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We're looking for a detail-oriented and motivated Remote Utilization Management Support Clerk to join New Paradigm Staffing, a growing healthcare staffing agency focused on remote administrative roles that support clinical...

Kaiser Permanente in Downey, CA seeks an experienced Registered Nurse to coordinate discharge planning and post-acute care. Works with MDs to assess admissions and plan appropriate levels of care, ensuring safe transitions and cost-effective care.

Responsive Recruiter Benefits: Competitive salary, opportunity for advancement, paid time off, training & development, wellness resources. This role is in-person in our office, located in Lake Balboa. Position Purpose The...

Humana Inc. seeks a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations. You will report to the Manager of Utilization Management and...

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...

Geisinger is seeking a Cancer Registry Data Abstractor to interpret complex medical information from electronic records to support program activities, regulatory and accreditation needs. You will abstract data for the cancer registry, review...

Molina Healthcare is seeking a remote RN Care Manager with a preference for candidates in Washington State. The role operates on Pacific Standard Time hours and involves telephonic case management and transition-of-care functions for Medicare...

AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Manager for a travel nursing job in Pasadena, California. Job Description & Requirements Specialty: Manager Discipline: RN Start...

Job DescriptionDescriptionThere's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Care Manager, RN - Remote In Training Allocation Med Office Full Time FL,...

Trillium Health Resources is seeking a Compliance Nurse to perform clinical compliance reviews and evaluate claims to ensure adherence to regulatory and coverage requirements. The role applies clinical judgment to assess documentation, determine...

Central Intake Nurse Job Type: Full-Time Remote possible Benefits Offered: Healthcare Dental Vision PTO 401K Your Job Summary The Central Intake Nurse...

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...

Back RN/Managed Care Coordinator - Remote Healthcare Columbia , South Carolina Contract Hybrid Oct 12, 2026 Must live in the state of South Carolina. Must be able to work the first 4-6 weeks onsite in Columbia, then will go remote.

Asure Wound Solutions is seeking a Clinical Specialist, Wound Care Supplies to join our team. This remote position is based in the Concord area and requires live residence within this area, with the ability to drive up to two hours for visits.

American Senior Communities is hiring a Community Nurse Liaison (LPN) to support patient evaluations and collaborate with hospitals to determine admission needs for our skilled nursing facilities. The role is remote but requires residence...

Explore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care,...

Please make sure to complete all the questions in the application and continue through to the end in order to sign and submit it. Responsible for performing Workers' Compensation utilization review, which includes...

University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and...

Managed Medical Review Organization, Inc. is seeking an experienced RN to join our team in a remote, home-office capacity. The role emphasizes telephonic/customer service, accurate documentation, and clinical review of cases. Candidates...

JOB DESCRIPTION - REGISTERED NURSE (A) Job Summary: The Registered Nurse provides patient care on a supplemental basis to our client facilities. With the delivery of safe, quality patient care as...

LVN Inpatient Case Manager – Utilization ManagementPosition DetailsPay Rate:$33–$46 per hourLocation:Montebello, CA 90640 (Onsite)Schedule:Monday–Friday, 8:00...

Improve the lives of others while Caring. Connecting. Growing together.Job Description - HSS Clinical Coordinator RN - Telecommute in Texas (2391171)HSS Clinical Coordinator RN - Telecommute in Texas - 2391171At UnitedHealthcare, we are...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Bay Crest Care Center in Torrance, CA is seeking a Full-Time Case Manager (LPN/LVN) to join their healthcare team. The role involves managing resident care through various stages and collaborating with healthcare providers. Candidates must have...