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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...

A healthcare organization is seeking a remote RN to manage patient care related to chronic kidney disease. Responsibilities include ensuring continuity of care, coordinating treatment plans, and documenting patient information. Candidates must...

JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but selected candidate must reside in the state of California. This position requires California RN Licensure. Candidates must...

A prominent healthcare organization is seeking an A&G Clinical Specialist to manage health member complaints and appeals. This fully remote position requires expertise in clinical case management, understanding of regulatory compliance, and the...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services, assess member needs, and identify plans of care. This role supports collaboration with care teams and compliance while offering...

A virtual healthcare company is seeking a compassionate RN or LPN to provide nursing care to mental health patients in a telemedicine setting across various states. This is a full-time position with a pay range of $60,000 - $90,000 and benefits...

OpenLoop is looking for a full time Telemedicine Registered Nurse (RN) to join our team remotely. In this role, you will be responsible for providing patient education and clinical support, ensuring optimal health outcomes, and working closely...

Enlyte is seeking a Telephonic Case Manager (RN) to support injured workers. This full-time, remote role requires an active RN license (compact) and NY RN license, working with physicians, employers, and patients to develop treatment plans and...

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...

Seeking a part-time Utilization Review Nurse RN, the candidate will perform medical-necessity reviews and level-of-care determinations, ensuring compliance with established guidelines while working up to 28 hours per week, including weekends.Key...

A leading healthcare company is seeking an experienced Telephonic Nurse Case Manager to manage medical claims and facilitate care for injured workers. The ideal candidate will have at least a year of experience in Florida Workers' Compensation,...

Upper Peninsula Health Plan (UPHP) is seeking a Remote Community Based Clinical Coordinator - Care Manager. The role involves evaluating members, coordinating services, and ensuring high-quality, cost-effective care across care settings.

NURSE PRACTITIONER Print ( Apply  NURSE PRACTITIONER Salary $137,323.92 - $205,556.40 Annually Location Los Angeles County, CA Job Type Full time Job...

Midi Health is seeking a Nurse Practitioner to deliver virtual care for women's midlife health, with autonomy to manage perimenopause, menopause, weight, and sexual health. You will prescribe HRT and GLP-1 weight therapies from a fully remote...

RN Clinical Documentation Integrity Specialist Remote Key Responsibilities: Ensuring Clinical Documentation Meets Quality And Regulatory Standards. Working With Medical...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

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.

L&D/OB RN Opportunity at Community Hospital of Anaconda Community Hospital of Anaconda is seeking an experienced L&D/OB RN for NOC shifts with call. Must have experience in both OB and Labor & Delivery and Postpartum; 2 years of...

A healthcare organization is seeking a full-time Case Manager (Registered Nurse) based in Baton Rouge, LA, to manage injury-related calls and coordinate treatment. This remote role requires a valid RN license and at least two years of nursing...

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Saint Luke's East Hospital Registered Nurse Saint Luke's East Hospital is looking for a Registered Nurse to join the dynamic Cardiovascular Recovery Unit. Position: Registered Nurse – CVRU Schedule: Full Time, 36 Hours/Week –...

Remote Position This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions, and must have their own secure...

Chief Nursing Officer III LA Health Services is LA County's integrated healthcare system and the second-largest public health system in the nation. Our system includes four public hospitals, more than 20 community health centers,...

Astrana Health, Inc. is seeking a Care Manager I - RN to remotely support members in the Maryland area. The role requires collaboration with care teams, discharge planning, and advocacy for patients regarding insurance and financial assistance.

Cambia Health is seeking remote Care Management RNs to provide case, disease, and care coordination from home within Oregon, Washington, Idaho or Utah. This role supports a person-focused health care experience with strong clinical judgment and...