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Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...

Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States,...

RN Status Review Specialist It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Use your nursing expertise in a strategic, non-bedside role. As an RN Status Review Specialist, you'll evaluate patient...

Nurse (RN) - Case Manager Hours are as needed, Monday - Friday during business hours; you will work 4, 8 or 10-hour shifts as needed to fill gaps in staffing. Hours can also include weekends but not required. This position is remote.

Case Manager Utilization RNWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the...

Job Summary and Responsibilities As our RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient...

Job TitleFacilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS. Reviewing paper and electronic...

JOB DESCRIPTION Opportunity in Southern California for an experienced Managed Care Leader to join our health plan in California. Candidates must have a minimum of 7 years of healthcare experience, 3 of those should be with a Managed Care...

Registered Nurse Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Evenings Job Description Join a team that's shaping the...

Sagility is seeking an experienced Registered Nurse for a Senior Care Specialist role that can be performed from home. The position involves telephonic health assessments, care planning, and education to Medicare, Medicaid, or group plan members.

Providence is seeking a Care Manager Appeals RN for a remote per diem role in California. The position supports denial appeals and reimbursement for services, with 8-hour day shifts. The CMRA will manage and communicate clinical appeals...

CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) for a remote, full-time role. The position coordinates care, reviews clinical data for precertifications, and applies evidence-based...

The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Medical Management And Health Education Program Coordinator The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers...

Optum UT is seeking a Skilled Nursing Facility (SNF) Case Manager to join our team in Draper, UT. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery...

Back Registered Nurse – Review Analyst | Remote | Contract Business & Care Management Detroit , Michigan Contract Nov 6, 2026 Registered Nurse – Review Analyst | Remote | Contract Walker Healthforce is seeking a...

Registered Nurse - Compliance Partner Position Type: Full Time, Employee. Salary: $110,000 to $120,000 annually, DOE. Location: This is a field-based position that requires regular travel to...

We are so glad you are interested in joining Sutter Health!Organization: SHSO-Population Health Services-UtahPosition Overview: The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and thorough intake services by...

OHARA, LLC is seeking a Telephonic Nurse Case Manager to coordinate services for injured workers toward pre-injury status. This full-time, remote role supports patients from Sioux Falls, SD, and surrounding areas, emphasizing timely,...

Utilization Management Admissions Liaison RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) L.A. Care Health Plan is an independent public agency created by the state of California to provide health...

Sedgwick is hiring a Telephonic Case Manager (RN) to partner with injured workers, employers, and medical providers. You will develop a case management strategy to facilitate medical recovery and a successful return to work through advocacy and...

Anchor Health Registered Nurse Are you looking for a workplace where you can make a genuine difference? Company culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we...

Job Description This position offers a blend of on-site and remote work, along with a $5,000 sign-on bonus for eligible new hires. If you're an experienced...

SHIFT: Any (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will...