• Bilingual RN- Telephonic Care…

    Humana (San Juan, PR)
    …with resources appropriate for their care and wellbeing. The Care Manager, Telephonic Nurse 's work assignments are varied and frequently require interpretation ... included. Please submit resume in English. The Care Manager, Telephonic Nurse employs a variety of strategies,...make an impact** **Required Qualifications** + Bachelor's Degree in Nursing (BSN) + Bilingual in English and Spanish (and… more
    Humana (10/16/25)
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  • RN Telephonic Case Manager

    Belle (Atlanta, GA)
    …inspires you! Purpose of this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered care. In ... will: + Review documentation from in-home visits + Provide telephonic case management for members + Facilitate... who is experienced in care coordination and chronic disease management , and passionate about improving the… more
    Belle (11/19/25)
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  • Utilization Management Nurse

    US Tech Solutions (Columbia, SC)
    …education. Promotes enrollment in care management programs and/or health and disease management programs. Provides telephonic support for members with ... established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to… more
    US Tech Solutions (12/24/25)
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  • Senior Medical Management Nurse

    Ventura County (Ventura, CA)
    …+ No 04 Describe your full-time registered nursing experience with case management , disease management , quality assurance, and/or utilization review. In ... Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983)...compliance (DMHC, NCQA, HEDIS), and support wellness, prevention, and disease management programs. This position plays a… more
    Ventura County (12/07/25)
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  • Registered Nurse

    Fenway Health (Boston, MA)
    …a clinical leadership role to the care team with primary responsibilities for disease management , care coordination, and advice/triage needs for the care team's ... Registered Nurse Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing ...helping to coordinate patient care, encouraging patient involvement in disease management and wellness programs, and conducting… more
    Fenway Health (12/31/25)
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  • Acute, Nurse Case Manager

    ChenMed (Houston, TX)
    …CM Plan) to the ER or hospital, to patients with active care planning requirements, to disease management patients per the Disease Management Plan and to ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...and evaluate individual patient care plans. + Knowledge of nursing and case management theory and practice.… more
    ChenMed (12/09/25)
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  • Nurse Case Manager - Senior Care Options

    Fallon Health (Lakeville, MA)
    …health needs Collaborates with appropriate team members to ensure health education/ disease management information is provided as identified Collaborates with ... care plan goals and objectives Assesses the Member's knowledge about the management of current disease processes and medication regimen, provides teaching… more
    Fallon Health (01/07/26)
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  • Registered Nurse , Contact Center - Weekend…

    Hospice of Michigan (Southfield, MI)
    …by third party payers and calls clinical reports to case managers. + Provides nursing telephonic interventions using Triage Protocols and Process Flows in order ... License Required | Northeast Team Job Summary: The Registered Nurse (RN), Contact Center - Weekend Cadre meets all...of a NorthStar Care Community RN and provides professional nursing services or supervises the provision of nursing more
    Hospice of Michigan (01/10/26)
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  • Diabetic Team Nurse Educator

    Beth Israel Lahey Health (Needham, MA)
    …Collaborates with providers to identify needs for preventive care, evidence-based chronic disease management and care coordination. Provides general and specific ... duties of a Team Nurse , including: a. Coordinate and facilitate quality clinical management of a broad based outpatient population across the continuum of care.… more
    Beth Israel Lahey Health (11/08/25)
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  • Triage Registered Nurse

    Whitney Young Health Center (Albany, NY)
    …Triage Registered Nurse (RN) at Whitney Young Health utilizes the nursing process to provide comprehensive professional nursing care, considering the ... Triage Registered Nurse (Req 100989) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply Description Be a part of the mission at… more
    Whitney Young Health Center (11/22/25)
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  • Team Nurse

    Beth Israel Lahey Health (Jamaica Plain, MA)
    …Collaborates with providers to identify needs for preventive care, evidence-based chronic disease management and care coordination. Provides general and specific ... directly to the Practice Manager and Senior Director of Nursing , the Team Nurse position is responsible...Management Dept. **Required Qualifications:** Graduate from an accredited Nursing Program required. Bachelor's degree in Nursing more
    Beth Israel Lahey Health (10/30/25)
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  • Team Nurse - RN or LPN

    Beth Israel Lahey Health (Needham, MA)
    …Collaborates with providers to identify needs for preventive care, evidence-based chronic disease management and care coordination. Provides general and specific ... Nurse Per Diem Reporting directly to the Practice Manager and Senior Director of Nursing , the Team Nurse RN position is responsible for performing the duties… more
    Beth Israel Lahey Health (12/31/25)
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  • Flex Nurse Educator - Denver N, CO (Must…

    IQVIA (Denver, CO)
    **Flex Nurse Educator** **IQVIA - Advancing Patient Support and Education** IQVIA, the world's premier provider of commercial healthcare solutions, is seeking ... licensed healthcare professionals for the position of Flex Nurse Educator. This role supports patient care through both remote and, when required, in-field coverage,… more
    IQVIA (12/18/25)
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  • Care Transitions Nurse Navigator - Full…

    Guthrie (Big Flats, NY)
    …a patient's successful transition from hospital to home, providing disease management , care coordination, and patient triage. The Nurse Navigator will be ... experience in an emergency or acute care setting, chronic disease management or care transitions. Education Graduate...accredited School of Nursing . Bachelor's degree in nursing preferred. Licenses The Care Transitions Nurse more
    Guthrie (11/21/25)
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  • Intensive Community Care Manager, Registered…

    ChenMed (St. Petersburg, FL)
    …physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital arrivals, ... Once a patient has completed their episode of care management the register nurse (RN) will review...and evaluate individual patient care plans + Knowledge of nursing and case management theory and practice… more
    ChenMed (10/20/25)
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  • Case Manager - Registered Nurse

    CVS Health (Harrisburg, PA)
    …goals and interventions to meet the member's identified needs. + Provides evidence-based disease management education and support to help the member achieve ... each and every day. **Job Summary** The Care Manager-Registered Nurse is a key member of our Special Needs...and connect with teams virtually + 3+ years of nursing experience + 2+ years of case management more
    CVS Health (01/01/26)
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  • Registered Nurse (RN) Care Manager…

    Ochsner Health (New Orleans, LA)
    …- Experience in case management , care coordination or disease management . **Certifications** Required - Current Registered Nurse (RN) License in the ... and its Network of partner providers. Uses the case management process to assess the healthcare needs of the...Arranges and coordinates resources necessary to manage the patient's disease processes in the home environment. This job adheres… more
    Ochsner Health (10/23/25)
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  • Triage Nurse LPN or RN (Full Time/Days)

    Penn Medicine (East Petersburg, PA)
    …The triage nurse will assist with triage in the EMR inbasket and nurse telephone line, nurse case management , collaboration with clinical teams, ... delivers services with focus on customer service and symptom management . This nurse works with all primary...Nurse , issued by the PA State Board of Nursing required. + Healthcare BLS + Minimum of Two… more
    Penn Medicine (12/20/25)
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  • Registered Nurse Care Coordinator-…

    Cedars-Sinai (CA)
    …unnecessary readmissions. + Coordinates referrals and secure appointment with various CSMNS disease management programs. + Enters and updates all authorization ... Doing** The Case Manager is responsible for the case management of patient while hospitalized and upon discharge from...+ For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and… more
    Cedars-Sinai (01/01/26)
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  • Per Diem Clinical Assessment Registered…

    Commonwealth Care Alliance (Springfield, MA)
    …and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors are organized into teams and ... geographically dispersed across the commonwealth The Assessment nurse conducts timely, high-quality, accurate in-person assessments. These individuals leverage the… more
    Commonwealth Care Alliance (10/18/25)
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