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Vassar Brothers Medical Center in Poughkeepsie, NY is seeking a skilled Utilization Review Nurse to perform clinical reviews, determine level of care, and collaborate with physicians to ensure appropriate patient placement and regulatory...

Sentara Health is hiring a Remote Utilization Review Registered Nurse to perform prior authorization and utilization review for inpatient and outpatient services. Candidates must reside in Virginia and hold an active Virginia RN license. As...

Plymouth, MN-based position for a Triage RN—Remote, Part Time & On Call. Must reside in MN, WI or CO and hold an RN license in those states or be willing to obtain it. Schedule includes weekends and on-call shifts, with a $40/hour pay rate.

NTT DATA is seeking a Clinical Reviewer Specialist to perform clinical and medical necessity reviews for appeals, ensuring compliance with state and federal regulations, Medicaid, and NCQA standards. This fully remoteFlorida-based position...

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...

Sentara Health is hiring an Integrated Case Manager, RN. This remote role requires travel to Roanoke, VA for in-person assessments and periodic member visits. You will manage care plans, coordinate services, and collaborate with medical directors...

GQR Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Woodland Hills, California. Job Description & RequirementsSpecialty:...

Call 4 Health is seeking experienced Registered Nurses to join our 24-hour remote triage team, delivering high-quality patient care from a home office. You will support providers nationwide, triaging via telephone, documenting in EHR systems, and...

Nursing AttendantPrimary Location Baldwin Park, California Facility Name Baldwin Park Hospital Employee Status: Regular Worker Location: Onsite Schedule Part-time Scheduled Weekly Hours: 24 Shift Night Salary $25.57 - $27.74 / hour Job Number...

Conduct telephonic nursing assessments and triage using protocols.Provide health education and referrals to diverse patient populations.Work Schedule:Full-time evenings with weekend shifts every two weeks.Virtual training for 2-4 weeks, 100%...

Trinity Health At Home is seeking a Virtual Care Coordinator RN to deliver telehealth hospice care and coordinate individualized care plans for patients and families from a remote setting. The role involves monitoring patient conditions,...

CareHarmony is hiring a Licensed Practical Nurse (LPN) in Oklahoma City to join their team in delivering value-based care management. The role involves conducting health assessments, coordinating resources for chronic care, and educating patients.

Health & Human Services in North Carolina seeks a Nurse Consultant I (NS) to perform regulatory nursing home inspections, ensuring compliance with federal and state requirements and preparing deficiency reports. The role is home-based with regular...

A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare...

Wellstar is seeking a Remote RN to join an interdisciplinary team delivering high-quality patient care via phone or secure messaging. This role is fully remote and led by a nurse supervisor. An active RN license and BLS are required, with Georgia...

Manage patients assigned to your Care Team, ensuring visit frequencies align with acuity levels. Communicate via phone and video conferencing, assess and enroll patients, and develop care plans. Manage medications,...

Salary Range: $350,775.00 to $441,423.00 Potential Premium Earnings: $63,264.00 Salary range includes incentives that are contingent upon skills, competencies, longevity, experience and...

Prime Staffing is seeking a travel nurse RN Infusion for a travel nursing job in West Hollywood, California. Job Description & RequirementsSpecialty:...

Carle Health is seeking an Ambulatory Nurse to complete 6 months of in-office training in Champaign, IL, before transitioning to a remote work arrangement. The role supports patient care in dermatology and related services within the RN scope.

TriWest Healthcare Alliance is seeking a Utilization Management Clinical Review nurse to assess medical necessity and manage prior authorizations for Behavioral Health and Medical/Surgical requests. You will apply InterQual criteria, document in...

UnitedHealthcare is seeking an HSS Clinical Coordinator RN to serve as the primary care manager for a panel of members with complex health needs, including behavioral health, with a focus on coordinating medical, behavioral, and social...

Vivo Care, a patient-centered health platform, seeks a Care Navigator (RN/LPN/LVN) for remote work in the CST window. You'll build trusted relationships with patients, conduct wellness calls, and coordinate care using RPM data to drive health...

Sedgwick is seeking an RN Telephonic Case Manager to support injured workers remotely. You will partner with workers, employers, and medical providers to develop care plans that promote medical recovery and a successful return to work. The...

Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...

BlueCross and BlueShield of South Carolina seeks an RN Medical Reviewer II to join the Palmetto GBA Medical Review team. You will perform medical reviews using clinical information, apply guidelines, and help ensure accurate coverage and payment...