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Job Description Work Schedule: 100% FTE, Day shift, this is a hybrid position in person work location will be 2550 Charles St Additional components of compensation may...

Medix is seeking a Remote Utilization Review Registered Nurse (UR RN) to bridge clinical care and hospital operations from a remote setting. Join a team optimizing patient care while safeguarding revenue integrity, with a compressed 4-day week,...

Job Description The Licensed Vocational Nurse is responsible for providing direct or indirect nursing care to patients who present with urgent, emergent, or potential health problems; utilizes knowledge of basic nursing...

Beth Israel Lahey Health Primary Care is seeking a Transitional Care Nurse (TCN) to support post-discharge coordination for medically complex patients. This hybrid role starts with onsite training in the North Shore area and emphasizes...

Humana is seeking a Behavioral Health Prior Authorization Nurse to join the Wisconsin Medicaid Market (iCare) team. This role involves reviewing the clinical appropriateness of prior authorization requests to ensure they meet medical necessity and...

Case Management Nurse The Case Management Nurse delivers comprehensive, client-centered case management services across the continuum of care, ensuring that each individual receives the most appropriate level and type of health, medical,...

Gainwell Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews remotely in the United States. Responsibilities include reviewing medical records, documenting findings, and supporting decision-making within healthcare...

Job Title This position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

CareHarmony is seeking an experienced Licensed Practical Nurse (LPN) to join our care coordination team in a fully remote, full-time role. You will work with providers to deliver value-based care and focus on closing gaps in chronic care...

Job Description: The Licensed Practical Nurse (LPN) performs a variety of delegated nursing tasks and participates in patient care within their Scope of Practice, guided by registered nurses, licensed physicians, or other specified health care...

Summary This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until 10/29/2026 or until filled. Qualified applicants will be referred to hiring managers at regular intervals. Your application will remain active for 3 months.

Employment Type: Full time. Shift: Day Shift. Description: Purpose Work Remote Position The Nursing Support (NS) colleague (uncertified, certified, unlicensed, or licensed) provides safe, quality health care services & / or...

Job Title Provides support for clinical member services review assessment processes. Job Description Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that...

Centene is seeking a Clinical Review Nurse - Concurrent Review to perform concurrent reviews, assess medical necessity, and contribute to discharge planning. This role supports Medicaid and Marketplace/Ambetter members in a remote setting.

Working remotely on a part-time, PRN basis, the Licensed Clinical Content Reviewer will collaborate with multidisciplinary teams to review and curate content focused on emerging medical technologies, ensuring accuracy and relevance to support...

Job Description Grow your career at Cedars-Sinai! #1 in California and tenth consecutive year in a row on the "Best Hospitals" Honor Roll by U.S. News & World...

Case Manager Utilization RN, 32 DayWorks 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...

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

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for patient care with the desire...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Work Schedule Monday through Friday, 8:30am-5:30pm ...

Elevance Health is seeking a Telephonic Nurse Case Manager II to manage complex care plans for members across states. This role performs care coordination and telephonic assessments, ensuring access to appropriate services and timely...

Optum is hiring a Home Infusion Nurse in Knoxville, TN. The role supports infusion therapy in home and ambulatory settings, with practical responsibilities including patient education, IV access, medication administration, and coordination with a...

Sentara Health is hiring a part-time Registered Nurse for a physician practice/ambulatory clinic. The role supports chronic disease management, patient education, and care coordination, with duties including triage, documenting in the EHR, and...

UnitedHealthcare is seeking a Level2 Registered Nurse to deliver comprehensive diabetes self-management education and coordinate care for adults with type 2 diabetes. The role emphasizes patient education, telehealth visits, and collaboration...