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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...

Telenett is seeking a Remote Utilization Review Nurse to review medical records and treatment plans from home. You will determine medical necessity, collaborate with providers, and help develop care plans that meet client needs. The role...

" Licensed Psychiatric Nurse Practitioner Wage: Up to $196.58/hour Did you know that you can build a flexible...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

Highmark Inc. is seeking an experienced RN in a remote role, with weekend availability on Saturdays and Sundays plus three weekdays. The position emphasizes utilization management, care coordination, and provider/member education. The RN...

A healthcare technology company seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should...

***NOTE: THIS IS A PRIMARILY REMOTE POSITION THAT ONLY REQUIRES ONSITE WORK QUARTERLY*** Summary: The Senior Risk Management Consultant will provide a broad range of administrative, facilitation and...

Job Description: The RN Program Coordinator is a hospital or care site level leader who provides specialized clinical expertise, consultation, education, and research within their designated area or specialty focus that may impact many or most...

A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must...

Enlyte is seeking a full-time RN case manager positioned remotely with regular travel to Denver, CO for in-person appointments. The role combines clinical expertise with case management to support injured workers' recovery and safe return to work.

UnitedHealth Group is seeking a Manager of Clinical Annotation to lead a team of Registered Nurse Clinical Annotators responsible for labeling and validating medical data used to train AI models for prior authorization automation. The role...

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information...

Cross Country Education is seeking a local contract nurse RN School RN for a local contract nursing job in Downey, California. Job Description & Requirements Specialty: School RN Discipline: RN Duration: 41 weeks 36 hours per week Shift: 12 hours...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

CVS Health is seeking a Case Management Coordinator to enhance patient care by collaborating with members, providers, and community organizations. This is a remote role requiring a dedicated workspace and travel up to 75%. Candidates must have 3-5...

A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity...

UnitedHealthcare is seeking a Manager of Clinical Annotation to lead RN Clinical Annotators in labeling and validating data for AI-driven prior authorization. You will guide clinical standards, ensure data quality, and partner across data science,...

Trillium Health Resources is seeking a Compliance Nurse to perform clinical compliance reviews and evaluate claims to ensure adherence to regulatory and coverage requirements. The role requires RN licensure in NC, travel within catchment,...

UVA Health seeks a Clinical Documentation Specialist with nursing experience to ensure the clinical story is accurate and complete across the health system. This fully remote opportunity requires at least three years in CDI or a similar...

Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance and high-quality documentation. The role emphasizes strong clinical...

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...

Sato Inc. is seeking a Remote Nurse Navigator (RN) with 5+ years of clinical experience to join its AI-driven Centers of Excellence platform from Bodega Bay, CA. You will manage surgical patient journeys end-to-end, coordinate with U.S. and...

Remote Nursing OpportunitiesAre you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional...

CNA Position at Long Beach VAMCLife in Long Beach is so much sweeter... The community – Long Beach, CaliforniaLong Beach is a waterfront playground located right in the heart of Southern California. Here you can experience it all: a deep-sea...

AptiHealth, Inc is seeking a Registered Nurse Case Manager to support patients and providers through comprehensive case management and medication management. This role involves assessing patient needs, developing care plans, and collaborating with...