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Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant...

St. Louis Children's Hospital is seeking an RN for after-hours triage and nursing support via the Answer Line. The role involves assessing patient needs, guiding care plans, and educating families within established guidelines. Part-time...

Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees.

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...

Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare service utilization. The role requires clinical expertise and collaboration with providers to...

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...

Pay Range: $35.92 - $53.88 A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education. This position is responsible for the coordination of patients...

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Overview Position requires 6 months of in-office training prior to being remote. The office is located in Champaign, IL The Patient Advisory team is the first point of contact for our immediate and extended communities, PAN RN's are the key to...

Payfuture Technologies is looking for an RN Triage Nurse to provide remote telephone triage care. Ideal candidates have at least 5 years of experience in nursing, preferably in settings such as Emergency Departments or call centers. The...

Stormont Vail Health is seeking a dedicated RN for a full-time, first-shift role focused on triage and patient care. The position requires evaluating health status via phone, guiding callers per nursing protocols, and coordinating patient...

Oncology Triage Registered Nurse- Remote page is loaded Oncology Triage Registered Nurse- Remote Apply locations United States time type Full time posted on Posted 3 Days Ago job requisition id JR17178 Date Posted:...

3:15 is looking for a qualified Registered Nurse (RN) to manage the care of patients through various continuous care programs including Remote Patient Monitoring. The RN will welcome patients, educate them on health device usage, and create...

A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare teams, and ensuring compliance. Candidates need an active RN license and...

A healthcare technology company is seeking an experienced On-Call Registered Nurse (RN) for a remote, part-time position. This role offers flexibility and the opportunity to support patient care from home. Candidates must possess a current Compact...

Cadence in Dallas, TX is seeking an RN Supervisor to lead a remote team of Registered Nurses in a high-volume triage environment. This role demands strong clinical judgment, operational management, and performance coaching to maintain quality...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey's health solutions leader driving innovations that improve health care quality,...

Welby Health is seeking a licensed RN to serve as Care Manager for our remote physiological monitoring program. You will monitor vitals, develop care plans, and provide education to improve adherence and outcomes. In this remote role, you...

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...

$5,000 Sign On Bonus for External Candidates We offer excellent compensation, benefits within 30 days that include generous PTO, paid holidays, annual reviews, tuition reimbursement, along with opportunities for continued career progression!

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and to identify solutions that help members live healthier lives. The role involves reviewing inpatient cases, coordinating...

National Care Advisors is seeking a full-time Nurse Case Manager based in Oakland, California. This role focuses on providing case management services for special needs clients while collaborating with family caregivers and professionals.

An educational institution in Kentucky is seeking a Nurse Coordinator for the Human Development Institute. This full-time position involves reviewing care assessments, providing technical assistance, and requires 8 years of related experience and...

Infinisource Consulting Solutions Description: A Diabetes Nurse Educator is needed with a Certified Diabetes Care and Education Specialist (CDCES) certification — This specialized nurse who helps patients...