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School Registered Nurse (RN) Setting: Schools Job Type: Contract - Part Time Pay: $43 / Hour Hours: 30.00 Location:...

Utilization Review Specialist (RN) – Work From Home (Florida-Based Candidates Only)Concierge Home Care | Work From Home Opportunity – Must Reside in FloridaAt Concierge Home Care, we are growing and looking for an experienced Utilization...

CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote capacity. The role reviews inpatient and outpatient services using evidence-based criteria, authorizes care with providers, and escalates cases as needed.

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility: Southridge Clinic...

CVS Health is hiring a full-time RN for healthcare services and utilization management. The role emphasizes assessing and coordinating care, applying clinical criteria, and communicating with providers to optimize member outcomes. The...

MCMC is seeking an RN/LPN/LVN with a clinical background to join as a Clinical Quality Assurance Coordinator, performing QA reviews of peer reports from home. You will ensure evidence-based rationales, accurate client instructions, and standards...

Our promise to you Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a...

We're looking for a detail-driven LPN Intake Specialist to join our team. In this role, you'll manage incoming referrals, ensure documentation is accurate and compliant, and help coordinate a smooth admission process for patients. This is a...

Licensed Vocational Nurse (LVN) –Torrance,CA Local Pay: $31.50/hour - (W2) Join our team and make a meaningful impact by delivering exceptional care in a professional healthcare setting. We're...

Health Care Service Corporation seeks a Quality of Care (QOC) Nurse to review and investigate potential quality of care issues in a timely manner. This role supports QA activities in line with CMS and NCQA requirements, under the supervision of...

American Career College is seeking an Educational Support Specialist, VN to guide nursing students in California. The role supports instructors, develops learning materials, and fosters student success while maintaining scholarly activities and...

VIVA HEALTH in Birmingham, AL is seeking a Case Manager, Utilization Review to support members and high-risk patients. The role involves coordinating utilization review activities, performing timely medical records checks, and determining medical...

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.

Herzing University's Online Division seeks a nursing professional with teaching experience to join as part-time Faculty. You'll support growth in graduate nursing and nursing education programs, teaching online and supervising doctoral projects as...

Comagine Health is seeking an experienced Registered Nurse for a remote Clinical Reviewer role supporting a Washington L&I contract. The position emphasizes evaluating medical necessity, quality, and appropriateness of care using established...

Spanish Bilingual Clinical Registered Nurse (RN) Our Spanish Bilingual Clinical Registered Nurse (RN) plays a vital role by caring directly for our participants in the clinic including support with clinic overflow, day center triage,...

Job Overview The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient...

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...

WNS Healthhelp in the United States is seeking an RN/LVN Team Lead to oversee utilization management and case coordination. You will balance review work with leadership duties, monitor staffing, and ensure regulatory compliance across programs.

Carle Health is seeking a Registered Nurse to support telehealth triage and care coordination. The role begins with six months of in-office training at our Champaign, IL location before transitioning to remote work. You will manage triage,...

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...

About Clarity Pediatrics Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD. After successfully launching our virtual clinic for ADHD and anxiety, we are expanding our pediatric care platform to address other...

GQR Healthcare is seeking a local contract nurse RN DOU - Direct Observation Unit for a local contract nursing job in Panorama City, California. Job Description &...

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...

West Coast University, Inc. in California is looking for a dedicated Nursing Faculty member to mentor nursing students and enhance their educational journey. You'll guide the next generation of healthcare professionals, ensuring their success...