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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

About This Role As an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of health services by assessing and interpreting member needs and identifying solutions to help members live healthier lives.

Medlivo is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: PCU -...

CVS Health is hiring a fully remote Clinical Claim Review Nurse. The role follows a Monday–Friday, 8am–5pm schedule in the candidate's time zone. You will review outpatient therapy records, interpret data, and apply clinical criteria in line...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo,...

RN- Registered Nurse - Medical/Surgical Specialty: Medical/Surgical Location: Burlington, NC, 27215 Start Date: 2026-11-16 End Date: 2027-02-13 Duration: 13 Week Shift: 3x12 Job Description:...

A healthcare staffing company in Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year of Home Health experience and must possess an active CA RN License. Responsibilities...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...

LanceSoft is seeking a travel nurse RN Observation for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...

Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the bedside while still making a massive impact on patient care? We are seeking a dedicated Utilization Review Nurse to join our...

This range is provided by Mindlance. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $41.00/hr - $45.50/hr Direct message the job poster from...

Actalent is seeking an experienced Utilization Review RN for a remote MondayFriday opportunity with a CA-based license requirement. The role reviews clinical information, applies criteria, and makes first-level recommendations to ensure regulatory...

Registered Nurse Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) Join our team today! Higher Pay Scales and Sign-On...

Job Title Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital...

Details Client Name Northridge Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

DataForce by TransPerfect · Project listing Registered Nurse (California, Remote) Listed on DataForce by TransPerfect as “Registered Nurse (California, Remote)” Original posting from DataForce by TransPerfect Work...

Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and benefit determinations for post-acute care services (SNF, Home Health, DME). You will report to the Manager of Utilization...

Clinic Registered Nurse (RN) Setting: Healthcare Facilities Job Type: Contract - Full Time Pay: $48 / Hour Hours: 40.00 Location: Peoria, IL The Registered Nurse – Clinic/Wellness/Immunization works in a variety of either remote or clinic...

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...

Compensation: $85,000 – $92,000 Hourly Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (typically 1st shift) CLIENT NOTES / EXPECTATIONS Candidates must meet required AND preferred...

Explore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care,...

RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...

Location: California, United States Work Location: California, United States (Remote) Engagement Model:Employment; fixed-term/temporary Start Date:ASAP Project Duration: Around 4 months.

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...