The Registered Nurse Case/Utilization Manager is responsible for patient case management, including longitudinal engagement, coordination for discharge planning, transition of care needs, and outpatient patient management through the care continuum. This role involves identifying, screening, tracking, monitoring, and coordinating the care of patients with multiple co-morbidities and/or psychosocial needs, developing action plans or discharge plans, and providing continuity of care in collaboration with the hospital/physician team and ambulatory care team. The position offers the flexibility to work remotely from anywhere within the U.S.

Registered Nurse Case/Utilization Manager Compact License - Case Management

Registered Nurse Case/Utilization Manager

The Care Manager (RN) at Centene Corporation is responsible for developing, assessing, and facilitating complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families. The role involves evaluating member needs, developing care plans, coordinating care, and providing education and support. The position is remote and requires the candidate to reside in the CST time zone.

Care Manager (RN)

Molina Healthcare Services (HCS) is seeking a RN (Registered Nurse) Case Manager for Washoe County, Nevada. This remote position involves assessing, facilitating, planning, and coordinating integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role requires collaboration with multidisciplinary team members, conducting face-to-face or home visits, and maintaining a case load for regular outreach and management. Travel within the county for member visits is required, with mileage reimbursement.

Case Manager (RN): Nevada, Washoe County

Case Manager (RN)

As a Case Manager, RN at CAI, you will be responsible for assisting in the holistic assessment, planning, arranging, coordinating, monitoring, and evaluation of outcomes and activities necessary to facilitate member access to healthcare services. This full-time, remote position involves effective communication, education of members, collaboration with healthcare providers, and developing individualized care plans to meet member needs.

Case Manager, RN

The Care Manager at Centene Corporation is responsible for developing, assessing, and facilitating complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families related to mental health and substance use disorder. The role involves evaluating member needs, recommending and facilitating care plans, coordinating between members, families/caregivers, community resources, and care providers, and ensuring compliance with regulators.

Care Manager

Core Medical-Perm is seeking a Manager Registered Nurse for the ICU Intensive Care Unit in Plano, Texas. This role involves 40 hours of work per week, with a focus on progressive leadership experience in Critical Care. The position offers a range of benefits including a possible sign-on bonus, relocation assistance, and other perks. CoreMedical Group is a nationally recognized leader in medical recruitment and employment, providing comprehensive support throughout the job search process.

staff - Manager Registered Nurse (RN) - ICU - Intensive Care Unit - $95K-140Kper year

Manager Registered Nurse - ICU

Core Medical-Perm is seeking a Manager Registered Nurse for the Emergency Department in Plano, Texas. This role involves progressive leadership experience in the Emergency Department, with responsibilities including managing staff, providing input and advice during the job search process, and ensuring a stress-free interview and relocation experience. The position offers a range of benefits such as a possible sign-on bonus, relocation assistance, and access to a comprehensive support system.

staff - Manager Registered Nurse (RN) - ED - Emergency Department - $115K-170Kper year

Manager Registered Nurse - Emergency Department

The RN Transplant Case Manager II at Elevance Health is responsible for providing case management and/or medical management for members receiving transplant services. This remote position involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The role includes conducting assessments, coordinating resources, monitoring care plans, and collaborating with healthcare providers to ensure high-quality, cost-effective care.

RN Transplant Case Manager II (Telephonic) - Case Management

RN Transplant Case Manager II

Core Medical-Perm is seeking a Manager Registered Nurse specialized in Trauma for a nursing job in Plano, Texas. The role involves progressive leadership in Burn/Trauma Critical Care, with a focus on providing high-quality care in a trauma setting. The position offers a range of benefits including a possible sign-on bonus, relocation assistance, and other perks.

staff - Manager Registered Nurse (RN) - Trauma - $95K-140K per year

Manager Registered Nurse - Trauma

The Nurse Case Manager II at Elevance Health is responsible for care management within the scope of licensure for members with complex and chronic care needs. This includes assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The role is virtual and requires a minimum of 5 years of clinical experience, a BA/BS in a health-related field, and current, unrestricted RN license in applicable states.

Nurse Case Mgr II (US) - Case Management

Nurse Case Manager II

The Medical Management Team Lead, RN at McLaren Health Care is responsible for providing clinical oversight of staff and functions to meet organizational goals in utilization, disease, case, and medical management. This role involves expert knowledge of screening criteria, clinical criteria, and research abilities, independent judgment within the scope of practice, and participation in the medical management of members across all product lines. The position emphasizes member advocacy through education on managed care, disease management, and PCP treatment plans, while also monitoring utilization patterns and collaborating on complex cases.

Medical Management Team Lead, RN, MI - Remote - McLaren Careers

Medical Management Team Lead, RN

The Case Management Utilization Review Registered Nurse at Steward Health Care assumes primary responsibility for documenting medical necessity for inpatient status or placement in observation. This role involves communicating with physicians and clinicians, ensuring timely clinical information submission for payor authorization, and collaborating with allied health professionals to ensure quality care and desired outcomes in a cost-effective manner. The position requires a bachelor's degree, three to five years of acute medical/surgical experience, and three to five years of Case Management experience.

Case Mgt Utilization Review RN - REMOTE - Utilization Review

Case Management Utilization Review Registered Nurse

The Clinical Care Team Manager at Guidehealth is responsible for the day-to-day operations of an integrated multi-disciplinary clinical and clinical support structure to effectively monitor, support, and lead Value Based clinical initiatives. This includes case management, transitions of care, care coordination and continuity, provider/staff education on ACO/MA Plan clinical programs, and building and maintaining a network of community support. The role requires strong leadership, management, and interpersonal skills, as well as the ability to utilize both internal and external resources to accomplish the goals and objectives of the organization.

Remote Clinical Care Team Manager

Clinical Care Team Manager

We are seeking a dedicated Chronic Care Manager to provide one-on-one attention via telephone calls to patients with two or more chronic diagnoses. The Chronic Care Manager will collect patient health information to identify risks, provide education, and encourage compliance with treatment. This role involves creating patient-specific Care Plans that outline goals and interventions to implement, monitor, and support the patient's needs as defined by the Primary Care Physician (PCP). The Chronic Care Management (CCM) program aims to support patients and promote the highest level of quality care.

Chronic Care Management

Chronic Care Manager (LPN)

Cambia Health Solutions, Inc is seeking a Care Management Social Worker to join their Clinical Services team. This role involves providing clinical care management, including case management, disease management, and care coordination, to meet members' healthcare needs and promote quality and cost-effective outcomes. The position offers a work-from-home option within Oregon, Washington, Idaho, or Utah and is ideal for a Social Worker looking to transition out of bedside care into a role that utilizes clinical expertise in a fresh challenge.

Care Management Social Worker

+bia1E/9Ura0W56PK0QRs1nb0fPaPw1LecFl73e1Zno=

0yryKyiv//5ZYlTDMV3LFPtHwym9DzfhaGKkhjLWumc=

1PbXZCkmjsWX/JPZ0zDz35M1CdhIEEhFhVTF9UZbsUw=

3eZiYdEf1GWONV+R64EHcPPvLb4v6J0JWgZreMFwQRo=

If QUICK_APPLY_SKIP_SUBMIT is set to true these providers will ignore the setting and still submit.

7UWw5juL5kSuktDEYRAJaZaaSr/dkptNWDM6YczaXvQ=

7veoecbDe4L73TGHP2ISin46xsmdddCOKtRpfQxjDN8=

8yxkMFFydubARRB/A0n8dt2+tN+s0Qba5Bm+ZhR6A74=

917BuR4psrYXtoUglgzOqK2gT6nHiFac0vaL7OlNrj4=

BTHovjnwfD7MxYTZVgYObuyOKROSVx/I0X5yo3nLGw8=

CLGiSKlyYhMQqU9L5I5y5Kcwm5S4f77Utdfa8ExP9Bw=

HRzePCbXb7ufZUWsFxKsWQyEIUrwU5VCFht/1iNmtTo=

Id0yBc3Lk10hOWDAGUFDOHeLqi73qkOki+HsqthrqY8=

MltczCjhmN0jRgow3UO+iDMtltW8AfF7hJYVp339Mbk=

NI/PueuALd9KIOo3aGPg/youiuzzXOlUegGuLsVspks=

PX9iho18hgd+if3tD3rS2RRXrbzlHq613z5WXlVZ7+k=

VUOVNO4gG3SQXJg1E5TYU50XsmIaCxqBNHZWw48U8/0=

Y1UD/mVBFR+4WXoXRwyYrTpXnLvnt4lZ1G/TbY1bWR4=

dCG5zdM4/wqhDoKFVboNOhuBLLEkQ95fHprPrsJVaxM=

fr9JCYJNVqBBC7QlJK+AFZY+8NEptSjJEpTFKNeRx4U=

h+e82EFLmuH1BOGKDTUyfliYoBDF4Tq54kkm9H1Q67M=

kF6veelbgshOJpV3Mn6vB3mb3LuydeEVDSOxtIHM8N8=

kbjXyyPP5adVqoaL7EYbdoyqDzFqF5a+VbOBN3j1bVg=

lWPMwjsh2VXkQjRFxWpjkQ/+Yx1eEx75EAWbIUFwV2Y=

mA5rgLX7i0lO6F1oJJxlP+y/1rvzscLgYBBk6pyKBWE=

p1flkibS2FOOSRZRb3dJqhHmZ8tmXXoyz3YXr0O9NUo=

pZVrGsKBFfWx3aTAH3sKk4BlHpV1jgUZyoszy851/n8=

u8Ak4aZwDDE5inqS+1aY1R2zXd+nIapHkAsGcAr3yzo=

Sharing EarnBetter with your community helps us offer our amazing service for free forever!

RN Care Manager Jobs in Fate, TX Hiring Now