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A Quality Improvement Consulting Company is seeking a RN Health Care Facility Surveyor to work remotely with up to 75% travel. The Surveyor will conduct on-site surveys of Medicare-Medicaid certified health care facilities and assess compliance...

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...

CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely,...

UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum,...

Position details * *Status:* Full-Time * *Pay Range:* $82.38 - $104.83 / Hourly * *Shift:* Days * *Shifts Per Pay Period:* * *Shift Length:* Exempt 8 Hour * *Location:* Hybrid Remote (CA) *...

Harris Health is seeking a Nurse Manager to oversee operations and care delivery for one or more clinics or units. You will manage human resources, quality, and financial aspects while aligning with nursing leadership and professional practice...

Morning Caregiver Needed FOR ADULT - Pico-Robertson, LA 90035 (4 miles from UCLA) Schedule: Monday-Thursday, 7:00-9:00 AM Pay: $40-$50/hour, based on schooling/experience Ideal candidate: Nursing student, medical student, CNA, or RN -...

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...

Sagility LLC is seeking an RN Supervisor - Care Management to lead a Clinical Nurse Advisor (CNA) team. The role requires strong clinical knowledge, with a minimum of 2 years post-education clinical experience and the ability to coach and mentor...

Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members during critical moments in...

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...

Building Location: Building B - St Marys Medical Center Department: 2004150 FLOAT POOL - CRIT CARE - SMMC HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning,...

Cadence in Dallas, TX is seeking an RN Supervisor to lead a remote team of Registered Nurses in a high-volume triage environment. This role demands strong clinical judgment, operational management, and performance coaching to maintain quality...

Impact Recruiting Solutions is seeking a RN Health Care Facility Surveyor for nationwide support in a QA consulting environment. The role requires an RN with CMS training and SMQT, plus 2+ years of surveyor experience, with up to 75% travel and...

*Description* The staff nurse provides patient care to young, middle and older adults by using the nursing process skills of assessment, diagnosis, planning, implementation and evaluation. Provides...

A growing telehealth women's health program is seeking a Board-Certified Womens Health Nurse Practitioner (WHNP) to provide comprehensive virtual care focused on perimenopause, menopause, and midlife health. This fully remote role offers...

Discover Vanderbilt University Medical Center Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim...

Broadway Ventures, a veteran-owned SDVOSB headquartered in Mississippi, seeks an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud referrals. You will apply clinical expertise...

Bon Secours Mercy Health is seeking a PRN Psychiatric Mental Health Nurse Practitioner to support our Virtual Behavioral Health Program for ambulatory oncology practices. This 100% virtual role is remote and designed to fit a flexible schedule...

Life in Long Beach is So Much Sweeter Long Beach is a waterfront playground located right in the heart of Southern California. Here you can experience it all: a deep-sea adventure at the Aquarium of the Pacific, whale watching on the...

Amergis Healthcare Staffing is seeking an Operating Room Nurse responsible for scrubbing and/or circulating duties for operative procedures; department admissions to the operative suite. He/She is responsible to the Nurse Manager and is directly...

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...

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...

Pulse Healthcare Services is seeking a travel nurse RN Wound Care for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Wound Care Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8...

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden Grove Hospital Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand...