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

UnitedHealthcare in Tennessee seeks a Licensed Field Care Coordinator to coordinate care for medically complex members, delivering education, self-management support, and advocacy. This field-based, remote role requires strong clinical skills and...

Humana is seeking to fill the Compliance Audit Nurse role to audit care management activities and documentation for regulatory compliance. The position involves independent determination of appropriate courses of action, data collection and...

The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care to the terminally ill patient/family unit. The Triage Registered Nurse provides continuity of care to...

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of the...

Mountain Pacific is seeking a part-time Clinical Field Reviewer (Remote) to perform in-home nursing assessments for MedicaidCFCS/PCS programs across Eastern Montana. The role emphasizes member-centered care and collaboration with providers to...

Molina Healthcare is recruiting a qualified RN for a fully remote Utilization Management role requiring an active Illinois license. The position operates Monday–Friday, 8:30 AM–5:30 PM CST, with emphasis on clinical determinations using MCG...

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...

firsthand Health is seeking a Remote Triage Nurse to support clients and staff by phone and electronic triage. This day-shift role (8:30-4:30 PST) focuses on care coordination, training, and administrative tasks while delivering compassionate,...

Humana Inc. in the United States is seeking a Part C G&A Nurse (Utilization Management Nurse 2) to support case preparation, review medical documentation and coordinate appeal determinations. This remote, full-time role requires an RN with...

EMD Serono is seeking an experienced RN Patient Support Specialist to educate patients, provide product training, and deliver personalized support throughout treatment journeys. This remote role requires clinical nursing judgment and collaboration...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plan is currently hiring a Medical Policy Research Specialist/ Registered Nurse (RN) - Remote in Virginia! ...

Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees.

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...

A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must...

UnitedHealthcare is seeking a field-based Care Coordinator (RN) to coordinate care for medically complex members primarily within Medicare/Medicaid. You will apply clinical knowledge to identify needs, educate members, and ensure access to...

Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare service utilization. The role requires clinical expertise and collaboration with providers to...

An educational institution in Kentucky is seeking a Nurse Coordinator for the Human Development Institute. This full-time position involves reviewing care assessments, providing technical assistance, and requires 8 years of related experience and...

Job Summary Collaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental goals and needs, as well as...

A quality improvement consulting company is seeking a RN Health Care Facility Surveyor to conduct remote surveys with travel up to 75%. Candidates must possess a nursing degree and a valid RN license. The role requires evaluating healthcare...

A healthcare auditing firm is seeking a Hospital Bill Audit Nurse Supervisor to lead a remote team responsible for hospital bill audits. The candidate should have a nursing background with at least 5 years of experience in acute settings and be...

Lifepoint Health seeks a Director of Nursing & Quality Resource to provide interim leadership across behavioral health facilities, guiding quality care delivery, staff development, and policy revision. This role requires extensive travel and the...

Job Description Registered Nurse - PRN (As Needed) - Home Health (Dillon County) Job Summary 1. Maintains a professional image and exhibits excellent customer relations to...

Case Manager Utilization RNPrimary Location: Panorama City, CaliforniaFacility Name: Panorama City Medical Offices 4Employee Status: RegularSchedule: Part-timeScheduled Weekly Hours: 32Shift: DaySalary: $64.74 - $79.23 / hourJob Number:...

PARKCREEK SURGERY CENTER is a busy, multispecialty ambulatory surgery center located in Coconut Creek, Florida We are an affiliate of United Surgical Partners International. USPI provides first-class surgical services for local communities, and we...