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SCAN Group is seeking a remote RN to enhance frail seniors' ability to age in place by delivering person-centered care via telephonic care coordination. You will develop and implement plans of care, educate members, and coach them to manage...

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...

Job Details: Job Location: Curawest LLC - Denver, CO, Position Type: Full Time, Education Level: High School Diploma or Equivalent, Salary Range: $55000.00 - $60000.00Salary, Travel Percentage: None, Job Shift: Day (First Shift), POSITION PURPOSE:...

To support the Utilization Management team, the full-time Utilization Management Nurse (RN) will conduct inpatient, behavioral health, and post-acute authorization reviews remotely, ensuring compliance with CMS and Medicare Advantage...

Kaiser Permanente in Los Angeles seeks a Nursing Attendant to support patient care under supervision of a Registered Nurse or physician. You will assist with daily activities, ensure patient safety, and communicate patient needs to the care...

School Registered Nurse (RN) Setting: Schools Job Type: Contract - Full Time Pay: $50 / Hour Hours: 35.00 Location:...

Care Manager RN - No weekends or on-call - Remote At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions...

Guidehealth is a fully remote organization seeking a Care Manager to guide patients and families through complex health journeys from a Louisiana base. You will combine clinical expertise with holistic care, coordinating medical, behavioral, and...

Athens Administrators is seeking a Telephonic Nurse Case Manager to support our Managed Care Department. This full-time role is remote and can be located from multiple states; it operates 9am–5pm Pacific Time, Monday–Friday.

Sentara Health is seeking an Authorization Coordinator to review clinical information from physicians and other providers to determine if services can be authorized under clinical protocols. The role ensures validation of member benefits...

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...

Job Category: Nursing - Registered Nurse Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the...

Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...

The START Center for Cancer Research ("START") is the world's largestearly phasesite network, fully dedicated tooncologyclinical research.Throughout ourhistory, START has provided hope to cancer patients inglobalcommunity practices by...

Job Title Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes scientific evidence...

Job Title: Clinical Operations Manager - Virtual Care Management (RN) Location: Remote - United States Employment Type: FT Exempt Direct Reports:...

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...

JOB SUMMARY:The transporter is responsible for bringing patients to and from the nursing unit to the unit or from the nursing unit to the ancillary department where procedure will be performed. The transporter is responsible for picking up...

Profession: Registered Nurse Specialty: OR Department: Surgery Job Type: Travel Minimum Guaranteed Hours: 40 Jobs Notes: Job Summary: Delivers coordinated nursing care for a patient or an assigned group of...

Humana is seeking to fill the Compliance Audit Nurse role to audit care management activities and documentation for regulatory compliance. The position involves independent determination of appropriate courses of action, data collection and...

WE ARE EXPANDING OUR CCT PROGRAM AND NEED EXPERIENCED CCT RNs. PREMIER AMBULANCE IS GROWING! HIRING FOR IMMEDIATE OPENINGS - TOP PAY!!! ***IMPORTANT-PLEASE READ BEFORE YOU APPLY*** ...

ResponsibilitiesINTAKE COORDINATOR - FULL TIME POSITION AVAILABLEThe Intake Coordinator responds to all persons requesting assistance either by telephone or in person, and provides admissions screening, crisis intervention and referrals to...

Amedisys is seeking an Intake/Referral Coordinator to join our home health and hospice team in Baton Rouge. You will be the first line of contact for customers, intake referrals, and scheduling evaluation visits. The role requires a high...

Job Description The Research Nurse Coordinator III is responsible for all activities associated with clinical study coordination, subject enrollment, data management/integrity, regulatory compliance, project/study evaluation...

Centene Corporation is seeking a Behavioral Health Utilization Review Specialist to support clinical reviews for mental health and substance use services. This role is remote within the Central Time Zone with a Monday–Friday schedule and...