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A healthcare staffing agency is seeking an RN Health Care Facility Surveyor to work remotely with up to 75% travel. The role involves conducting surveys for compliance with Federal regulations at health care facilities. The ideal candidate will...

Northwell Health is seeking a Registered Nurse CDI Auditor to validate acute inpatient coded charts and ensure documentation substantiates diagnostic information. This remote position in New York requires a NY RN license, a BSN, and strong...

Community Health Network is seeking an Ambulatory Triage Registered Nurse to join the Family Medicine Care team. The RN will perform phone triage, patient education, scheduling, prior authorizations, prescription refills, referrals and care...

RN Triage Nurse - Remote job at Get It - Healthcare. Charlotte, NC. Are you an experienced Registered Nurse looking for a flexible, remote opportunity in a fast-paced environment? We are seeking skilled RNs with both pediatric and adult experience...

Salary : $53,184.00 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5100U Department: HEALTH SERVICES Opening...

Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Nurse (RN) will review medical records for medical necessity, authorization compliance, and payer guideline alignment while supporting appeal submissions...

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,...

IntellaTriage is seeking a registered nurse (RN) to provide after-hours telephone triage for hospice patients. This remote position is ideal for nurses who are compassionate and skilled in assessing patient needs over the phone. Nurses can...

Amergis Staffing is currently seeking Certified School Nurse for the 2026/27 school year in the Fullerton, CA area. Position Details: Must have CA SCRN Hours/Week: 6 hours daily (sub role must be okay...

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...

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...

Job Description: The Nursing Graduate works under the direct line-of-sight supervision of the Registered Nurse (RN) in the clinical setting and participates appropriately in the patient care delivery process. The incumbent also orients to the RN...

A healthcare quality organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The ideal candidate will have a BSN and an active RN license, along with experience in medical record review.

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden Grove Hospital Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand...

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...

Base pay range $60.00/hr - $110.00/hr At Crossing Hurdles, we work as a referral partner. We refer candidates to our Partner that collaborates with the world's leading AI research labs to build and train cutting‑edge AI...

Sentara Health Plans is seeking an Utilization Review Nurse (RN) for Medicaid with remote opportunities across listed states. The role supports pre-certification, ongoing reviews, and care coordination within licensure. Schedule includes 8am-5pm...

A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare teams, and ensuring compliance. Candidates need an active RN license and...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department : PACU AIP Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant...

Impact Recruiting Solutions is seeking a RN Health Care Facility Surveyor for nationwide support in a QA consulting environment. The role requires an RN with CMS training and SMQT, plus 2+ years of surveyor experience, with up to 75% travel and...

St. Louis Children's Hospital is seeking an RN for after-hours triage and nursing support via the Answer Line. The role involves assessing patient needs, guiding care plans, and educating families within established guidelines. Part-time...

A virtual psychiatry practice in Honolulu is seeking a Board-certified Psychiatric Mental Health Nurse Practitioner. This role offers 100% remote outpatient care with a focus on lower to moderate acuity populations. The practitioner will enjoy...

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...

UnitedHealth Group is seeking a Nurse Annotator to support AI-powered prior authorization processes. You will review medical records, annotate data, and apply UM guideline criteria to ensure clinically sound labeling for AI training. The...

A leading health care provider is seeking a Massachusetts Telehealth Nurse to assist patients in accessing care through phone consultations. Candidates must have a valid RN license in Massachusetts and 3+ years of clinical experience. The ideal...