customers to Program Manager (PM). + Ensure exam scheduling requests are submitted… more
    STG International (11/19/25)
    - Save Job - Related Jobs - Block Source
  • RN Registered Nurse Full Time…

    Trinity Health (Syracuse, NY)
    …do not pass screening and/or compliance screening requirement guidelines per approved protocols. A Registered Nurse ( RN ) is a licensed health care provider ... screening information as necessary within the scope of the RN role. Reports to manager or identified...supportive and restorative care under the direction of a registered nurse or licensed physician, dentist, or… more
    Trinity Health (10/28/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Ambulatory Care…

    Bon Secours Mercy Health (Norfolk, VA)
    …excellence. **Summary of Primary Function** In the capacity of a Registered Nurse ( RN ), the Ambulatory Care Manager will provide clinical care ... Nursing Bachelor's Degree (preferred) Specialty/Major- Nursing (BSN) **Licensing/ Certification** Registered Nurse with active License in State of… more
    Bon Secours Mercy Health (11/12/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse ( RN ) Care…

    Ochsner Health (New Orleans, LA)
    case management, care coordination or disease management. **Certifications** Required - Current Registered Nurse ( RN ) License in the state of practice. ... Preferred - Certification as a Case Manager (CCM). **Knowledge Skills and Abilities...determine whether the position you are interested in is remote or on-site._** _Individuals who reside in and will… more
    Ochsner Health (10/23/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse / RN , Home…

    AccentCare, Inc. (Elgin, TX)
    … / Registered Nurse , Home Health Location: Austin North Office Position: RN Case Manager , Home Health Position Type: Full-Time Remote /Virtual ... Your Passion and Purpose as an Registered Nurse , Home Health Case Manager ...community of care we're building together. Be the Best RN Case Manager You Can… more
    AccentCare, Inc. (12/05/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager Registered

    CVS Health (Lansing, MI)
    …not permitted. **Required Qualifications** + Minimum 3+ years clinical practical experience as an Registered Nurse ( RN ). + Must have active and unrestricted ... and health needs based on key questions and conversation. ** Remote Work Expectations** + This is a remote...experience. + Bilingual in Spanish or Arabic. + Certified Case Manager . + Additional national professional certification… more
    CVS Health (11/24/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager Registered

    CVS Health (Mays Landing, NJ)
    …it all with heart, each and every day. **Position Summary** We are seeking a dedicated ** Case Manager ( RN )** to join our team, serving members in **New ... follows a **Monday-Friday, 8:00 AM-5:00 PM EST** schedule. The Case Manager will develop, implement, and support...proficiency in the role. **Required Qualifications** + Active, unrestricted ** Registered Nurse ( RN ) license in… more
    CVS Health (12/05/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse / RN

    AccentCare, Inc. (Houston, TX)
    …South Houston, TX Position: After Hours Registered Nurse / RN , Hospice Position Type: Full-Time Remote /Virtual Position: No Coverage Area: Houston Find ... Overview After Hours Registered Nurse / RN ,...of care in alignment with regulatory requirements and the Case Management Recipe. + Maintains timely and accurate documentation,… more
    AccentCare, Inc. (12/08/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse / RN

    AccentCare, Inc. (Middlebury, CT)
    …Hospice Location: Middlebury, CT Position: Admissions Registered Nurse / RN , Hospice Position Type: Part Time Remote /Virtual Position: No Coverage Area: ... Overview Admissions Registered Nurse / RN ,...and interdisciplinary meetings; manage care and scheduling using the Case Management model when serving as Care Manager more
    AccentCare, Inc. (10/29/25)
    - Save Job - Related Jobs - Block Source