• Registered Nurse - Managed

    InGenesis (Columbia, SC)
    InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... proper claims adjudication * Perform other duties as assigned. Minimum Qualifications * Current Registered Nurse / RN license in the State of South Carolina. *… more
    InGenesis (08/15/25)
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  • Registered Nurse - Managed

    US Tech Solutions (Columbia, SC)
    …staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). + Participates in data collection/input into system for ... in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify,… more
    US Tech Solutions (10/29/25)
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  • Employee Health/ Managed Care

    Bishop McCarthy Center (Vineland, NJ)
    Employee Heath/ Managed Care / Infection Control Registered Nurse has oversight over functions of the employee health program which include pre ... employment screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for… more
    Bishop McCarthy Center (09/15/25)
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  • Care Manager - Registered

    CVS Health (Montgomery, AL)
    …compassionate. 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 ... of care management within Medicare and Medicaid managed care . + Familiarity with community resources...**Required Qualifications** + Candidate must have active and unrestricted Registered Nurse (RN) licensure in the state… more
    CVS Health (10/30/25)
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  • Registered Nurse (RN) Manager,…

    LA Care Health Plan (Los Angeles, CA)
    Registered Nurse (RN) Manager, Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... applying: + The candidate selected for this role MUST have recent experience with healthcare/ managed care grievances + The candidate selected for this role must… more
    LA Care Health Plan (09/09/25)
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  • Registered Nurse - RN Field…

    Humana (Detroit, MI)
    …**years experience in health care and/or case management** + **Active Michigan Registered Nurse (RN) license with no disciplinary action** + **Must reside in ... your skills to make an impact** **Required Qualifications** + ** Registered Nurse , Nurse Practitioner, or...coaching and wellness + Experience with Medicaid Long Term Care + Previous managed care more
    Humana (10/02/25)
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  • Intensive Community Care Manager…

    ChenMed (Largo, FL)
    …to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary ... care compliance and policies and procedures. The Register Nurse (RN) Community Care Nurse ...a related clinical field preferred + A valid, active Registered Nurse (RN) license in State of… more
    ChenMed (10/02/25)
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  • Registered Nurse , Home Health

    BAYADA Home Health Care (Cape May, NJ)
    …core values, affording them the opportunity to remain at home and receive the medical care required. ** Registered Nurse (RN) Benefits:** + BAYADA offers a ... **$2,500 Sign on Bonus!** **Cape Regional Home Health Care Managed by BAYADA** is looking...match; and opportunities for career advancement. ** Registered Nurse (RN) Responsibilities:** + Follow a designated care more
    BAYADA Home Health Care (10/10/25)
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  • Registered Nurse (RN) Care

    Whitney Young Health Center (Albany, NY)
    Registered Nurse (RN) Care ...certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. RN CARE ... Manager (CM) certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. All qualified applicants will receive… more
    Whitney Young Health Center (08/16/25)
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  • Supervisor Case Manager Long-term Care

    Highmark Health (Dover, DE)
    …long-term care , home health, hospice, public health, or assisted living **Or** + Registered Nurse or Licensed Practical Nurse and 2 years of experience ... health, hospice, public health, or assisted living **Substitutions** + Registered Nurse or Licensed Practical Nurse...case management experience + Medicare and Medicaid experience + Managed care experience **SKILLS** + Leadership skills… more
    Highmark Health (09/22/25)
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