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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,...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

We are looking for a Travel Case Manager - RN RN for a great Travel nursing job in Los Angeles, CA. This Case Manager - RN Travel nursing job pays for 40 hours a week for 13 weeks. With...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

UnitedHealthcare is seeking a registered nurse to serve as a front-line clinical resource, guiding members on health management and care decisions. This role emphasizes education, advocacy, and high-quality customer service in a fast-paced...

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

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

Public Consulting Group is seeking a Client Success Partner for EDPlan Health. You will manage relationships across states, deliver training, and lead client engagements focusing on school nurse EHR workflows. The role blends nursing...

SelectHealth - Murray is seeking a part-time Remote Medical Records Abstractor to support HEDIS audits. Review and abstract medical information from records to meet CMS, HEDIS, and STARS standards. You will collaborate with the HEDIS...

Your Health seeks an experienced Registered Nurse to provide telephone-based clinical triage for patients in our growing primary care practice. The RN will assess symptoms remotely, determine appropriate level and urgency of care using...

TriHealth is seeking a Utilization Nurse to evaluate medical necessity and ensure care is delivered at the appropriate level in collaboration with physicians, care management, and payers. The role requires RN licensure, 3–4 years of...

Buena Vista Home Health, Palliative Care & Hospice (BV) is seeking an experienced OASIS Review Nurse (RN) for a remote, part-time QA role. The RN will ensure OASIS assessments are accurate, complete, and compliant with CMS regulations and state...

Comagine Health is seeking an experienced Registered Nurse to transition into a remote Clinical Reviewer role supporting the Washington L&I contract. The role focuses on evaluating medical necessity, appropriateness, and quality of healthcare...

CVS Health is seeking a Medicare PAR Provider Appeals Nurse Consultant to remotely support PAR Provider post‑service disputes and appeals from home across the United States. The role covers MPO, Coding, DRG, and UM inpatient/outpatient reviews...

Job Title Clinical Nurse Consultant Job Description Position Summary The Clinical Nurse Consultant provides relevant training and consultation on ICU Medical's clinical products/software and clinical services...

CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...

The Arc Chemung-Schuyler is seeking a Registered Nurse (RN) to provide nursing oversight and health-related support for individuals receiving services. This role focuses on promoting health, coordinating medical care, and ensuring quality services...

Sagility is seeking an experienced Senior Care Specialist (Registered Nurse) to deliver telephonic assessments and remote care management opportunities. You will develop individualized care plans, coach members on chronic condition management, and...

We are looking for a Travel OR RN for a great Travel nursing job in Lynwood, CA. This OR Travel nursing job pays for 36 hours a week for 13 weeks. With Wanderly you can compare...

Clinical Nurse Consultant At Bristol Myers Squibb, our employees often ask, "Who are you working for?"—a question that fuels collaboration, accountability, and urgency in our work. Our purpose-driven culture inspires us to discover,...

Utilization Management Nurse Consultant (RN) We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate...

MDS Solutions, a division of Key Rehabilitation, seeks a remote MDS Coordinator to plan, organize, and coordinate MDS completion under current Federal and State Regulations. The role requires an RN license (LPN not eligible) and involves...

Sagility is seeking a seasoned Registered Nurse to join as Senior Care Specialist in a work-from-home capacity. You will assess members remotely, develop care plans, provide education, and coordinate services to improve health outcomes for...

Registered Nurse - Review Analyst | Remote | Contract Walker Healthforce is seeking a Registered Nurse - Review Analyst with 2-4 years of clinical experience to provide clinical utilization reviews, evaluate medical...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...