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Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as an RN Appeals Analyst, you will research the substance of complex appeal or retrospective review...

Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations for post-acute care services including SNF, home health and DME.

Job Description: Join a compassionate hospice team where your nursing expertise helps patients experience comfort, dignity, and quality of life in the place they call home. As a Hospice RN, you'll provide individualized, patient-centered care...

Responsibilities Registered Nurse (RN) - PRN/Not Remote PRN Rivendell Behavioral Health Servicesis an 80-bed full-service behavioral healthcare acute care facility located in Benton,...

Case Manager Monterey Park Hospital, a 101-bed acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Case Manager for our Utilization Review Department. This is a full-time, 8-hour day shift position...

RN-Case Management Job in Downey, CA $2609-$2609 per week* Location Downey, CA Schedule 5x8 Days Start Date 11/30/2026 Assignment Length 13 weeks Job Type Travel Job ID 3529374...

Details Client Name AYA-Cedars-Sinai Medical Center Crisis Response Job Type Travel Offering Nursing Profession RN...

Job Summary: This Utilization Review (UR) Registered Nurse (RN) position supports the Mission of Pipeline Health through the provision of distinctive and compassionate care to our patients. This position is responsible for...

Details Client Name California Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

Southern Illinois Healthcare is seeking a Population Health Care Manager (RN or LPN) for a fully remote Illinois-based role. The position requires an Illinois RN or LPN license, with RN preferred, and an emphasis on care coordination for patients...

AltaMed RN Case Manager If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed – it's nurtured, celebrated, and...

Registered Nurse (RN) - Case Management (CM) Location: 757 Westwood Plaza, Los Angeles, CA, 90095 Work type: Travel Contract Estimated pay: $2305 per week (estimated) Shift: Days Start date: 11-02-2026...

We are seeking experienced Registered Nurses with inpatient clinical expertise to contribute to a project focused on improving the accuracy, safety, and reliability of AI systems in healthcare. In this role, you will apply your nursing...

Description There'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 enjoying the positive, supportive,...

Case Manager II (RN or LVN)The Case Manager II is an experienced clinical case management professional responsible for independently managing a complex caseload across acute inpatient and post-acute settings. The role integrates concurrent...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health...

Integra Partners is seeking an LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to review benefit and...

RN Case Manager – Care Management Location: Glendale, CA Unit: RevCycle – Care Management Start Date: 10/12/2026 Contract: 13 Weeks Shift: Days | 8:00 AM–4:30 PM Schedule: Tuesday–Saturday Hours: 40 hrs/week On Call: No Job...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Nurse 3 Job Location: Redondo Beach, CA...

Details Client Name Providence Saint Joseph Medical Center - Burbank Job Type Travel Offering Nursing Profession RN...

Remote Nursing OpportunitiesAre you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional...

Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state regulations, URAC standards, and...

Maximus is seeking a Lead Coordinator - Clinical Review (LPN/RN) for the California Independent Medical Review team. This fully remote, non-bedside role involves reviewing medical records, identifying key clinical information, and preparing...

Lehigh Valley Health Network, Inc. seeks an experienced RN for remote triage and healthcare navigation in Pennsylvania. The role provides telephonic triage to identify appropriate care levels, coordinates care across settings, and supports...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Utilization Review Nurse/ RN for Imaging/Commercial- Remote! Status:...