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A leading risk and claims administration partner is seeking a part-time RN for clinical consultation roles in a flexible, remote environment. Ideal candidates will apply their nursing knowledge to triage calls, assess patient needs, and direct...

Company Overview At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

Receive calls from patients and/or family members and respond appropriately and assess problems focusing on the delivery of high quality, patient-focused, compassionate care. Assess patient status and intervene as indicated by the patient's...

Immediate Hiring for Remote Clinical Review Nurses Immediate hiring for remote clinical review nurses. Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital admissions.

JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

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

RN Care Review Clinician The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

Job Opportunity at Highmark Inc. This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,...

A healthcare provider is seeking a full-time Clinical Informatics System Analyst, RN, to improve clinical information systems. This role involves optimizing EMR applications, providing user support, and collaborating with clinical staff.

Medical Solutions LTC is seeking a local contract nurse RN Rehabilitation for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 03/02/2026 Duration: 8 weeks 40...

A healthcare organization is hiring a skilled Nurse Advice Line Clinical Triage Nurse for a part-time position. The role involves performing clinical triage and coordinating care based on inbound calls. The ideal candidate must hold an RN License...

Pay: $28.50/hr (Fixed rates, no opportunity for negotiation) Shift: Monday- Friday- 8-4:30PM EST, MUST have flexibility twice a month to start as early as 7 and end as late as 7PM Overview We're hiring Clinical...

This range is provided by Insight Global. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range $140,000.00/yr - $170,000.00/yr Direct message the job poster from...

American Medical Staffing is seeking a Nurse Practitioner Family Practice for a local contract job in Columbus, Ohio. Job Description & Requirements Specialty: Family Practice Discipline: Nurse Practitioner Start Date: 02/16/2026 Duration: 13 weeks...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...

A leading healthcare organization is looking for a DRG/CVA Validation Auditor RN to audit inpatient claims by validating coding and reimbursement methodologies. The role offers flexibility to work remotely, requiring an Associates degree and...

Job Title: Traveling Nurse Location: Multiple Locations / Nationwide Employment Type: Contract / Full-Time / Temporary Department: Healthcare /...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

A leading academic healthcare institution in Chicago is seeking a Patient Logistics RN to assign patients to beds and coordinate transfers within the hospital. The role requires a BSN and at least 5 years of clinical experience, strong...

Pluto Healthcare is seeking a local contract nurse RN Home Health for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Home...

Leaderstat - Post Acute is seeking a local contract nurse RN Hospice for a local contract nursing job in Gahanna, Ohio. Job Description & Requirements Specialty: Hospice Discipline: RN Start Date: 02/10/2026 Duration: 6 weeks 40 hours per week Shift:...

Overview Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus:...

Join Our Compassionate Team and Make a Difference in Health! This position is remote, and candidates must reside in Puerto Rico. As a Bilingual RN Care Manager, you will thrive in a telephonic environment where you assess and...