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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...

Dialysis experience required Western Regional Float, MULTI-STATE travel required PURPOSE AND SCOPE: The professional...

Cambia Health Solutions is seeking a Remote Care Management Nurse to provide comprehensive clinical care management, including case management, for members in Idaho and surrounding states. Candidates must be Registered Nurses with a minimum of 3...

Job Description Navigator RN - Breast Center at Providence Saint John's Health Center in Santa Monica, CA. This position is Full-time and will work 10-hour, Day shifts. Join Providence Saint John's...

Centene Corp. is hiring a Quality Improvement Coordinator II to conduct reviews of delegated entities for quality, service performance and utilization, and to lead clinical quality initiatives across provider sites. The role involves...

Building Location: St Marys Hospital - Detroit Lakes Department: 3062750 ENDOSCOPY - DL HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and...

Guidehealth is seeking an Illinois-licensed registered nurse to join its remote Value Based Care Services team as an RN Case Manager. You will conduct telephonic outreach, assess needs, coordinate care, and document in compliance with...

HonorHealth in Arizona is seeking a Clinical Data Abstractor II to abstract and audit complex clinical records for registries, ensuring compliance with care standards and accreditation requirements. This remote position requires Arizona residency.

Highpoint Health Sumner is seeking a Registered Nurse (RN) Clinical Documentation Specialist to join as a remote FT (days). You'll contribute by applying plan-of-care interventions and driving patient-care innovations with advanced technology.

Description: Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient...

Careers With Purpose 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. Facility: Southridge Clinic...

AmeriPharma is seeking a Parenteral Services Clinical RN Specialist to provide advanced nursing expertise, care coordination, education, and operational collaboration. The role supports nurses, pharmacists, dietitians, and care coordinators to...

Registered Nurse – Care Management (Remote) (Day Schedule) United States Job Title: Registered Nurse – Care Management (Day Schedule) Location: 100% Remote - United States Employment...

Details Client Name Dignity Health - California Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

To support patient access and care, the part-time Registered Nurse Triage (Remote) will assess patient needs telephonically, determine appropriate care levels, and provide education and follow-up instructions while collaborating with healthcare...

RN- Registered Nurse - Medical/Surgical Specialty: Medical/Surgical Location: Natchez, MS, 39120 Start Date: 2026-08-24 End Date: 2026-11-21 Duration: 13 Week Shift: Unknown Shifts Per Weekx12.5...

Guidehealth is seeking a remote RN Case Manager with an Illinois nursing license to enhance member management, satisfaction, and cost effectiveness. You will support wellness, coordinate care, and navigate the healthcare system as part of the...

Ontario Trillium Foundation is seeking Nursing Professionals for Seasonal Flu Clinics across various sites including corporate offices, schools and municipalities. Nursing staff will administer flu vaccines, answer questions, and monitor patients...

Evry Health seeks an RN Integrated Care Coordinator (UM) to provide comprehensive care coordination and drive quality outcomes for members across the care continuum. This remote role requires rotating weekend hours for utilization review and...

To assist injured workers in receiving timely and appropriate medical care, the full-time Remote RN Telephonic Case Manager will assess, plan, implement, and coordinate care while working Monday through Friday from 8:30 am to 5:30 pm local...

Part-Time Registered Nurse Step into an impactful role as a part-time Registered Nurse supporting students health and well-being in a dynamic school setting near Los Angeles, CA. As a crucial member of the schools wellness team, youll...

*This position is located in Fort Wayne, Indiana it is is NOT a remote role. Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders,...

The Center for Sports Medicine and Orthopaedics is seeking an RN/LPN for a part-time position to triage patients remotely in Chattanooga, TN. The Center for Sports Medicine & Orthopaedics is Chattanooga's leading provider of...

RN Clinical Assessor - (Hybrid Remote - Cumberland/York, Maine) General information Date Friday, August 21, 2026 City Cumberland Center State ME Country United States Working...

Hiring Registered Nurses (RNs) for Skilled Nursing Facility We are seeking compassionate RNs / Registered Nurses to work within our client's facilities, providing follow-through of the physician-established plan of treatment and working...