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WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant patient care. The role emphasizes adherence to HIPAA, state and federal regulations, and a...

Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS, in a NCQA-compliant UM program. The candidate will collaborate with our Medical Director on benefit and medical...

Sedgwick is seeking a US Telecommuter RN Telephonic Case Manager for a full-time remote role. You will support injured workers, employers and providers, coordinating medical services and advocating for timely recovery and return-to-work.

Job Description WHAT YOU'LL DO As an admissions nurse at VITAS Healthcare, you will be the first face of hospice for patients and families. Your meeting will likely be the first time they...

Yoh is seeking a Utilization Management Nurse Coordinator (RN or LVN) for a 6+ month remote contract with a managed care client based in Northern California. Training occurs onsite in Fairfield or Redding for three weeks, then transitions to fully...

Required Skills & Experience • \tCompletion of an accredited registered nursing (RN) degree program is required\n• \tCurrent, unrestricted Registered Nurse (RN) Licensure in state(s) of practice is required \n• \tMinimum of three (3)...

IU Health is seeking experienced Licensed Practical Nurses (LPNs) to join its statewide Pre-Triage team. This remote, telephone-based role supports established patients, leveraging nursing skills to assess concerns and guide care pathways.

Float Health is seeking an Intake Specialist to manage new patient referrals and coordinate start-of-care visits. This remote role requires clear communication, rapid action, and cross-functional collaboration with pharmacies, nurses, and...

Medix™ is seeking a clinically strong, detail-oriented Registered Nurse to join our Utilization Review team in a fully remote role. You will conduct medical necessity reviews, determine appropriate patient status, and collaborate with physicians...

Herzing University's Online Division is seeking a part-time Adjunct Nursing Faculty member to support graduate nursing and nursing education programs. Candidates must hold a terminal nursing degree and a Wisconsin or compact-state nursing...

Overview Clinical Documentation Specialist - RN, Remote 40 hours per week Facilitates improvement in the overall quality, completeness and accuracy of medical record documentation. Educates members of the patient care team...

Rochester Regional Health is seeking a Registered Nurse for the Communications Center (Central Triage). The role includes an in-person training period with potential remote/hybrid work options after oversight and training. Expect 40 hours...

WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We serve the most vulnerable seniors with better quality and compassion in a value-based model. The Case...

Peraton's SafeGuard Services seeks a Nurse Reviewer to conduct medical record reviews, applying clinical judgment to claim payments and supporting fraud investigations. Telework is available from any state. The ideal candidate will hold a...

TeleMate Health INC. is seeking a compassionate Weekend Nurse (LPN/LVN) to provide patient-centered care remotely on weekends, including oversight, education, and coordination with the patient's healthcare team. A valid LPN/LVN license and...

Come work at the best place to give and receive care! Job Description:Who We Are: SolutionHealth is an integrated health system uniquely focused on providing access to high-value, primary, and specialty care...

INTEGRIS Health in Oklahoma City, OK is seeking an experienced RN Case Manager for Utilization Review to join our remote team. This full-time daytime role includes every-other-weekend shifts and focuses on coordinating care and discharge planning.

Spanish Speaking LPN Nurse (REMOTE), Colorado Location: 100% Remote Flexible Hours: Set your own schedule Requirement: Must hold an active Colorado's LPN license Job Summary We are seeking a bilingual...

Optum is seeking a remote IRR Clinical Claim Review Nurse to perform clinical review of claims against medical records and guidelines. The role requires an active RN license, 2+ years of acute care clinical experience, and 1+ year in claim review...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Schedule This is a per diem, fully remote opportunity offering flexibility and work-life balance. Minimum commitment of 16 hours per...

Housing Advocacy Vocational and Employment (HAVE) in Gaithersburg, MD is seeking a dedicated Registered Nurse/Delegating Nurse (RN/DN) to support individuals with developmental disabilities under Maryland's DDA program. Responsibilities...

Clinic Nurse The START Center for Cancer Research ("START") is the world's largest early phase site network, fully dedicated to oncology clinical research. Throughout our history, START has provided hope to cancer patients in global...

LifeBridge Health's Sinai Hospital Utilization Review team is seeking a remote, full-time RN to conduct initial, concurrent and retrospective chart reviews, applying UR criteria to ensure hospital stays are appropriate and fully covered by...

Allegheny Health Network is seeking an RN Clinical Document Specialist to support remote work from Pennsylvania within 50 miles of Pittsburgh or Erie. The role focuses on improving documentation accuracy to optimize reimbursement, with extensive...

Job Title: Registered Nurse (Navy Nurse Corps) Category / Component: Officer • Both Overview Navy Nurse Corps Officers deliver professional nursing care to service members, families, and global communities in leading edge military medical centers,...