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CVS Health is seeking a Nurse Consultant for a remote role focused on inpatient clinical reviews. The position emphasizes collaboration with hospitals and care teams to ensure appropriate levels of care and efficient discharge planning from a...

Humana is seeking a skilled Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care such as SNF, Home Health, and DME. You will report to the Manager of Utilization...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

JOB DESCRIPTION This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes...

CVS Health Corporation seeks a Utilization Management Nurse Consultant to work remotely, normally 8a-5p EST, Monday to Friday, performing clinical assessments and coordinating care across members. The role involves evaluating services per...

Army Public Health Nurse Job Overview As an Army Public Health Nurse, you'll assess health risks and implement programs to monitor the spread of disease. You'll promote wellness for Soldiers and their families while also informing policy and...

Corewell Health is seeking a Telehealth Registered Nurse to provide remote patient care from the Care Center Breton in Kentwood. You will work evenings with 36 hours per week, delivering patient assessments, education, and follow-up via telehealth...

Pyramid Consulting, Inc. is seeking an experienced Clinical - Care Manager (RN) for a 6+ month contract with remote work options in Florida. This role involves steady telephonic outreach, member assessments, and care coordination for a caseload of...

nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure...

Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you...

Summary This opening is for a Hiring/Onboarding Event. After qualifications are verified, invited candidates in Los Angeles will attend in person; others may interview virtually. Date: Saturday, November 7, 2026 Time:...

Sedgwick is seeking an RN Telephonic Case Manager to manage medical recovery and return-to-work coordination for injured workers. This US telecommuter role invites candidates nationwide, with emphasis on strong clinical assessment and advocacy via...

Registered Nurse The Registered Nurse, under general supervision, conducts patient assessments, participates in the development of the plan of care, implements and evaluates care according to patient specific age and/or developmental...

Senior Director of Nursing Connected & Remote Care (RN) About the Job Senior Director, Nursing - Connected & Remote Care Transform How Nursing Care Is Delivered MedStar Health is seeking a visionary nursing leader to...

Home Health Clinical Referral Nurse Organization: SCAH-Sutter Care at Home - UT Position Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely...

CareTalk Health is seeking experienced Registered Nurses to join our fully remote virtual care team. The RN Care Manager will oversee care plans, AWV chart prep, and care coordination across CCM, RPM, RTM, and APCM programs, supporting providers...

Humana Inc. is seeking a Telephonic Registered Nurse Care Manager to support patients transitioning into and out of services from a remote work setting. You will guide post-acute options, ensure continuity of care, and act as a liaison with...

UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and document determinations. The role offers telecommuting from anywhere in the U.S. with a focus on...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

*Description* *Advanced Specialty Staff RN - Outpatient Behavioral Health at Providence Little Company of Mary Medical Center San Pedro in San Pedro, CA. This position is Per Diemand will work 12-hour,...

OpenLoop is looking for a full time Telemedicine Registered Nurse (RN) to join our team remotely. In this role, you will be responsible for providing patient education and clinical support, ensuring optimal health outcomes, and working closely...

Enlyte is seeking a Telephonic Case Manager (RN/LPN) in New Jersey for a temporary, full-time, work-from-home assignment. The role involves collaborating with physicians, employers, and patients to develop and implement treatment plans aimed at...

Peraton's SafeGuard Services seeks a Nurse Reviewer to conduct medical record reviews, applying clinical judgment to claim payments and supporting fraud investigations. Telework is available from any state. The ideal candidate will hold a...

Cardinal Health is seeking a Nurse, Individualized Care Management to coordinate medical treatments, deliver patient education, and bridge gaps between patients, providers and support systems to promote continuity of care. The role supports...

Nurse Consultant/ Regional Director Of Clinical Operations Relocation to Southern New Mexico is required. The Nurse Consultant/ Regional Director of Clinical Operations position is comprised of two essential objectives; to partner...