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We are so glad you are interested in joining Sutter Health!Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to Sutter Health...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This is a hybrid remote position with occasional float in-person at our Mount Auburn Primary Care offices in the Cambridge area.

We are so glad you are interested in joining Sutter Health!Organization: SHSO-Population Health Services-UtahPosition Overview: The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and thorough intake services by...

Description: Job Summary: Collaborates with other educators, managers, physicians, and other healthcare providers to develop, design, deliver and evaluate/improve education strategies and programs/classes based on member/patient...

Registered Nurse Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Evenings Job Description Join a team that's shaping the...

Registered Nurse 5% FTE, day/evening shift. Varied shifts between 07:45am and 9:00pm, this position including a weekend and holiday rotation. Must work at least 18 hours in a 6 week period, with minimum of 5 hours being on the weekend or...

The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Clinical Grievances RN - Remote in CA (2381848) Clinical Grievances RN - Remote in CA - 2381848 At UnitedHealthcare, we're simplifying the...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - HSPC Afterhours Triage Nurse - Remote (2398103) HSPC Afterhours Triage Nurse - Remote - 2398103 Explore opportunities with Amedisys,...

Job Title: Registered Nurse (Navy Nurse Corps) Category / Component: Officer • Both Overview Navy Nurse Corps Officers deliver professional nursing care to service members, families, and global communities in leading edge military medical centers,...

Registered Nurse Specialist Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Nights, Variable Job Description Join a team...

Join Us at our Virtual Job Fair to learn more about this position! Wednesday, October 7th | 12pm - 2pm EDT Register here: UHC Community & State Massachusetts Virtual Job Fair...

SHIFT: Any (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will...

RN Status Review Specialist It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Use your nursing expertise in a strategic, non-bedside role. As an RN Status Review Specialist, you'll evaluate patient...

Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations. You will work with the One Home/Home Solutions Utilization...

Atrius Health in Massachusetts is seeking a Registered Nurse to deliver effective care within the GI/Anticoagulation Management Services team, combining nursing processes with evidence-based practice to ensure patient safety and quality outcomes.

Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote role based in the United States. You will conduct admission and concurrent reviews, assess medical necessity, and coordinate appeals to support patient care and...

About This Role As a Clinical Grievances Nurse, you will review incoming retrospective cases to determine if appropriate care was given and ensure members' immediate needs are addressed. This role is ideal for those who can work PST hours...

Description: Job Summary: Provides consultation and leadership in designated areas of expertise independently. Collaborates with interdisciplinary teams and stakeholders to address issues and achieve project objectives.

SCAN Health Plan is hiring a registered nurse for clinical review of medical claims and post-service appeals. You will analyze pre/post payments, perform audits, and apply CMS guidelines to determine medical necessity and appropriate care.

CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays,...

The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential...

Job Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not...

Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...