Search Nursing Jobs

Clinical Review Nurse Duals Program Details- Brand new program of 2026 for Centene Duals = Medicare + Medicaid line of business. Members have one combined card and one authorization covering both benefit types. The duals...

Telephonic Registered Nurse 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...

Job Category: Executive Leadership, Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

Pacificare Health Management - Nurse Consultant We are seeking a highly skilled and experienced Nurse Consultant to join our team at Pacificare Health Management in Los Angeles, CA. As a Nurse Consultant, you will be responsible for providing...

DescriptionThe Utilization Management (UM) Nurse supports appropriate level‑of‑care determination, patient flow, and revenue cycle integrity across inpatient, partial hospitalization, and intensive outpatient programs. The UM Nurse functions...

Grievance & Appeals Nurse Specialist Join Us in this Amazing Opportunity We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If...

Nurse Reviewer – State of Illinois Location: Remote with on-site visits across Illinois We are currently seeking Nurses who reside in Central Illinois - preferably in McLean and Sangamon Counties. Position Overview...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Nurse, Concurrent Review WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. We bring together deep domain excellence with AI-powered...

Nurse Navigator Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

RN Clinical Staff Nurse-EmPATH-Full Time Days Event Details Join us for an Interview and Hiring Day! Registered Nurses welcomed! Location: 1680 E. 120th Street, Los Angeles, California 90059...

Medical Analyst We are seeking Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical treatment...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

Telephone Triage Nurse Line Advisor Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other! Are you ready...

As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The Registered Nurse is accountable for the coordination of patient care and education to the patient and...

Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and development of specific care...

RN - Clinic Nurse Out-patient clinic nurse City: Los Angeles State: CA Start Date: 01/06/2025 End Date: 04/07/2025 Duration: 13 Week(s) Shift: 5X8 Days Shifts Per Week: 5 Scheduled...

Location: Avera McKennan Hospital Worker Type: Regular Work Shift: Rotating days/evenings ights/weekends/holidays (United States of America) Pay Range: The pay range for...

Description Location: UCHealth Anschutz Outpatient Pavilion - Aurora, CO Department: Hospital Based Sub-Specialty Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on...

Patient Support Nurse The Patient Support Nurse will provide support for Oncology patients and caregivers over the phone, by being able to speak to the end-to-end journey for patients in the context of the Oncology program specifics.

Care Navigator Position Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations.

Job description California Post Acute is a premier healthcare facility dedicated to providing exceptional care to our residents and patients. Our commitment to excellence, compassionate care, and innovative practices sets us apart as a...

Itemization Review Nurse II The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position.

ECM Lead Care Manager The ECM (Enhanced Care Management) Lead Care Manager will outreach and enroll clients in enhanced care management and be responsible for overseeing the development and implementation of comprehensive care plans for...

Clinical Documentation Improvement Specialist - RN Job Category: Outpatient Nursing Requisition Number: CLINI017160 Full-Time Remote Hourly Range: $28.71 USD to $40.19 USD Description Job Overview: Day-to-day...