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Kintegra Health in Gastonia, NC seeks a Telephonic Triage Nurse Manager to lead telephonic triage services, supervise nursing staff, and ensure safe, timely, patient-centered care for adults and children. Reporting to AVP-Nursing, you will shape...

Centene Management Company LLC in Illinois is seeking an RN to remotely support Medicaid High Risk Maternity members. The role requires an active Illinois RN license and follows a Monday–Friday 8am–5pm Central Time schedule. You will...

Mary Washington Healthcare is seeking a Virtual Registered Nurse (VRN) to deliver professional nursing care via two-way audio/visual technology, collaborating with bedside nurses to assess vital signs and monitoring data. The VRN provides direct...

Acentra Health is recruiting a Clinical Operations Manager - RN to lead the day-to-day supervision of the Case Review Teams, mentor staff, and ensure contractual, regulatory, and accreditation compliance while delivering timely data and...

Ways2Well is seeking a Nurse Manager to lead a remote clinical support team, drive patient service excellence, and uphold clinical standards. The role focuses on coaching, performance management, and continuous improvement across workflows.

Elevance Health is seeking a Nurse Case Mgr I (RN) to perform care management for members with complex needs, primarily telephonically. The role is virtual, with required in-person training and a Monday–Friday 9:00 am–5:30 pm (EST) schedule,...

Enlyte is hiring a Telephonic Case Manager. The role requires an active NJ RN or LPN license and allows full-time, remote work from the Eastern Time zone. You will collaborate with treating physicians, employers, and injured individuals to...

The University of Texas MD Anderson Cancer Center is seeking a Denials Management Coordinator to support revenue cycle operations by coordinating review, analysis, and resolution of insurance denials and to help secure accurate reimbursement. This...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...

Forthright CM is seeking a self-motivated Registered Nurse (RN) for an in-person per diem role in California. The position allows remote work locally with travel and a flexible schedule. A company laptop is provided to support a hybrid/remote...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you'll oversee a department of frontline nurses caring for patients. Every day you will advocate for your fellow nurses as you support them in reaching their full potential,...

TriWest Healthcare Alliance is seeking a Utilization Management Clinical Review nurse to assess medical necessity and manage prior authorizations for Behavioral Health and Medical/Surgical requests. You will apply InterQual criteria, document in...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Service Excellence Manager - RN (Remote) Clinical Operations - Neurology...

UnitedHealthcare is seeking an HSS Clinical Coordinator RN to serve as the primary care manager for a panel of members with complex health needs, including behavioral health, with a focus on coordinating medical, behavioral, and social...

Back RN/Managed Care Coordinator (Remote) Healthcare Columbia , South Carolina Contract Hybrid Nov 10, 2026 RN/Managed Care CoordinatorJob at a GlanceTitle: Managed Care...

Hi. We're Hummingbird. We're elevating patient access so patients can get healthcare how, when, and where they need it. We partner with healthcare systems to transform how patients access care, enabling their providers to focus on what...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal...

Title: Clinical Review Nurse Concurrent Review Location: Remote Duration: 12 months (Potential Extension) Schedule: Mon-Friday, 11AM to 8pm CST; Weekends and Holidays on a rotation basis based on...

Deliver comprehensive nursing care using the nursing process, including assessment, planning, and evaluation.Monitor patient conditions, adjust care plans, and collaborate with the team to improve outcomes.Requirements:Active RN license, BLS...

Full-time Company Description WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Yale University is seeking a Utilization Management RN for revenue integrity. This remote (Connecticut) role reviews documentation against payer policies and medical necessity criteria, prepares denial appeals, and educates providers to ensure...

Leveraging clinical expertise in a dynamic environment, the full-time Registered Nurse Utilization Management will assess, plan, and coordinate healthcare services for members while working remotely and requiring flexibility for evenings,...

TalentBurst, Inc is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty:...

Mary Washington Healthcare Incorporated is seeking a Level II Registered Nurse for a Virtual Registered Nurse (VRN) role. The VRN provides professional nursing care via two-way audio/visual technology, conducts virtual assessments, and...