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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...

CVS Health is seeking a Case Manager - Registered Nurse (RN) for a fully remote role with our National Medical Excellence (NME) team. The role blends case management and utilization management to assess, plan, implement, and coordinate care for...

Position description The Department of Surgery, Division of General Surgery at the David Geffen School of Medicine at University of California, Los Angeles (UCLA) invites applications for the position of Section Chief of Surgical...

Registered Nurse (RN) The Registered Nurse (RN) is responsible for managing the individualized patient care by promoting and restoring patients' health through the nursing process. The RN provides direct patient care, including...

Section Chief of Surgical Critical Care The Department of Surgery, Division of General Surgery at the David Geffen School of Medicine at University of California, Los Angeles (UCLA) invites applications for the position of Section Chief...

Arkansas Blue Cross and Blue Shield is seeking an Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and benefit inquiries. The role ensures medical necessity and promotes quality care with cost...

A-Line Staffing Solutions is seeking a Clinical Review Nurse for a concurrent review role in a remote-capable setting. The RN will assess member eligibility through chart review and coordinate with providers to gather necessary information.

Clinical Registered Nurse (RN) – Remote Full-Time | Remote | $100,000 + Comprehensive Benefits Package We are recruiting RNs for a growing, technology-enabled healthcare organization, expanding its remote clinical...

Position overview Position title: Section Chief of Surgical Critical Care Salary range: The posted UC (University of California) salary scales set the minimum pay determined by rank and step at...

Provide a full range of nursing practice guided by the American Nursing Association's (ANA) Nursing Scope and Standards of Practice (2004) and dependent upon...

What You'll Do As an Enrollment Nurse, your primary responsibility is enrolling patients in a chronic care management program. You'll call eligible patients, educate them about the program, answer questions, and assist interested patients...

Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health...

Psychiatric / Behavioral Health Nurse Job Overview As a Psychiatric / Behavioral Health Nurse, you will help provide comprehensive mental health care for Soldiers, their families, and military retirees. You will also care for those in emotional...

Remote Care Manager (RN) - MUST LIVE IN TEXAS TX, United States Trending Job Description JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state.

Southcoast Health seeks a Team Lead-Centralized Clinic Support to join a remote role serving MA/RI communities. The role guides nursing staff, ensures clinical workflow compliance, and drives care coordination and patient safety across ambulatory...

Beth Israel Lahey Health Primary Care is seeking an experienced Transitional Care Nurse to support care coordination for primary care patients. The role is primarily remote with initial onsite training in the North Shore area, focusing on safe...

NurseRemotely is seeking a licensed RN for a remote case management role with a Health Insurance client. You will design care plans, assess needs and coordinate services across various teams to ensure quality, cost-effective care.

Emory Healthcare seeks an experienced Telehealth Registered Nurse to deliver high-quality remote patient care via telehealth platforms. The RN will assess, triage, educate, and support patients with expertise in clinical algorithms and EMR...

Arkansas Blue Cross and Blue Shield is seeking a remote member triage nurse to assess resources, answer and route CSPH division calls, and promote omni-channel communication including mobile apps. The role emphasizes nursing judgment,...

GQR Healthcare is seeking a travel nurse Correctional for a travel nursing job in Downey, California. Job Description & RequirementsSpecialty:...

Sentara Health Plans is seeking a Clinical Claims Reviewer/RN for a remote role. This full-time, 40-hour position offers remote work across multiple states and requires RN licensure, BSN, and CPC certification within a year. The role focuses on...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

CVS Health is seeking a Registered Nurse for Utilization Management to assess and coordinate care for members. You will review clinical information, apply guidelines, and render coverage determinations while communicating with providers to...

Effizotech is looking for a dedicated Patient Care Coordinator to join their team. This role involves coordinating patient appointments for infusion services while ensuring timely communication with patients. The opportunity offers the flexibility...

Asure Wound Solutions seeks a Clinical Specialist, Wound Care Supplies for a remote role based in the Providence area. Requires nursing home/long-term care experience and strong wound care knowledge. Travel up to 2 hours for site visits is...