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Part C Grievance & Appeals Nurse Become a part of our caring community The Part C Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical nursing skills to support the coordination, documentation and...

TEKsystems in Texas (remote) is seeking an experienced Registered Nurse to transition from bedside care into care coordination, member advocacy, and improved health outcomes. This fully remote role supports high-risk populations while balancing...

A remote healthcare provider is seeking a bilingual Spanish-speaking Licensed Practical Nurse (LPN) to improve patient outcomes through patient-centered care, education, and support focused on Chronic Care Management and Remote Patient Monitoring...

Santa Barbara Cottage Hospital is seeking a Licensed Practical Nurse (LPN) to join our team remotely for Principal Care Management (PCM). In this role, you will review patient care plans, coordinate care with healthcare providers, and assist with...

Medical Reviewer, RN J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee-centered healthcare management consulting company. Our team of 260...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Field Care Coordinator RN or LSW - Remote in Northern Idaho (2377507) Field Care Coordinator RN or LSW - Remote in Northern Idaho - 2377507...

Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies. With a...

Registered Nurse (RN)–Torrance,CA Local Pay: $76.00/hour (W2) Join our team and make a meaningful impact by delivering exceptional care in a professional healthcare setting.

Qualifications VA Health Professional Trainees (HPT) pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. A HPT is an individual...

RN - Utilization Management ID 2026-25367 Category Registered Nurse specialties - Case Manager Facility Nationwide - California Job Description Spectrum Healthcare Resources has...

A healthcare staffing agency in Guilford County, NC, is seeking a ClinicalLTSS Care Manager. This mid-senior level contract role involves developing and coordinating holistic care management activities for healthcare members with long-term support...

KangarooHealth, Inc. seeks a bilingual Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) licensed in California to join our remote clinical team. You will monitor chronic conditions, guide patients, and support device use through...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students...

Responsibilities How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and...

Centene is seeking a licensed Practical Nurse or Registered Nurse for a remote utilization management role based in Oklahoma. You will review prior authorization requests for medical necessity and coordinate with medical teams to ensure...

Registered Nurse Position We invite applications from all Los Angeles County College of Nursing and Allied Health (CONAH) Graduates! Application filing period will begin on July 7, 2026 - Continuous. We will continue accepting...

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...

At The Bellefontaine Healthcare Center, we are dedicated to providing the highest quality of care for our residents. We are located in Pasadena, CA and are known for our exceptional customer service to all families and communities involved. Our...

At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital...

Essential Functions Assesses needs of patients as assigned based on data collected through history, observation, physical examination, and analysis of diagnostic data. Provides appropriate nursing interventions, consistent with the Plan...

A healthcare quality organization is seeking a Nurse Reviewer to support Medical Review Services. The role involves conducting detailed medical necessity reviews for Medicaid claims in a remote work setting. Candidates should have a BSN with...

A leading hospice care provider is seeking a compassionate Licensed Vocational Nurse to deliver skilled nursing care in Michigan. The role involves coordinating care with an interdisciplinary team and ensuring continuity of quality patient care.

Your Future Role At A Glance Location: Remote Facility: Ascension Wisconsin Statewide Department/Specialty: Clinical Integrity Documentation Schedule: Full...

Why Join Sunrise Senior Living At Sunrise Senior Living, we believe meaningful work starts with purpose. Our team members are passionate about making a positive difference in the lives of residents every...