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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...

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 performance consistent with the...

CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays,...

Job Title: Registered Nurse (Navy Nurse Corps) Category / Component: Officer • Both Overview Navy Nurse Corps Officers deliver professional nursing care to service members, families, and global communities in leading edge military medical centers,...

Sagility is seeking a Senior Care Specialist (Registered Nurse) to work from home. The role focuses on telephonic health assessments, personalized care plans, and coaching for Medicare/Medicaid populations. Ideal candidates will hold an...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you will help lead and coordinate our exceptional nursing team so they can deliver timely, compassionate, and life-saving care to patients in critical situations. Every...

TTS 4 am - 5 pm after successful training Dialysis experience needed PURPOSE AND...

Atrius Health in Massachusetts is seeking a Registered Nurse to deliver effective care within the GI/Anticoagulation Management Services team, combining nursing processes with evidence-based practice to ensure patient safety and quality outcomes.

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to start a rewarding career path in the healthcare...

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...

Virginia Mason Franciscan Health is seeking a Virtual Pre-Admit RN to perform comprehensive pre-operative assessments, collect patient histories, and review diagnostics to ensure patients are ready for anesthesia and surgery. You will...

Description: Job Summary: Collaborates with other educators, managers, physicians, and other healthcare providers to develop, design, deliver and evaluate/improve education strategies and programs/classes based on member/patient...

Humana, Inc. is seeking an Utilization Management Nurse 2 to coordinate, document, and communicate medical services and benefit determinations for our members. You will interpret clinical information to support recommendations and care...

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...

RN Status Review Specialist It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Use your nursing expertise in a strategic, non-bedside role. As an RN Status Review Specialist, you'll evaluate patient...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

Job Description Work Schedule: Day/evening, you will work eight 10-hour shifts per pay period including weekend rotation. Holiday rotation required. Hours are based off the operational needs of the...

SCAN Health Plan is hiring a registered nurse for clinical review of medical claims and post-service appeals. You will analyze pre/post payments, perform audits, and apply CMS guidelines to determine medical necessity and appropriate care.

Job Description This position offers a blend of on-site and remote work, along with a $5,000 sign-on bonus for eligible new hires. If you're an experienced...

Nurse Practitioner / NP or Physician Assistant / PA in Urology Join a collaborative, established urology team offering a competitive salary, quarterly productivity bonuses, and an excellent work-life balance! About the Company:...

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 in Missouri seeks a Nurse Navigator (Part-Time, Remote) to guide patients through their healthcare journey, coordinate care from pre-treatment through follow-up, and act as a resource for patients, families, and care teams. This role...

*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,...

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...

CommonSpirit Health in Oxnard, CA seeks a Certified Nurse Assistant (CNA) who will support patient care under RN direction, assist with daily activities, and help transport patients. You will contribute to the patient's plan of care as part of a...