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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...

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...

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...

MH Registered Nurse - Ambulatory Care This role offers a consistent weekday schedule with a strong emphasis on work-life balance (opportunity to work from home after 6months-1year of training), allowing providers to focus on delivering...

Essentia Health is seeking a nurse for a 0.8 FTE role to provide telephone triage and health guidance. The position supports remote work with evening hours and requires active RN licensure in at least one of the states and the ability to obtain...

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...

*Job Summary and Responsibilities* As our Intensive Care Nurse, you will monitor patients who are critically ill and unstable following extensive injury surgery or life-threatening disease. Every day you will begin each shift by...

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...

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.

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...

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...

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...

Sagility is seeking aSenior Care Specialist (Registered Nurse) to work from home, supporting Medicare/Medicaid populations with telephonic health assessments and personalized care plans. The role requires an active RN license, strong clinical...

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,...

CVS Specialty Pharmacy Nurse, Clinical Operations CVS Specialty Pharmacy provides medications and support for rare and complex conditions. The Nurse, Clinical Operations position is primarily responsible for supporting the clinical...

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...

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...

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...

Details Client Name Keck Hospital of USC Job Type Travel Offering Nursing Profession Registered Nurse...

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...

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...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you'll oversee a department of frontline nurses caring for patients. Every day you will advocate for your fellow nurses as you support them in reaching their full potential,...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Clinical Grievances RN - Remote in CA (2381848) Clinical Grievances RN - Remote in CA - 2381848 At UnitedHealthcare, we're simplifying the...

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...

Join Silverado Hospice Silverado Hospice covering Los Angeles is part of a nationally recognized team ranked in the top 10 nationwide by Fortune Magazine's Best Workplaces in Aging Services™. Since 1997, Silverado has been delivering...