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Mercy is seeking an RN II in Advanced Primary Care to provide virtual chronic disease management in collaboration with physicians and advanced practitioners. You will establish patient relationships, monitor vitals, and support panel management,...

Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...

RN | School Nurse | South Los Angeles | Fall 26 | 34107 Job Description: #LI-jobpost Job description: Ro Health is seeking Registered Nurses (RN) for pediatric care for the 26-27 School Year in Los...

Forensic Registered Nurse (RN) Scheduled Weekly Hours: 36 Work Shift: Days/Afternoons (United States of America) Summary of Primary Function The Forensic Registered Nurse (RN) is a highly specialized professional who...

Job OverviewPay Range: $46.76hr - $51.76hrRequirement/Must Have5+ years Clinical nursing experience.2+ years Care Management.Bachelor's Degree in Nursing.In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required...

SHIFT: Any (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will...

Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations. You will work with the One Home/Home Solutions Utilization...

Sagility is seeking an experienced Senior Care Specialist (Registered Nurse) to perform telephonic health assessments and develop individualized care plans from a work-from-home setting in Ohio. This seasonal opportunity targets experienced RNs...

Description: 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...

Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Back Registered Nurse – Review Analyst | Remote | Contract Business & Care Management Detroit , Michigan Contract Nov 6, 2026 Registered Nurse – Review Analyst | Remote | Contract Walker Healthforce is seeking a...

OpenTrain AI, Inc. is seeking a Registered Nurse AI Evaluation Expert to review and create clinical content used to train AI systems. You will apply nursing judgment to ensure accuracy, safety, and clarity across patient education, triage...

Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote role based in the United States. You will conduct admission and concurrent reviews, assess medical necessity, and coordinate appeals to support patient care and...

Open Non-Competitive Job Opportunity Exam Number: Y5135L Filing Start Date: 03/03/2026, 8:00 A.M., PT Filing Dates: 03/03/2026, 8:00 A.M., PT, Until The Needs Of The Service Are Met And Is Subject To Close Without Prior Notice.

Salary : $104,225.76 - $156,012.72 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5135L Department: HEALTH SERVICES...

CommonSpirit Health is seeking a Continuing Care Coordinator RN in Centennial, CO. This full-time role focuses on chronic disease management, coordinating interdisciplinary care, and educating patients and families to improve outcomes. The...

Registered Nurse The MT Youth Challenge Academy (MYCA) registered nurse (RN) provides services for daily sick calls, skilled nursing assessments, recording and maintaining accurate records, administer medications and monitor patient's...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to...

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. Work Shift: Varies (United...

Mercy is seeking an RN II in Advanced Primary Care to provide virtual chronic disease management in collaboration with physicians and advanced practitioners. You will establish patient relationships, monitor vitals, and support panel management,...

Job Description: To show our commitment to you and to assist with your transition into our organization, we will also offer up to a $15,000 sign-on bonus when applicable. Fifth floor is a 26-bed surgical floor that provides great care to...

Conduct prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services. Collaborate with UM Medical Director on reviews and final determination. Draft denial language to ensure...

Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...