• Acute Care Manager ( RN )

    ChenMed (Philadelphia, PA)
    RN with bachelor's degree in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required + Compact ... remote for the remaining hours. The Acute Care Manager , Complex Care ( RN ) is responsible for...maintenance of a current, valid driver's license + Certified Case Manager certification is preferred. Certification through… more
    ChenMed (10/24/25)
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  • Temporary to Hire Prior Authorization RN

    Fallon Health (Worcester, MA)
    …degree in nursing required **License/Certifications:** Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience:** * A minimum of ... three to five years clinical experience as a Registered Nurse in a clinical setting required....care payer preferred. * One year experience as a case manager in a payer or facility… more
    Fallon Health (12/14/25)
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  • RN Clinical Manager

    CenterWell (Lancaster, PA)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... sit on-site at our Lancaster, PA branch location.** The ** RN Clinical Manager ** coordinates and oversees all...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (01/08/26)
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  • Nurse Case Manager I

    International Medical Group (Indianapolis, IN)
    …visa status (eg, H-1B or TN status) for this position. JOB SUMMARY The Case Manager will evaluate medical necessity, appropriateness, and efficiency of the use ... creating the best experience for travelers. JOB DETAILS + RN License -- Must have an active RN...assigned. QUALIFICATIONS + Current and active Nursing license - Registered Nurse + Minimum two years acute… more
    International Medical Group (11/16/25)
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  • RN , Field Care Manager (Adults…

    Humana (Richmond, VA)
    …Horizons in Virginia is looking for RN , Field Care Managers (Field Care Manager Nurse 2) who performs primarily face to face and telephonic assessments to ... and pediatric members. The RN , Field Care Manager (Field Care Manager Nurse ...reside in the Commonwealth of Northern Virginia** + Active Registered Nurse ( RN ) license in… more
    Humana (12/04/25)
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  • Behavioral Health, Maternity RN - Care…

    Centene Corporation (Springfield, IL)
    …conditions. Preference will be given to individuals who (1) possess an active Illinois registered nurse ( RN ) license, (2) have a combination of professional ... perspective on workplace flexibility. NOTE: This is a fully remote role with serving maternity and postnatal members with...2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse -… more
    Centene Corporation (01/06/26)
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  • Care Manager RN - Utilization…

    Highmark Health (Harrisburg, PA)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (12/18/25)
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  • RN Transition of Care Coach remote

    Molina Healthcare (Spokane, WA)
    …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... plan. We are seeking a candidate with a WA RN licensure and previous Case Management experience....Qualifications** * Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). * Hospital discharge planning… more
    Molina Healthcare (12/05/25)
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  • SCO RN Care Manager , Bristol County…

    Point32Health (Canton, MA)
    …Qualifications - what you need to perform the job Certification and Licensure + Registered Nurse with current unrestricted license in state of residence + May ... more about who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Care Manager - Nursing Field ( RN CM) will ensure that all members… more
    Point32Health (12/23/25)
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  • Nurse Case Manager

    Battelle Memorial Institute (Fort Campbell, KY)
    …The Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team in support of our ... ensuring comprehensive support for those who serve. As a Nurse Case Manager , you will...+ Current, full, active, and unrestricted license as a Registered Nurse in any US State, the… more
    Battelle Memorial Institute (12/30/25)
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