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When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. **This position is remote. Candidates must be local to New England States for consideration** The Clinical...

Providing guidance and education to members, the full-time Remote Clinical Admin Nurse RN will act as a clinical resource in a customer service setting, addressing health questions and supporting members in managing their well-being while working...

PIH Health Downey Hospital is seeking an RN Case Manager to guide patients from pre-admission through post-discharge, ensuring smooth transitions and appropriate utilization of hospital services.You will focus on maximizing reimbursement from...

Responsibilities: How you'll change lives...

Actalent is seeking a remote Utilization Review Registered Nurse to perform concurrent reviews, validate medical necessity, and ensure appropriate care settings. You will partner with providers and internal teams to support decisions and discharge...

Job Description Harborview Medical Center's Stroke Center has an outstanding opportunity for a Registered Nurse (RN) - Nurse Navigator. WORK SCHEDULE Full-time, 100% FTE, 40 hours per week...

Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

UnitedHealthcare is hiring an RN Field Clinical Care Coordinator for Hampden/Hampshire County, MA. The role involves field-based care management with a home office, frequent member visits, and substantial travel within the territory to coordinate...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

Building Location: St Marys Hospital - Detroit Lakes Department: 3063470 PACU - DL HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and evaluation.

Stanford Health Care in Palo Alto is seeking an Oncology Nurse Navigator to coordinate care from diagnosis through survivorship. As a licensed RN with oncology experience, you will partner with physicians, social workers, nutritionists, and...

University of Miami Health System in South Florida seeks a Nurse Navigator to triage new patient appointments, coordinate scheduling, and guide patients through the cancer care continuum. You will educate patients, identify barriers to...

Global Medical Response is seeking an experienced RN with at least five years in ED/ICU, flight, or ambulance settings to audit medical necessity appeals for air transport and government payors. This is a remote or on-site role in the United...

LanceSoft is seeking a travel nurse RN Special Procedures for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Special Procedures Discipline: RN Start Date: 10/26/2026 Duration: 13 weeks 40 hours per week...

Spectraforce Technologies is seeking a Quality Audit Specialist (RN) for a remote 6-month assignment. The role focuses on abstraction of medical records for HEDIS, with accurate data entry into healthplans databases. The ideal candidate...

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new...

*Job Summary and Responsibilities* As a Clinical Nurse, you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives. Every day you will collaborate...

We are so glad you are interested in joining Sutter Health! Organization: SEBMF-East Bay Medical Foundation Position Overview: A professional registered nurse (RN) who offers individualized assistance to...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Kaiser Permanente in Los Angeles is seeking an experienced RN for a case management role within a multidisciplinary team. You will assess patient needs, develop individualized care plans, and coordinate access to services across physicians,...

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...

Abbott is seeking an Outpatient Sales Representative for the Nutrition Division in the Northern Las Vegas Valley. The role focuses on driving prescriptions by engaging healthcare professionals in outpatient settings and building lasting...

Summary We are currently hiring for a Managed Care Coordinator I to join BlueCross BlueShield of South Carolina. In this role as a Managed Care Coordinator I, you will review and evaluate medical or behavioral eligibility...

About This Role The Case Manager Continuing Care Coordinator RN-Per Diem is responsible for coordinating patient care and managing health conditions for defined patient populations. This role is ideal for a registered nurse with leadership...