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UnitedHealth Group is seeking an HSS Clinical Coordinator RN to conduct clinical reviews and evaluations related to Medicaid appeals, ensuring compliance and accuracy in assessments. This remote role is ideal for experienced RNs seeking meaningful...

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides...

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Humana is seeking an experienced Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care teams, including SNF, home health, and DME. You will work remotely with occasional...

Geriatric Psych Nurse Work Location: Los Angeles, CA, USA Work Schedule 12hr days or day ight rotating shifts including weekends and holidays Posted Date 10/20/2026 Salary Range: $65.76 - $97.76 Hourly Employment Type 2 -...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Working remotely on a full-time basis, the Registered Nurse Clinical Documentation Specialist will conduct concurrent reviews of inpatient medical records to enhance documentation quality, ensure accurate coding, and collaborate with healthcare...

Case Manager Care Coordinator The Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator clinically assesses, plans, implements, coordinates, monitors,...

Case Manager Extended Care Coordinator RN-Per DiemPrimary Location Downey, California Schedule Per Diem Shift Day Salary $77.69 - $95.08 / hour Job Number 1435991 Date Posted 07/22/2026Job Summary: Responsible for the oversight and management of...

CVS Health is seeking a remote RN Case Manager to support members nationwide via telephonic case management. The role includes applying clinical criteria, coordinating care, and addressing barriers to improve outcomes. A multi-state license and...

UnitedHealth Group in El Paso, TX is seeking a Field RN Service Coordinator 1 – Case Manager to remotely support members with holistic assessments, care planning, and coordination across health and community services. The role emphasizes...

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...

UnitedHealth Group is seeking a Texas-licensed RN to support community health initiatives. This role offers remote-work flexibility within the assigned territory and involves coordinating care and connecting members to resources. Strong...

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Humana Inc. seeks a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations for post-acute care, including SNF, home health and DME. You...

Molina Healthcare Inc in Wisconsin seeks a Registered Nurse licensed in Wisconsin to join as our IRIS Self-Directed Personal Care (SDPC) RN. This remote role partners with individuals enrolled in the Wisconsin IRIS program—providing oversight,...

To support a growing surgical program, the per diem Massachusetts Licensed Pre-Admission Testing Nurse will conduct comprehensive pre-operative assessments, coordinate medical clearances, and educate patients on procedural expectations in a fully...

Professional Development Specialist – Care ManagementAt Cedars-Sinai, exceptional care begins with exceptional people. We are seeking a dynamic, collaborative Professional Development Specialist to advance the knowledge, skills, and professional...

About This Role The Utilization Management Nurse Consultant utilizes clinical experience to assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members. This role is ideal for those looking to contribute to...

Kaiser Permanente in Downey, CA seeks an experienced Registered Nurse for case management and discharge planning. You will coordinate admissions and post-hospital care with physicians, patients, and families to ensure safe, cost-effective plans.

Sentara Health is seeking a part-time Registered Nurse for a physician practice setting in a remote capacity. The RN will assess patients, assist with procedures, administer medications, and coordinate with physicians and staff to ensure...

UnitedHealth Group is seeking a PT RN for Telehealth After Hours in Pearland, TX (weekends only). The role supports patient triage via phone, coordinates referrals, and provides remote care guidance. You will collaborate with physicians and...

Humana Inc. is seeking a remote Telephonic Care Manager to deliver comprehensive case management across the care continuum. You will coordinate with care teams, coordinate with facilities and providers, and serve as the main contact for...

Provides direct nursing care including assessments, care plan, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of...

Molina Healthcare is seeking a Wisconsin-licensed RN for a remote IRIS Self-Directed Personal Care (SDPC) role. You will oversee a group of IRIS participants, assess needs, and educate providers and participants in their homes and communities.