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Clinical Specialist Utilization Management Under the general supervision of the Director of Utilization Management for the Detroit Wayne Integrated Health Network (DWIHN), Clinical Specialists – Utilization Management are responsible...

Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

RN Care Coordinator Care Coordination Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest...

Registered Nurse Care Coordinator Company: Merrimack Health Work Type: Remote Employment: Temporary Location: US Seniority: Mid Level Technologies: InterQual Requirements: BSN preferred; Massachusetts RN license; minimum 5 years clinical nursing;...

To support a growing team, the full-time Maryland Licensed RN Case Manager will coordinate care and health education for members with chronic conditions, working remotely during standard business hours.Key responsibilitiesIdentifies and acts upon...

Regional Case Manager (RCM) Registered Nurse (RN) Are you ready to reset your case management career with a dynamic and growing healthcare company? If you're ready for the challenge, YOU could be the right fit for this position! Prestige...

Job Description \n UCHealth (Colorado) is seeking a Registered Nurse (RN) Psychiatric for a nursing job in Aurora, Colorado. Job Description & Requirements\n \n Specialty: Psychiatric \n Discipline: RN \n Duration: Ongoing \n 36 hours per week \n...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to...

Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...

A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong...

MES Solutions is seeking a Registered Nurse (RN) to join our Clinical Quality Assurance team as a Clinical Quality Assurance Coordinator. This 100% remote role focuses on reviewing peer review reports, ensuring evidence-based rationales, and...

Job Title Location: 100% Remote – Any US State Shift: Fri-Sat-Sun-Mon 8:30 am – 6 pm CST Overtime may be required and Holidays are required Duration: 12months Job Profile Summary: Will be working with the IL and MI Medicaid...

OverviewJobs for Humanity is partnering with CEDARS‑SINAI to build an inclusive and just employment ecosystem. We prioritize individuals from diverse communities including Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard...

Job Title: RN Maternity Case Manager WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. What is...

ExamWorks is looking for a Utilization Review Nurse Auditor to join their team! The Utilization Review Nurse Auditor is responsible for performing quality utilization review services and approving care that...

Registered Nurse Beverly Hills, CA Home Health Registered Nurse (RN) – Per Diem | West LA area Territory: West LA & Surrounding areas Schedule: Per Diem / PRN (Flexible Scheduling) Now Hiring: Home Health RN Jobs...

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...

Habitat Health empowers older adults to experience more good days in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive medical care along with support for daily needs such as...

Utilization Management Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is...

Details Client Name WelbeHealth - North Hollywood Job Type Travel Offering Nursing Profession RN Specialty...

Research Nurse (Per Diem) - Greater Portland, OR /Vancouver, WA areaIllingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include...

Job Description Part-Time RN Case Manager - Home Health | Vestal/Binghamton | $5,000 Sign-On Bonus Bring your RN skills into a more flexible, relationship-driven home health role. Guthrie Home Care NY...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

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...