• 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 (09/25/25)
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  • RN Case Manager - Home Health…

    Maxim Healthcare (Indianapolis, IN)
    Maxim Healthcare Services is hiring for a REMOTE RN Case Manager who resides in Indianapolis to oversee the clinical care of homecare clients Why This ... field duties, including patient home visits Qualifications: + Active RN license required (for states where office and patients...are located) + A minimum of one year of RN experience is preferred + Supervisory experience is an… more
    Maxim Healthcare (09/20/25)
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  • Complex Case Manager RN -…

    Highmark Health (Harrisburg, PA)
    …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 (09/25/25)
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  • Case Manager , Registered

    CVS Health (Tallahassee, FL)
    …EST) with 100% participation. **Preferred Qualifications** + Active and unrestricted Compact Registered Nurse ( RN ) Licensure in Alabama, Arkansas, Maryland, ... lives in new markets across the country. Community Care Case Manager use a collaborative process of...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse Compact licensure in state of… more
    CVS Health (09/24/25)
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  • Case Manager Registered

    CVS Health (Springfield, IL)
    …computer skills including navigating multiple systems and keyboarding **Education/Certification** + Registered Nurse with active state license in good standing ... in the State of Illinois is required. + Certified Case Manager is preferred. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical… more
    CVS Health (09/27/25)
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  • RN Case Manager - Health…

    Sharp HealthCare (San Diego, CA)
    …**FTE** 1 **Shift Start Time** **Shift End Time** Other; Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... + 2 Years Medical or surgical nursing + California Registered Nurse ( RN ) - CA...the delivery of acute or community based services. The case manager will coordinate all care, negotiate… more
    Sharp HealthCare (09/21/25)
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  • Case Manager Registered

    CVS Health (Charleston, WV)
    …And we do it all with heart, each and every day. **Position Summary:** This RN Case Manager role is 100% remote and the employee can live in any state ... less than 5% may be required in the event of clinical audits. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning,… more
    CVS Health (09/26/25)
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  • Case Manager , Registered

    CVS Health (Topeka, KS)
    …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 (09/02/25)
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  • RN Specialist Complex Case

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager - Oncology Location: Remote Career Area: Health Services About ... Utilizing key principles of case management, the RN Case Manager focuses on...and cost-effective health outcomes. Required Skills and Experiences * Registered nurse with current MN license and… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Care Advocacy Case Manager RN

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN 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 (09/10/25)
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