• RN Case Manager

    Adecco US, Inc. (Cumberland, RI)
    Job Title: RN Case Manager ( Remote ) Remote - Must reside in PA or hold Compact RN License Schedule: Monday-Friday, 8 AM-5 PM EST Pay: $38.44 - $ ... standards. + Engage members through motivational interviewing. Requirements: + Registered Nurse ( RN ) with an...multiple systems. Preferred: + Additional state licenses. + Certified Case Manager (CCM). + Bilingual skills Benefit… more
    Adecco US, Inc. (08/22/25)
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  • 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 (08/21/25)
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  • Medical Case Manager -…

    Highmark Health (Charleston, WV)
    …**Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **(OR)** Licensed Professional Counselor ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
    Highmark Health (08/14/25)
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  • Remote RN Admissions Case

    Ochsner Health (New Orleans, LA)
    …Contents are subject to change at the company's discretion. **Education** Required - Registered nurse diploma. Preferred - Associate's degree in nursing. **Work ... in case management or utilization review. **Certifications** Required - Current Registered Nurse license in state of practice. Preferred - Commission for… more
    Ochsner Health (07/30/25)
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  • Case Manager , Registered

    CVS Health (Lansing, MI)
    …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 (08/21/25)
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  • Case Manager , Registered

    CVS Health (Juneau, AK)
    …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...Maternity/ Obstetrics experience . **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (08/15/25)
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  • Complex Case Manager RN

    Highmark Health (Washington, DC)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (08/22/25)
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  • Case Manager Registered

    CVS Health (East Orange, NJ)
    …50 to 75% travel in Bergen County and surrounding counties. **Position Summary** This is a remote Case Manager opportunity with 50 to 75% field travel in ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
    CVS Health (07/18/25)
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  • Registered Nurse Case

    CVS Health (Totowa, NJ)
    …active New Jersey Choice Certification = $10,000_** + **_External Hire = $7500_** **Position Summary: Case Manager Registered Nurse - Field in Passaic ... County, NJ** This is a remote Case Manager role with...in the role. **Required Qualifications:** + Active and Unrestricted RN license in NJ + 3+ years clinical practice… more
    CVS Health (07/12/25)
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  • Care Manager Registered Nurse

    CVS Health (Trenton, NJ)
    …community. + Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN ... heart, each and every day. **Position Summary** The care manager is responsible for assessing and evaluating members with...in pediatric, Special Needs and/or Adult Population + BSN RN with current unrestricted state licensure in the State… more
    CVS Health (08/15/25)
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