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Overview TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing clinical cases, identifying potential quality or safety...

Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must Have requirements: RN,...

Cadence, the clinical AI company automating chronic disease management, is hiring an RN Manager, Alerts to lead nursing teams responsible for alert review and triage across our chronic care population. You will own staffing, scheduling, and...

Call 4 Health is seeking a Nurse Manager to oversee the Nurse Triage team and daily call center operations. The role requires an RN with strong operations, triage expertise, and leadership experience to drive high-quality patient care and staff...

Clarity Pediatrics is seeking a Nurse Care Coordinator Lead (RN) for remote, full-time work guiding a pediatric chronic care team. You will oversee nurses, medical assistants, and community health workers, coordinating appointments, educating...

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,...

Staffmark Group is recruiting a Registered Nurse for a remote role. Primary duties include reviewing peer review reports, ensuring evidence-based rationales, and ensuring compliance with client, contract, and regulatory standards. The ideal...

POSITION SUMMARY Reporting to the Director, Ambulatory Services of the Martin Luther King, Jr. Los Angeles (MLK-LA) Healthcare Corporation, the Ambulatory Clinical Supervisor is responsible for successfully managing day to day...

Job Summary: The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and effective care. The...

Self Fund Health Nurse Navigator Remote · Full time The Nurse Navigator is a remote WI-based RN who acts as the member's single point of contact through the healthcare system — coordinating care, advocating for patients, and steering...

Description Calling All Esteemed Leaders! Are you an experienced perioperative and interventional services leader with a passion for operational excellence, physician partnership, and whole‑person care? Do you thrive in complex, multi‑campus...

Job Description Summary: \n Work Schedule: This is a remote role that requires every Saturday and Sunday commitment. \n JOB SUMMARY: The Inpatient Care Manager, in collaboration with the clinical team and medical provider, provides discharge...

A national healthcare recruiting firm is seeking an experienced RN Case Manager in Sacramento, CA. In this telephonic role, you will assess and coordinate care for high-risk members. The ideal candidate will have an RN license and at least two...

Remote position - Senior Care Manager - RN Full-time Integrated Resources, Inc., is led by a seasoned team with decades of industry experience. We provide strategic workforce solutions to help manage talent and...

EK Health is seeking a Telephonic Nurse Case Manager (RN) for our Case Management Team. The role involves assessing, planning, coordinating and evaluating service options to help injured workers receive cost-effective medical care and expeditious...

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...

A prominent healthcare organization is seeking a Telephone Triage Nurse Line Advisor in Saint Paul, Minnesota. The role requires a current Minnesota RN License and 3+ years of RN work experience. You will independently triage patient calls and...

JOB DESCRIPTION This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatient...

Clearlink Partners is seeking a Back Utilization Management Manager (CA Licensed) to lead UM program design and oversee QA, cost and quality improvements. This role operates in a remote, direct-hire capacity, serving managed care clients across...

Sentara Health Plan is hiring a Supervisor, Integrated Care Management/Registered RN for Nursing Facility/HCBS/LTSS Waiver. Remote with occasional onsite meetings in Virginia Beach or Richmond, VA. Full-time, 40 hours, 8am-5pm EST, M-F.

Manpower Group (USA) is seeking a clinically driven RN or LPN with utilization management experience for a fully remote, temporary role. You will evaluate behavioral health and medical necessity reviews to authorize appropriate levels of care,...

Job Description: The Nurse Clinical Leader provides leadership and clinical expertise during their shift and within their department. They manage unit resources and supervise personnel to ensure appropriate staffing levels based on the unique...

A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include...

RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...

Become a part of our caring community $10,000 Sign On Bonus! As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you will lead and support a team of dedicated clinicians who deliver compassionate, high‑quality care...