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ALOIS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Torrance, California. Job Description & RequirementsSpecialty: Utilization...

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,...

AHS Staffing is seeking a local contract nurse RN Clinic Director of Nursing for a local contract nursing job in Northridge, California. Job Description &...

Remote Nursing OpportunitiesAre you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional...

TEKsystems is seeking an experienced Remote RN Case Manager for Texas residents. This role focuses on care coordination, member advocacy, and improving health outcomes while offering a remote schedule. The ideal candidate is an RN with 3+...

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BrightSpring Health Services seeks a part-time Tele-Triage Licensed Practical Nurse (LPN) to provide remote triage and care planning for populations in the assigned locations. Must hold an LPN compact license and have experience in home health or...

Provides direct patient care and charge nurses duties. The primary nursing responsibilities include assessment, diagnosis, outcome identification, planning, implementation...

MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure and 3+ years of clinical experience. Responsibilities include assessing healthcare...

A healthcare recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an active RN license and experience with health plan operations. Responsibilities include...

JR0059223 Tele-Health Nurse (Remote/LPN) (Open) Full-time McKesson requires new employees to be fully vaccinated for COVID-19 as defined by the CDC, subject to applicable, verified accommodation requests. McKesson is in...

Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with...

Remote LPN/LVN – Chronic Care Management (Full‑Time, Work From Home) CARDIOVASCULAR INSTITUTE OF EXCELLENCE PLLC is a dedicated medical practice company headquartered in Wagoner, Oklahoma. With a focus on delivering high‑quality...

Responsibilities:How you'll change lives...

Medical Reviewer, RN - Temporary Position Location: Remote *This role is a temporary position and that employment is expected to be for a limited duration. About J29 J29, Inc. (J29) has...

To ensure the highest quality and integrity of peer review case reports, the full-time Remote RN Clinical QA Coordinator will perform quality assurance reviews, verify compliance with client specifications and regulatory standards, and support the...

The Lead, RN Case Manager is an experienced RN Case Manager who provides clinical and operational support to the Care Management leadership team. In addition to performing the full scope of an RN Case Manager, the Lead is...

Cadence in Dallas, TX is seeking an RN Supervisor to lead a remote team of Registered Nurses in a high-volume triage environment. This role demands strong clinical judgment, operational management, and performance coaching to maintain quality...

Salary: USD25 - USD28 per hour HealthVisionDentalWeekly Pay401kPrior Authorization Specialist (LPN /MA / Certified Medical Assistant) Position Title: Prior Authorization...

Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the identification of diagnoses, conditions, and procedures that are representative of the...

Santa Barbara Cottage Hospital is seeking a Part-Time Triage Registered Nurse (RN) – Hospice to triage calls, provide symptom management advice, and coordinate patient care from a remote setting. You will work a 2-week rotation with...

Job Title: Registered Nurse (RN) Disease Manager Job Overview: The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or...

Mist Registered Nurse (Rn) – Position SummaryThe Multidisciplinary Inbasket Support Team (MIST) Registered Nurse is a highly skilled ambulatory care nurse who provides comprehensive, remote clinical support to primary care patients and providers...

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...

An established industry player is seeking a dedicated Registered Nurse for a remote contract position focused on reviewing medical claims within the insurance sector. This role involves validating treatment plans using accepted criteria and...