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A health services provider based in Summit, New Jersey is looking for a compassionate Patient Support Program Nurse. In this remote role, you will provide one-on-one support to patients through phone and digital channels, helping them navigate...

A healthcare solutions provider is looking for a qualified RN to perform medical reviews and coordinate care for members. This role involves assessing service needs, engaging in patient education, and ensuring compliance with healthcare...

Job Title: Clinical Review Nurse (Remote) Position Summary: We are seeking a detail-oriented and clinically skilled Clinical Review Nurse to join our team in a fully remote role. The Clinical Review Nurse is responsible for conducting...

Vaya Health seeks a Physical Health Registered Nurse to perform clinical reviews for authorization requests and medical necessity. You will reference standardized criteria and coordinate with physician peers when needed. This role is part of a...

CorVel is seeking a Care Advocate Nurse to oversee injury severity assessments, review medical data, and support the claims management team in a remote setting. You will coordinate treatment plans and secure medical records to ensure appropriate...

Sentara Healthcare Integrated Nurse Case Manager Location: Manassas, VA Work Shift: First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA. This is a...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) -...

WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy - we're a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders,...

A healthcare company is seeking a compassionate and detail-oriented RN Triage Nurse for a remote role based in Charlotte, NC. Ideal candidates will have at least 5 years of experience in nursing, particularly in emergency departments or call...

Consulting Rn For North Dakota CGM Services Med Supply US is an ACHC-accredited, Medicare-enrolled mail-order supplier of continuous glucose monitors serving patients nationwide. We're expanding into North Dakota and need an ND-licensed...

WPS Health Solutions is seeking an Appeals Nurse (RN) to review medical records and claims for first-level appeal cases to determine medical necessity and alignment with Medicare guidelines. You will collaborate with Appeals Examiners to ensure...

Job Description Insight Global is seeking a skilled and compassionate Registered Nurse to join an innovative integrative wellness practice client of ours in Beverly Hills. This is a part-time position working two days a week to...

An educational institution in Kentucky is seeking a Nurse Coordinator for the Human Development Institute. This full-time position involves reviewing care assessments, providing technical assistance, and requires 8 years of related experience and...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

Sentara Health Plans is seeking an Utilization Review Nurse (RN) for Medicaid with remote opportunities across listed states. The role supports pre-certification, ongoing reviews, and care coordination within licensure. Schedule includes 8am-5pm...

A leading health care provider is seeking a Massachusetts Telehealth Nurse to assist patients in accessing care through phone consultations. Candidates must have a valid RN license in Massachusetts and 3+ years of clinical experience. The ideal...

Registered Nurse At RestorixHealth, our mission is simple...to restore health and improve the quality of life - and access to care - for patients with wounds. Our Wound Care Registered Nurses (will train) are the...

Central Health seeks a Nurse Case Manager to identify, screen, track and coordinate care for members with multiple co-morbidities and psychosocial needs. This role may work remotely with occasional travel to Austin, TX, under the Manager of Case...

UnitedHealth Group is seeking a Registered Nurse Clinical Annotator to support AI-driven prior authorization in healthcare. You will interpret clinical data, apply guideline-based criteria, and ensure accurate annotations for model training. This...

UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure proper utilization of health services for members. You will assess needs, plan care, and collaborate with physicians to expedite appropriate levels of care. The role...

Specialised Part-Time Consulting Opportunity for Nursing Professionals We are sharing a specialised part-time consulting opportunity for nursing professionals experienced in patient care, clinical monitoring, medication administration,...

Nurse Practitioners Integrated Health 21 (IH21) is a leading provider of worksite wellness programs, including biometric screenings and vaccination clinics across the continental United States. Headquartered in Pittsburgh, PA with offices...

Responsive Recruiter Executive Home Care of Alpharetta, a new non-skilled home health agency, is looking to hire an awesome, highly motivated, and passionate Registered Nurse (RN) who can help us build our operations from the ground up...