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Back Medical Claim Review Nurse | Remote | Washington | Contract Business & Care Management Long Beach , California Contract Aug 11, 2026 Medical Claim Review Nurse | Remote (Washington) | Contract Walker Healthforce is seeking a...

Job DescriptionJoin Cedars-Sinai Cedars-Sinai has been named to the Honor Roll for...

Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time position. The role involves applying medical necessity criteria to reviews, documenting findings, and interfacing with providers and members to...

UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based...

Oscar Medical Group seeks licensed Nurse Practitioners (NPs) or Physician Assistants (PAs) for its Virtual Health Assessment program. This remote, 1099 role offers part-time hours (minimum 15 hours per month) with shifts between 8am-8pm EST...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way...

A health services provider is seeking a Care Manager RN for a remote, contract role in Detroit. This position involves leading a multidisciplinary team to deliver holistic care and requires a Nursing Diploma or Associate's degree, with a...

Overview UntiyPoint Clinic - Transitions of Care RN Care Coordinator 16 hours/week Week 1: Sunday/Monday 8AM-4:30PM & Week 2: Monday/Tuesday...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...

Care Management Coordinator/RNLocation: 100% Remote Duration: 3+ Months (FT conversion)This is a Utilization Management RN part time position - working every other weekend (2 days a week in a 2 week cycle). Must be available M-F 8:30-4:30pm for...

Rochester Regional Health is seeking a Registered Nurse for the Communications Center (Central Triage). The role combines in-person duties at the Riedman Center with a remote option after completing an in-depth training program. Expect 40...

iMPROve Health seeks an RN Reviewer (Workers' Compensation Utilization Review) to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc basis. As a peer reviewer, you will apply your...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

LVN Intake Verification Authorization Coordinator SA Nurses Home Health is looking for a part time remote weekend LVN Intake Verification and Authorization specialist working 6-8 hours each weekend. This role requires strong clinical...

Empassion is hiring a Care Coordinator/LPN to work within our contact center, interfacing with patients, providers, and families in our palliative care program. You will educate patients by phone and schedule palliative appointments, while...

A leading healthcare organization is hiring a Care Manager LPN LVN for a remote role, focused on care coordination services for individuals with complex health needs. The ideal candidate must have a diploma in nursing, 5 years of clinical...

To enhance patient care delivery, the full-time Registered Nurse Quality Improvement Specialist will evaluate healthcare documentation for compliance with regulatory standards, conduct audits, and collaborate with healthcare professionals to...

Job Description: RNs at Intermountain Healthcare are committed to providing patient centered care while demonstrating our values and mission. If you are interested in contributing to our mission of helping people live the healthiest lives...

MetaPhy Health, Inc. seeks a Telehealth Care Coordinator (LPN) to enroll patients into the CCM program via telehealth from a remote location. You will educate patients, coordinate with clinicians, and maintain patient records in the EHR.

A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing...

Desert Oasis Healthcare seeks an Intense Case Manager (LVN) to lead care management for high-risk patients with complex behavioral health and substance use needs. The role involves comprehensive physical and psychological assessments, care...

Chronic Care Management LPN/LVN, Virginia License (Remote) Location: Remote (Virginia license required) Hours: Flexible | Part-Time or Full-Time Role Overview PharmD Live is seeking a Virtual Chronic Care LVN/LPN to support...

Nsight Health is seeking a motivated LVN/LPN to join our remote CCM care team. In a high-volume call center, you will conduct outbound assessments, educate patients on care plans, and document interactions in real time. The role requires an...

WPS Health Solutions in Columbus, OH, is seeking an Appeals Nurse to review medical records and Medicare claims for first-level appeals to determine medical necessity and coverage alignment. The role collaborates with Appeals Examiners to...