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Anchor Health is seeking a compassionate RN Triage Nurse (Full-Time) to join our hospice/palliative care team. Under Nurse Manager supervision, you will triage via the nurse line and coordinate with Call Center agents, providers, and clinics to...

Our Company Amerita Overview The Regional Director of Nursing is responsible for daily and strategic management of those branches within his/her designated region. Responsibilities include but...

A healthcare company is seeking a Clinical Triage Nurse to assist with inbound patient calls, assess symptoms, and provide medical advice. The ideal candidate will have a valid RN license, strong communication skills, and the ability to work...

Sagility LLC is seeking a Senior Care Specialist (RN) to deliver telephonic education to patients and caregivers from a home-based setting. You will follow clinical protocols within nursing scope and collaborate with the Clinical Operations team...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services by assessing member needs and coordinating care. Based in Phoenix, AZ with a fully remote work style, the role requires 3+...

Consulting Rn For North Dakota CGM Services Med Supply US is an ACHC-accredited, Medicare-enrolled mail-order supplier of continuous glucose monitors serving patients nationwide. We're expanding into North Dakota and need an ND-licensed...

Registered Nurse (RN) - Overnights Hopkinton, New Hampshire Make a meaningful difference every night. Maxim Healthcare Services is seeking a compassionate and skilled RN or LPN to provide one-on-one care for an adult male...

Remote Position This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions, and must have their own secure...

Namely is seeking California Based Nurse Care Managers for remote work to support members through their healthcare journey, ensuring needs are met with leading interventions. The position requires a Bachelor of Science in Nursing, 5+ years...

A healthcare organization is seeking a remote RN to manage patient care related to chronic kidney disease. Responsibilities include ensuring continuity of care, coordinating treatment plans, and documenting patient information. Candidates must...

A leading healthcare provider is seeking an Associate RN for a remote role dedicated to acting as a care guide and advocate for patients. The candidate must hold a valid RN license in a compact state or California. Responsibilities include...

Great-Lakes-Management-Co. seeks a PRN/On Call Triage RN for a remote position serving residents in MN, WI, and CO. You must reside in MN, WI or CO and hold an active RN license in those states. The role offers on-call shifts with remote...

MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure and 3+ years of clinical experience. Responsibilities include assessing healthcare...

Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in...

Broadway Ventures, a veteran-owned SDVOSB headquartered in Mississippi, seeks an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud referrals. You will apply clinical expertise...

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...

A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience...

Enlyte is seeking a Telephonic Case Manager (RN) to support injured workers and auto accident patients from a remote U.S. location. You will work with treating physicians, employers, and patients to develop and monitor effective treatment plans...

A healthcare provider in Victorville is seeking a Nurse Practitioner to join their team. This role focuses on delivering high-quality patient care and includes responsibilities such as diagnosing illnesses, prescribing medications, and performing...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate and fully covered by the patient's insurance. The team focuses...

Astrana Health, Inc. is seeking a Care Manager I - RN to remotely support members in the Maryland area. The role requires collaboration with care teams, discharge planning, and advocacy for patients regarding insurance and financial assistance.

Amicus Nursing Services Inc is looking for a dedicated Infusion Registered Nurse to join as an Independent Contractor. This remote role allows skilled RNs to provide life-enhancing therapies to patients in their homes. Candidates must have an...

A healthcare auditing firm is seeking a Hospital Bill Audit Nurse Supervisor to lead a remote team responsible for hospital bill audits. The candidate should have a nursing background with at least 5 years of experience in acute settings and be...

DaMar Staffing is seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. The role covers claims analysis, provider audits, fraud detection, and...