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A leading risk management firm is seeking a part-time nurse to triage calls and provide care advice in a remote environment. The ideal candidate will have a Bachelor's degree in nursing, active RN licensure, and proficiency in clinical settings.

A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and...

Registered Nurse Case Review Specialist Position is Remote/Nationwide Job Summary STGi is currently seeking a Registered Nurse Case Review Specialist. The position is remote and open to candidates nationwide. Provides direct...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

A national health care organization is seeking a Field-Based Care Coordinator in Irving, Texas. This role involves assessing and implementing personalized care strategies with around 75% travel in assigned regions. The ideal candidate must have a...

A leading healthcare company is seeking a Prior Authorization RN to support its Wisconsin Medicaid Market team. This remote position involves reviewing prior authorization requests to ensure compliance with medical guidelines. Candidates must be...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Clinic Discipline: RN Start Date:...

What You'll Do... * Administers medication (e.g., oral intramuscular and intravenous) and monitors patient medication compliance * Performs treatments and performs or assists with nurse's sick call * Assists with doctor's sick call...

A leading healthcare provider is looking for a Registered Nurse for a remote triage role, working one day per week on Saturdays. Candidates must hold an Associate Degree in Nursing and have significant clinical nursing and telehealth experience.

RN Clinical Appeals Nurse Job Summary: The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory...

Outpatient Scrub RN - OR The Ohio State University Wexner Medical Center's mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care and...

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

RN Clinical Appeals Nurse Job Summary: The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory...

A major health insurance provider is seeking a qualified health professional for a remote Prior Authorization Management role. The candidate will ensure timely completion of authorization requests and manage various clinical processes. Successful...

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and...

TPAPT is seeking dedicated and knowledgeable Nursing School Admissions Coaches to help aspiring nursing students navigate the admissions process for competitive nursing programs. You will work one-on-one with students to provide...

Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...

A healthcare management firm is seeking a detail-oriented Utilization Management Reviewer for a fully remote position. The role includes reviewing care based on evidence-based guidelines, ensuring quality and compliance while upholding medical...

A prominent educational institution in Phoenix seeks a Recruitment and Engagement Specialist to manage admissions processes for nursing programs. This role involves proactive outreach to prospective students, organizing events, and building...

A healthcare provider is seeking a Utilization Management Clinical Manager for analyzing medical service requests. The ideal candidate will possess an RN license and extensive experience in prior authorization in managed care. Responsibilities...

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in...

A healthcare provider located in Atlanta, GA is seeking a Home Infusion Registered Nurse. This fully remote role involves providing infusion therapies in patients' homes, allowing nurses to create one-on-one relationships with their patients.

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...