Search Nursing Jobs

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...

OU Health seeks an experienced Utilization Review Nurse (RN) to support the Children's Behavioral Health Center. The role involves evaluating medical necessity, coordinating with Payors, and ensuring appropriate hospital stay authorizations after...

Eliot Community Human Services, Inc. seeks a Nurse Manager to lead the CBHC Child Team. You will supervise the medical and nursing staff, coordinate medical and psychiatric services, and foster a collaborative, compassionate culture focused on...

Job Profile Summary Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's...

Job Description Join Cedars-Sinai! Cedars-Sinai has been named to the Honor...

Certified Nursing Assistant (CNA)Valley Presbyterian Hospital Make a Difference in Patient Care Every Day At Valley Presbyterian Hospital, our CNAs are at the heart of patient care. We're looking for a compassionate and reliable Certified Nursing...

St. Louis Children's Hospital is seeking an RN for after-hours triage and nursing support via the Answer Line. The role involves assessing patient needs, guiding care plans, and educating families within established guidelines. Part-time...

HealthHelp, a WNS company, seeks a Clinical Review Nurse for a fully remote role in the United States. You will perform prospective reviews for medical necessity on prior authorization requests across multiple specialty programs and refer...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack...

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 simply valued theyre invaluable. Join our team at...

Bestica is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty: Research /...

Centene Corporation is seeking a Licensed Practical Nurse (LPN) or Registered Nurse (RN) for a remote case management role in Pennsylvania. The selected candidate will perform concurrent reviews, determine appropriate care levels, and assist with...

Clinical Research Nurse I Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's...

VIVA HEALTH in Birmingham, AL seeks a Connect for Quality Nurse. This is a remote position with occasional on-site work within the service area. The role focuses on improving quality of care, increasing member and provider satisfaction, and...

Pediatric Nurse Practitioners - NPs Practice From Anywhere Telehealth | Arizona | Remote & Flexible Great care doesn't always require an exam room. EasyHealth is expanding our Telehealth Nurse Practitioner network and seeking Pediatric NPs...

Molina Healthcare is seeking a Wisconsin-licensed RN for a remote IRIS Self-Directed Personal Care (SDPC) role. You will oversee a group of IRIS participants, assess needs, and educate providers and participants in their homes and communities.

Job Title Work Mode: 100% Remote, Source candidates from EST preferred but will consider CST candidates. Duration: 6 months Eastern 8-5 PM M - F with expected weekend and holiday coverage based on team needs. This is usually every...

Overview In New Mexico, you'll deliver lifesaving care for the community you love and live in, soaring above Amazing landscapes. With 3+ years of recent critical care you'll fly in state-of-the-art helicopters-an ICU in the...

THIS IS A REMOTE POSITION Part Time/Contract Position DUTIES: -Assess patient health problems over the phone and via secure video -Schedule appointments and refer patients -Advise and monitor...

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced...

Emory Healthcare seeks a Virtual/Telehealth Registered Nurse (RN) to deliver high-quality patient care through telecommunication platforms. You will assess, triage, and support patients remotely, guided by clinical protocols and EMR usage.

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Registered Nurse (Utilization Management) .Candidate must be authorized to work in USA without requiring sponsorshipLocation: 100% Remote for California...

New York Spine and Wellness is seeking a Registered Nurse for remote phone triage. You will provide nursing care to patients by applying the nursing process over the phone, supporting providers and families. Ideal candidates hold an RN...

Hattiesburg Clinic seeks a Precertification Nurse to manage all precertification needs for assigned departments. The role requires a nursing certificate (LPN/RN) and an active Mississippi license, with a focus on accuracy, confidentiality, and...