CommuniCare Health Services: Provides post-acute healthcare and long-term senior living services.
3+ YOEMust have RN or LPN license, eligible for multi-state licensure, strong communication, and tech aptitude; 3+ years clinical experience preferred.
Amedisys: Provides home-based nursing, hospice, and palliative care services.
1+ YOERegistered Nurse with current RN license; associate or bachelor’s degree in nursing; CPR certification; home health/acute care experience preferred.
RN Care Manager - Baltimore - Hybrid - Mainly Remote
Baltimore, Maryland, United States
$95k-$102k/yrHybridFull Time
Cityblock Health: Provides integrated medical, behavioral, and social healthcare services.
3+ YOEActive RN with 3+ years experience, strong clinical judgment, EMR proficiency, motivational interviewing and trauma-informed care skills, ability to conduct assessments and manage care plans.
5+ YOEADN required (BSN preferred), active RN license, CPR required, 5+ years clinical nursing experience, renal experience and case management preferred, proficiency with Microsoft Word/Outlook and DaVita Capella.
3+ YOECurrent California RN license, bachelor’s degree, 3+ years clinical experience (rehabilitation preferred), obtain case management certification within 3 years if not already held; strong clinical, communication, and Excel skills.
Clinical Strategy Consultant - Remote/Hybrid (Camp Hill and Philadelphia Area)
Camp Hill or Philadelphia
HybridFull Time
Highmark Health: Provides health insurance and integrated medical care services.
5+ YOE5 years in a clinical or managed care setting; RN, PA, or Pharmacist licensure; Bachelor’s in nursing, pharmacy, physician assistant, or clinical field; 3 years of client sales support (preferred); travel 25-50%.
Healthcare Quality Strategies: Provides independent medical reviews and healthcare quality improvement services.
3+ YOERN with BSN; 3+ years medical record review; knowledge of ICD-10, CPT, HCPCS; InterQual/MCG criteria; HIPAA compliance; MS Office; remote part-time role (20-30 hrs/week); non-exempt.
Paradigm: Specialty care management for complex and catastrophic injuries.
RN with MD license; DC/PA license; WCCM; RN-WCCM; MCRSP within 30 days; experience in catastrophe case management; CCM/CRRN/CDMS/CDOHN preferred and must be obtained within two years; valid driver’s license and good driving record.
Indianapolis or Denison or Atlanta or Louisville or Harrisburg or Chicago or South Portland or Illinois or Maine
$67k-$111k/yrRemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
1+ YOEAssociate degree in nursing and at least 1 year of clinical experience, or equivalent background; current unrestricted RN license required. Bachelor's degree preferred.
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
1+ YOECurrent RN license in the state of practice; 1+ year home health experience; valid driver’s license, vehicle insurance, access to a dependable vehicle or public transport; CPR certification.
RELI Group: Provides professional IT and management services to government agencies.
3+ YOEActive US RN license, 3+ years clinical and medical/utilization review experience (Medicare/Medicaid), proficiency with Medicare/Medicaid rules, coding certification preferred, and Microsoft Office proficiency.
InterQual, Milliman, Microsoft Outlook, Microsoft Excel, Microsoft Word
Johns Hopkins Health System: Provides clinical care, medical research, and health education services.
5+ YOEBachelor's nursing degree, 5+ years of clinical experience at a Level 2+ trauma center, Maryland RN licensure, trauma patient experience, and TCRN certification within one year; master's preferred.
Chronic Care Staffing: Provides remote clinical services for chronic disease management and monitoring.
Requires unencumbered CMA/RMA certificate or compact LPN/RN, active BLS, high EHR proficiency, ability to communicate effectively, clinical reasoning, and ability to work independently in a HIPAA-compliant home office.
BAYADA Home Health Care: Provides professional home health care and nursing services.
3+ YOEActive RN or PT license, 3–5 years of home health experience, Clinical Manager or OASIS Reviewer experience, and knowledge of OASIS-E, PDGM, Medicare regulations, care plans, medication reconciliation, and EMR systems.
Homecare Homebase (HCHB), Electronic Medical Records (EMR)
Philadelphia or New York City or Boston or Baltimore
RemoteFull Time
EssityNasdaq Stockholm: ESSITY B: Manufactures and sells hygiene and health care products globally.
5+ YOE5+ years wound management experience, RN or comparable experience, Bachelor’s degree or equivalent preferred, Advanced Wound Management Certification, teaching experience, strong communication and organizational skills, ability to travel extensively with overnight travel.
Chicago or Dallas or Tulsa or Santa Fe or Houston or Nashville or Pittsburgh or Portland or Salt Lake City or Seattle or Birmingham or Baltimore or Downers Grove or Midwest City or Austin or San Antonio or Huntsville or Alamogordo or Richardson or Kalispell or Philadelphia or Broken Arrow or Helena or Albuquerque or Great Falls or Oklahoma City or Norman or Waco
$62k-$136k/yrRemoteFull Time
Health Care Service Corporation: Provides health insurance and managed care to millions of members.
2+ YOEActive RN license, 2 years clinical practice, 1 year care/condition management in managed care, PC proficiency (Word, Excel, Lotus Notes), clinical judgment, familiarity with HHC/SNF/Hospice, and strong communication skills.
Microsoft Word, Microsoft Excel, Lotus Notes, Milliman Guidelines
PAM Health: Provider of specialty post-acute healthcare and rehabilitation services.
5+ YOEActive state RN license with 5+ years acute care nursing experience; 2–3 years case management/utilization review preferred; knowledge of payer/regulatory denial criteria (InterQual, Milliman & Robertson, MAC/RAC/ZPIC); strong written communication and analytic skills; ability to travel as required.