• CVS Health (Providence, RI)
    …Performs other related duties as assigned What we're looking for Required Qualifications: Active Registered Nurse ( RN ) Licensure in good standing with the ... the best care to our patients. Our Registered Nurses report to the Practice Manager or Nurse Supervisor (where applicable). Core Responsibilities:… more
    Upward (07/27/25)
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  • Sentara Healthcare (Norfolk, VA)
    …JR-81933 #Indeed Talroo - Nursing Care Coordination, Case Management, RN , Case Manager , Registered Nurse , BSN, ADN, Nursing, Managed Care , MCO, ... of optimizing member health care across the care continuum Performs telephonic or face-to-face clinical...Education: Associate or Bachelors Degree in Nursing REQUIRED Certification/Licensure: Registered Nurse ( RN ) License (Compact… more
    Upward (07/01/25)
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  • The Brevard Health Alliance, Inc. (Titusville, FL)
    …interest and application after reviewing the specifics and requirements for the REGISTERED NURSE listed below. POSITION SUMMARY The Primary Care nurse is ... Registered Nurse who provides high-quality, evidence-based care for patients who are cared for in the...members to achieve desirable patient outcomes through day-to-day and/or telephonic case management. The RN assists with… more
    Upward (07/18/25)
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  • The Jane Pauley Community Health Center, Inc (Greenfield, IN)
    …Experience: Graduation from accredited Nursing Program required. Current state licensure as a Registered Nurse required. Two years' experience as a triage, or in ... of our patients and employees Job Summary - Patient Care Coordinator, RN : The Patient Care...Health Center (JPCHC). Under the direction of the Practice Manager , the Patient Care Coordinator supports the… more
    Upward (07/26/25)
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  • County of San Bernardino, CA (Colton, CA)
    …desired, additional compensation available! Arrowhead Regional Medical Center (ARMC) is recruiting for Registered Nurse ( RN ) Care Managers. As part ... of the Ambulatory team, the RN Care Manager will work...Option #1: Three (3) years of registered nurse experience in an acute care hospital.… more
    Upward (07/21/25)
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  • ChenMed, LLC (Columbus, OH)
    …join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse ( RN ) who works with our highest complexity patients, their primary ... visits. Once a patient has completed their episode of care management the register nurse ( RN...in a related clinical field preferred A valid, active Registered Nurse ( RN ) license in… more
    Upward (07/23/25)
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  • UnitedHealth Group (Orlando, FL)
    WellMed, part of the Optum family of businesses, is seeking a RN Case Manager to join our team in Orlando, FL. Optum is a clinician-led care organization ... work and live. As a member of the Optum Care Delivery team, you'll be an integral part of...utilized evidenced-based criteria Performs concurrent and retrospective onsite or telephonic clinical reviews at the designated network or out… more
    Upward (07/18/25)
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  • UnitedHealth Group (Metairie, LA)
    …licensure in the state of Louisiana 3+ years of experience as a Registered Nurse in a hospital setting, acute care , direct care experience, community ... At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers...health setting or experience as a telephonic Case Manager Driver's license and access… more
    Upward (07/20/25)
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  • Centene Corporation (West Palm Beach, FL)
    …a Bachelor's degree in Nursing and 2 - 4 years of related experience. License/Certification: RN - Registered Nurse - State Licensure and/or Compact State ... or specialists to ensure member has timely access to needed care or services May perform telephonic , digital, home and/or other site outreach to assess member… more
    Upward (07/17/25)
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  • Connecticut Community Care (North Franklin, CT)
    …an interactive process of informed decision-making about Long-Term Services and Supports. The Care Manager 1 serves a key role in coordinating the efforts ... of formal and informal caregivers on behalf of clients. Care Management is a person-centered service that values the consumer's choices and rights. Performs all… more
    Upward (07/23/25)
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  • Nemours Children's Health (Milford, DE)
    …is seeking a Care Management RN to join our team. The Care Management Nurse ( RN ) coordinates the utilization of pediatric healthcare resources, ... working with providers, payors, consultants, and other staff. Qualifications: Required: Licensed registered nurse (active and unrestricted in the State of… more
    Upward (07/24/25)
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  • The Travelers Indemnity Company (Diamond Bar, CA)
    …Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred. What is a Must Have? ... Who Are We? Taking care of our customers, our communities and each...do and where you do it. Job Category Claim, Nurse - Medical Case Manager Compensation Overview...Registered Nurse ; Licensed Practical … more
    Upward (07/17/25)
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  • AmeriHealth Caritas Health Plan (Manchester, NH)
    Role Overview The Behavioral Health Care Manager II ( RN /LICSW / LCMHC) assists members appropriate for care coordination and case management services in ... focused on the adult and child health population. The Care Manager II ( RN /LICSW /...Experience: 3 to 5 years' experience as a case manager , preferably providing telephonic case management. Minimum… more
    Upward (07/18/25)
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  • Elevance Health (Arlington, VA)
    …within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, ... responsible RN , and in conjunction with the RN , member and the health care team,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Upward (07/12/25)
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  • Elevance Health (Roanoke, VA)
    Anticipated End Date: 2025-08-08 Position Title: Behavioral Health Case Manager I - Youth & Adolescent - Southwest Virginia Job Description: Position specific ... details: The Case Manager will work with our Youth & Adolescent population...needs. Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified… more
    Upward (07/23/25)
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  • US Tech Solutions (Columbia, SC)
    …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). ... and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high risk...the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse more
    Upward (07/27/25)
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  • Guidewell (San Antonio, TX)
    …tasks related to Care Coordination Generates tasks to the assigned RN Case Manager Directs patients/families to appropriate resources including community ... training hours may differ. What is your impact? The Care Coordinator works with administration, Care Managers,...resources As directed and supervised by the RN Case Manager assists in the attainment… more
    Upward (07/21/25)
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  • Telephonic Nurse Care

    Humana (Oklahoma City, OK)
    …SDOH coordinators, and care management support assistants. The Care Manager , Telephonic Physical Health Nurse , work assignments are varied but ... with primarily physical health needs. The Care Manager , Telephonic Physical Health Nurse ,...**Required Qualifications** + Must reside in Oklahoma. + Active Registered Nurse ( RN ) license, or… more
    Humana (07/18/25)
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  • Telephonic Behavior Health Care

    Humana (Hallandale Beach, FL)
    …team to ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning ... a remote telephonic environment. The Behavioral Health Care Manager guides members and/or families towards...social work or behavioral health-related field + Active licensed Registered Nurse , RN in the… more
    Humana (07/15/25)
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  • Bilingual Care Manager

    Humana (San Juan, PR)
    …position located in Puerto Rico. You must live in Puerto Rico for this position. The Care Manager , Telephonic Nurse works in a telephonic ... appropriate for their care and wellbeing. The Care Manager , Telephonic Nurse...Qualifications** + Bachelor's Degree in Nursing (BSN) + Active RN license without restrictions in Puerto Rico + Active… more
    Humana (07/10/25)
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