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UnitedHealthcare seeks a Manager of Clinical Annotation to lead a team of RN Clinical Annotators responsible for labeling and validating medical data used in AI-powered prior authorization automation. This role combines clinical leadership,...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and to assess member needs to help them live healthier lives. You will collaborate with clinicians, interpret plans of care,...

The Leading Provider of Integrated Occupational Medicine Services CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. Our...

10% Bonus Incentive plan Position Overview: The Clinical Manager Home Health works under the direction and guidance of the Branch Administrator to provide supervision of all...

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...

Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services, assess member needs, and identify plans of care. This role supports collaboration with care teams and compliance while offering...

CVS Health is seeking a Clinical Quality & Compliance RN for a remote role focused on quality, compliance, and operational excellence. You will ensure utilization management processes meet regulatory, accreditation, and quality standards,...

Centene is seeking a licensed Practical Nurse or Registered Nurse for a remote utilization management role based in Oklahoma. You will review prior authorization requests for medical necessity and coordinate with medical teams to ensure...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and patient plans of care. The role offers remote work from anywhere in the U.S., with weekend coverage on a rotating basis and a...

Description RN - Quality Assurance located at Providence Willamette Falls Medical Center (primary location) and Providence Milwaukie Hospital (secondary location), with rare travel to Providence Newberg Medical Center. The position does not...

Great Lakes Management Company is seeking a Remote Triage RN to cover after-hours triage calls from various sites. This PRN/on-call role requires an RN licensed in MN, WI, or CO, with 5+ years in home health, assisted living, or long-term care...

Cityblock Health is seeking an RN Care Manager to oversee a panel of clinically complex members, coordinating with the Cityblock Care Team and external providers. The role focuses on care planning, reassessment, and guiding members through...

A leading health service provider in Kentucky is seeking experienced Registered Nurses for the Field Care Manager role. Nurses will conduct non-clinical, in-home assessments and manage their own schedules. The position offers a competitive salary,...

Telenett is seeking a Remote Utilization Review Nurse to review medical records and treatment plans from home. You will determine medical necessity, collaborate with providers, and help develop care plans that meet client needs. The role...

Astrana Health, Inc. is seeking a Care Manager I - RN to remotely support members in the Maryland area. The role requires collaboration with care teams, discharge planning, and advocacy for patients regarding insurance and financial assistance.

ALOIS Healthcare is seeking a travel nurse RN Wound Care for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Wound...

WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

A healthcare organization in Wisconsin is looking for a qualified nurse to facilitate the development of a digital care model and monitor program performance. The ideal candidate will possess a valid Wisconsin nursing license, BLS certification,...

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

Certified Nursing Assistant The Certified Nursing Assistant assists the clinical staff in the care of and treatment for patients in an acute care setting under the supervision of a licensed nurse. Responsibilities may vary based on...

Impact Recruiting Solutions seeks an RN Health Care Facility Surveyor to work remotely with substantial travel across the United States. The role involves conducting surveys of Medicare-Medicaid facilities to ensure compliance with federal...

A healthcare services provider is seeking a Nurse Liaison who will act as a pivotal communication link among injured workers, insurers, and care providers. This role requires a skilled nurse to coordinate care and ensure efficient treatment.

Enlyte is seeking a full-time RN case manager positioned remotely with regular travel to Denver, CO for in-person appointments. The role combines clinical expertise with case management to support injured workers' recovery and safe return to work.

UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure proper utilization of health services for members. You will assess needs, plan care, and collaborate with physicians to expedite appropriate levels of care. The role...