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At Avanta Care, we prioritize the well-being of our employees. Our culture is built on the foundation of compassion, respect, and teamwork. We believe that when our employees feel valued and supported, they are better equipped to provide the...

Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations for post-acute care services including SNF, home health and DME.

This position will be paying $26.50/hr for an LPN and $28.50/hr for an RN Job Description The Clinical Quality Assurance Coordinator is responsible for ensuring case reports are of the highest quality and integrity and in full...

Job Description SummaryCome join our MUSC Marion team!EntityMedical University Hospital Authority (MUHA)Worker TypeEmployeeWorker Sub-TypePRNCost CenterCC001637 MAR - MedSurg 2nd Floor (MMC)Pay Rate TypeHourlyPay GradeHealth-19Scheduled Weekly...

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...

DataForce by TransPerfect · Project listing Registered Nurse (California, Remote) Listed on DataForce by TransPerfect as “Registered Nurse (California, Remote)” Original posting from DataForce by TransPerfect Work...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

Back RN/Managed Care Coordinator - Remote Healthcare Columbia , South Carolina Contract Hybrid Oct 30, 2026 RN/Managed Care CoordinatorJob at a GlanceTitle: Managed Care...

Location: California, United States Work Location: California, United States (Remote) Engagement Model:Employment; fixed-term/temporary Start Date:ASAP Project Duration: Around 4 months.

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

Vail Health is hiring a Triage RN to perform care coordination and triage, assessing patient health concerns and directing dispositions to emergency care, urgent care, or clinics. You will triage calls and portal messages, document assessments in...

Corrections Registered Nurse (RN)Setting: CorrectionsJob Type: TravelPay: $2400 / WeekHours:...

Sentara Health Plans seeks a Clinical Claims Reviewer RN for remote work. You will perform utilization management, review pre/post payment claims and authorizations for inpatient/outpatient cases, and address provider inquiries with appropriate...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Registered Nurse, Phone Triage Remote + Sign on Bonus! Clinical Full Time...

CVS Health is seeking an experienced RN to review clinical documentation and apply appropriate criteria for post-service claims. You will coordinate resolutions with clinicians as needed and support customer service and claims teams. The role...

Blackbird Health is hiring a Registered Nurse (RN) for a 100% virtual role to support pediatric behavioral health care. You will coordinate patient care, manage appointments and medication refills, respond to crisis calls, complete prior...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

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...

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...

McLaren Health Care is seeking a Registered Nurse to join the Utilization Management team. The role focuses on determining appropriate patient status, ensuring medical necessity, and documenting care for insurance and government payers within an...

Medical Director Services PC is seeking a compassionate RN or LPN to join our Hybrid Remote Patient Monitoring (RPM) team. You will track vital signs, analyze trends, and collaborate with providers to improve patient outcomes, with in-person...

This range is provided by Mindlance. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $41.00/hr - $45.50/hr Direct message the job poster from...

Essentia Health Moose Lake Clinic is seeking a Nursing Leader for the Urgent Care, responsible for daily operations, staffing, and clinical workflow optimization. You will mentor nursing staff, guide patient care, and support quality initiatives...

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...

Vibra Travels is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Carthage, Missouri. Specialty: Long Term Acute Care Discipline: RN Shift: 12 hours, days Employment Type: Travel ...