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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...

Cedars-Sinai is seeking a Registered Nurse for remote patient triage and care coordination. The RN uses evidence-based triage protocols and Epic Nurse Triage tools to assess symptoms and guide patients to appropriate care settings. The role...

CVS Health in the United States is seeking an experienced registered nurse to assess, plan, implement, coordinate, monitor, and evaluate options to ensure appropriate healthcare services and benefits for members. You will interact with providers,...

Sentara Health Plans is hiring a Clinical Claims Reviewer RN for a remote role. The position is full-time, 40 hours, with standard hours 8am–5pm EST, Monday to Friday. Remote opportunities are available across many states, including New...

UnitedHealth Group's UnitedHealthcare is seeking a Registered Nurse for a Weslaco, TX area role. The RN will assess, plan, and implement person-centered care, linking members with resources across financial, psychosocial, and community services,...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent...

Facilitates the provision of timely and effective patient care under the supervision of licensed members of the healthcare team. Helps maintain a safe and clean environment in order to enhance department operations. Patient care is delivered...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

Medix is seeking a bilingual LPN or LVN to join its remote clinical team as a Clinical Interviewer. This 100% remote role involves telephone-based medication outreach, information gathering, and escalation within established protocols. You...

Humana is seeking an Utilization Management Administration Coordinator to provide non-clinical support for policies ensuring appropriate care for members. This fully remote role sits within Home Solutions, supporting the Skilled Nursing Facility...

Molina Healthcare seeks six TX licensed RNs to work telephonically with Medicaid members across the state. Three roles require at least two years in behavioral health or substance abuse; the other three require two years in ICU/CCU/ED. Most duties...

Seeking an experienced Registered Nurse Medical Reviewer, the full-time remote position will manage the medical review of complex claims, pre-authorization requests, appeals, and fraud referrals, applying clinical expertise to determine medical...

CVS Health is seeking an experienced Registered Nurse for Medicare Precertification Utilization Management in a remote, full-time weekend schedule. The role emphasizes ensuring appropriate care, coordinating with providers, and applying guidelines...

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...

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 hiring for a Dallas-area role that supports care coordination and member advocacy in a dynamic community health setting. The position emphasizes person-centered planning, resource connection, and cross-disciplinary...

Job Description Provides direct nursing care including assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of patient care as well as coordinates...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

Humana Inc is seeking a Telephonic Nurse Care Manager to support patients remotely, coordinating post-acute services and admissions. You will assess needs, educate on care options, and work with the clinical team to ensure timely and appropriate...

Medix™ is seeking an experienced Licensed Practical Nurse (LPN) to support HEDIS and healthcare quality initiatives through chart review and data abstraction. This remote role focuses on retrospective record evaluation, not direct patient care,...

Molina Healthcare is seeking six RN care managers licensed in TX to work telephonically with Medicaid members across the state. Three roles require 2+ years in Behavioral Health or Substance Abuse; the other three in ICU/CCU/ED experience. Most...

CVS Health is seeking a QM Nurse Consultant to apply specialized clinical knowledge and drive quality improvement across patient care. The role emphasizes data analysis, regulatory compliance, and developing quality assurance programs, with a...

Supporting a high-volume Prior Authorization and Appeals team for pharmacy benefits, the full-time Remote Prior Authorization LVN will process and communicate commercial prior authorizations, manage calls, and review clinical criteria while...

Sentara Health in Williamsburg, VA is seeking a qualified Quality Assurance Coordinator to join our Home Care team on a full-time, day shift. This remote position emphasizes ensuring that Home Care products and services meet quality standards and...

Job Description The Research Nurse Coordinator II plays a key role in the successful conduct of clinical research studies by combining strong clinical nursing expertise with hands-on clinical research...