Nurse Executives

Care Managers (CA, AZ, WA, TX, FL)

Various locations in CA, AZ, WA, TX, FL

Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. […]

Vice President, Medical Management – RN (IL)

Chicago area

Perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned health plan based on, and in support of the company’s strategic plan; establishing the strategic vision and attendant policies and procedures. […]

Behavioral Case Managers (FL, IN, NE, TX, AZ, WA)

FL; IN; Omaha; Tempe or Tucson, AZ; Various Washington and Texas locations

Perform duties related to the day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life. […]

Lead Utilization Management – RN (FL)

Miami, FL; Remote possibility from Miami area

Gathers and synthesizes clinical information in order to authorize services. Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria. Collects and analyzes utilization information. […]

Director Medical Management – RN (ME)

Portland, ME

This position serves as the leader for all clinical operations. The Director has primary responsibility to carry out all care coordination services. Accountabilities include all clinical operations, processes, programs, policies, procedures, documentation and reporting. […]

Supervisor, Utilization Management – RN (FL, KS)

Fort Lauderdale area, FL & Lanexa, KS

Supervise the daily operations of the utilization management (UM) department. […]

Director Case Management – RN (FL)

Jacksonville, Tampa and Fort Lauderdale areas, FL

Responsible for defining and directing a complete Case Management Program in conjunction with corporate goals and objectives. […]

Supervisor, Case Management – RN (FL)

Jacksonville and Fort Lauderdale area, FL

The Manager, Care Coordination, is responsible for the oversight, management and optimization of all care coordination activities as it relates to pre-admission, ambulatory case management, inpatient, social service, home health, health education, behavioral health and other health care delivery programs. […]

RN Case Managers (WA, AZ, IN, NY, FL)

WA, AZ, IN, NY, FL

The RN Case Manager is responsible for providing care coordination services by working collaboratively with a team of individuals involved in the care team as they provide medical, behavioral, psycho/social care, health and wellness classes, and other related services and supports members. […]