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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...

Registered Nurse 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 with...

Sentara Health is seeking a Registered Nurse for the Physician Practice in a remote weekend day shift role (Sat, Sun, Mon 7am-7:30pm). The RN will provide care in a physician practice or ambulatory clinic, perform triage, assist with exams,...

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,...

Humana Inc. seeks a Telephonic Care Manager, a Registered Nurse who will help ensure continuity of care for patients transitioning into and out of CenterWell Home Health services. You will determine appropriate post-acute options and...

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

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...

To support a specialized endoscopy clinic, the remote Minnesota Licensed RN Specialist will assess patient needs, implement nursing interventions, and evaluate care outcomes while coordinating with healthcare team members.Key...

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...

Job DescriptionMake a Difference Every Single Day at Cedars-Sinai!When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and...

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...

Sentara Health is seeking a part-time Registered Nurse for a physician practice in a remote capacity. The RN will provide care in an ambulatory clinic, perform triage, conduct patient education, and support care coordination with physicians and...

Optum Infusion Pharmacy is seeking a Clinical Administrative Consultant RN (CAC, Clinical Coordinator) to act as a clinical liaison and coordinate home or AIS infusion therapy for patients across the U.S. The role supports initial intake,...

Humana's Utilization Management Registered Nurse uses clinical nursing skills to interpret and support coordination, documentation and communication of medical services and benefit determinations for post-acute care (SNF, Home Health, DME). You...

Responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and procedures.

Molina Healthcare is hiring a remote RN Care Manager. Preference for candidates in Washington State. This role will be working Pacific Standard Time hours. This role supports Medicare members through telephonic case management and...

Seeking a detail-oriented RN Clinical Quality Assurance Coordinator for a full-time remote position, who will manage the quality assurance review of peer review reports, ensuring compliance with client specifications and regulatory requirements...

CVS Health is seeking an experienced Utilization Management Nurse Consultant (Medicare) to review cases and guide care decisions from a remote setting. The role emphasizes collaboration with providers, evidence-based determinations, and ensuring...

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were...

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...

Sentara Health is seeking a Registered Nurse for the Physician Practice in a remote weekend day shift role (Sat, Sun, Mon, 7am–7:30pm). The RN will provide care in a physician practice or ambulatory clinic setting, coordinate with physicians and...

UnitedHealth Group in Texas is seeking a Registered Nurse to handle incoming calls from patients, physicians, and healthcare organizations, using the nursing process and triage guidelines to offer appropriate care options. The role includes...

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...

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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...