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CareXM is hiring a Remote Registered Nurse (RN) for early morning triage on a part-time schedule. The role focuses on secure, compassionate after-hours triage for hospice and home health partners, conducted entirely from the nurse's home.

National Brain Tumor Society (NBTS) is seeking a Patient Navigator to support brain tumor patients and caregivers, providing evidence-based information, treatment navigation, and connections to NBTS programs. The role requires an active RN...

Description We are looking for a full-time LPN passionate about all aspects of women's health to provide direct patient care as part of an interdisciplinary care team and to serve as the first line of communication with patients in...

A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and...

R1 RCM Inc. is seeking a Clinical Coding Appeals Nurse to review medical records and draft appeals for denied and underpaid claims. The role focuses on accurate coding using ICD-9/10, CPT, HCPCS, and NCCI guidance, and requires inpatient...

TurningPoint Healthcare Solutions is a rapidly growing and innovative healthcare company that supports several large national health plans to improve the quality and affordability of healthcare patients receive. We are looking for motivated...

A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare teams, and ensuring compliance. Candidates need an active RN license and...

The Center for Sports Medicine and Orthopaedics is seeking an RN/LPN for a part-time position to triage patients remotely in Chattanooga, TN. The Center for Sports Medicine & Orthopaedics is Chattanooga's leading provider of multi-specialty...

iMPROve Health seeks an RN Reviewer (Workers' Compensation Utilization Review) to perform independent external medical reviews remotely as an independent contractor (1099). The reviewer applies clinical expertise to evaluate cases, ensuring...

ELM Management Services, LLC is seeking an ASC Pre-Admission Testing Registered Nurse (PAT RN) for part-time work in Atlanta, GA, with a remote option. The PAT RN will conduct telephonic pre-op assessments, coordinate clearances, and educate...

RWJBarnabas Health is seeking an experienced Registered Nurse for a remote, day-shift role in New Jersey. The RN will support virtual urgent care navigation, referrals, and care coordination while working with a multidisciplinary team to ensure...

aitrainer is seeking a Remote Registered Nurse (RN) to conduct health screenings for a health study. This role involves remote assessments, eligibility determination, and scheduling onsite sessions, all while ensuring HIPAA compliance.

UnitedHealth Group is seeking an experienced Utilization Management Nurse to ensure efficient and effective health services administration. The role involves assessing member needs, interpreting guidelines, and recommending appropriate care levels...

CareXM is expanding our remote nursing team to include an early morning triage RN (Remote). This role focuses on after-hours telephone triage for hospice and home health partners, delivering calm clinical guidance while working entirely from home.

Benefits: High Degree of Independence Flexible schedule Elevate Patient Care from the Comfort of Home Are you a highly skilled RN looking for the autonomy of independent practice and the flexibility of a part-time...

Sato Inc. is seeking a Remote Nurse Navigator (RN) with 5+ years of clinical experience to join its AI-driven Centers of Excellence platform from Bodega Bay, CA. You will manage surgical patient journeys end-to-end, coordinate with U.S. and...

Responsibilities: Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. ...

Telenett is seeking a Remote Patient Monitoring Nurse to provide home-based telehealth care. The role involves monitoring patients remotely, performing virtual assessments, and educating on disease and medication management. You will...

Unknown CDI team is seeking a Clinical Documentation Integrity (CDI) Specialist – RN for a 100% remote position based in the United States. You will drive accurate inpatient documentation, engage physicians, and ensure alignment with quality and...

Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant...

Vivo Care is seeking a Care Navigator to build trusted relationships with patients, triage vital signs, and promote health behavior change. You will work with the care team to conduct wellness calls and develop action plans to improve health and...

WPS Health Solutions in Columbus, OH, is seeking an Appeals Nurse to review medical records and Medicare claims for first-level appeals to determine medical necessity and coverage alignment. The role collaborates with Appeals Examiners to...

CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely,...

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...

A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include...