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Description RN - Quality Assurance located at Providence Willamette Falls Medical Center (primary location) and Providence Milwaukie Hospital (secondary location), with rare travel to Providence Newberg Medical Center. The position does not...

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...

Walker Healthforce, LLC seeks a Medical Claim Review Nurse for a fully remote contract based in Washington. The role focuses on retrospective medical necessity reviews, appeals, and payment integrity within Molina Healthcare of Washington.

CVS Health is seeking a Case Management Coordinator to enhance patient care by collaborating with members, providers, and community organizations. This is a remote role requiring a dedicated workspace and travel up to 75%. Candidates must have 3-5...

RN Triage Nurse - Remote job at Get It - Healthcare Location: Jacksonville, FL Job Description: Are you a Registered Nurse with pediatric and adult care experience looking for an exciting new opportunity? We are...

A prominent healthcare provider is seeking a Telehealth Registered Nurse to provide outstanding patient care across various settings. This remote role emphasizes compassionate care and operational excellence. Candidates should have a Bachelor's...

Centene is seeking a licensed Practical Nurse or Registered Nurse for a remote utilization management role based in Oklahoma. You will review prior authorization requests for medical necessity and coordinate with medical teams to ensure...

The Leading Provider of Integrated Occupational Medicine Services CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. Our...

Sentara Health Plans is seeking an Utilization Review Nurse (RN) for Medicaid with remote opportunities across listed states. The role supports pre-certification, ongoing reviews, and care coordination within licensure. Schedule includes 8am-5pm...

A healthcare staffing company is seeking a Remote Registered Nurse (RN) to specialize in triage on a PRN basis. Ideal candidates will have at least 1 year of nursing experience and an active RN license. Responsibilities include conducting patient...

A healthcare organization in Wisconsin is looking for a qualified nurse to facilitate the development of a digital care model and monitor program performance. The ideal candidate will possess a valid Wisconsin nursing license, BLS certification,...

Vaya Health seeks a Physical Health Registered Nurse to perform clinical reviews for authorization requests and medical necessity. You will reference standardized criteria and coordinate with physician peers when needed. This role is part of a...

A leading health care provider is seeking a Massachusetts Telehealth Nurse to assist patients in accessing care through phone consultations. Candidates must have a valid RN license in Massachusetts and 3+ years of clinical experience. The ideal...

A healthcare company is seeking a compassionate and detail-oriented RN Triage Nurse for a remote role based in Charlotte, NC. Ideal candidates will have at least 5 years of experience in nursing, particularly in emergency departments or call...

Base pay range $60.00/hr - $110.00/hr At Crossing Hurdles, we work as a referral partner. We refer candidates to our Partner that collaborates with the world's leading AI research labs to build and train cutting‑edge AI...

OverviewAs our Educator, RN in Periop, you will serve as a consultant/resource professional by providing staff development expertise as an educator, facilitator, change agent, leader, and researcher, ensuring educational initiatives are...

Winning Assistants is seeking a Medical Virtual Assistant - Registered Nurse to provide support for a healthcare practice. The role entails submitting prior authorizations, managing referrals, and maintaining patient communications while ensuring...

Overview The position is work from home with field visits. Job Purpose This position is responsible for conducting medical management and health education programs for customers on government health care programs.

Medcor is seeking a full-time Registered Nurse for its remote 24/7 Occupational Health triage call center. Shifts run 3pm–4am CST, typical days include 8-hour or 10-hour windows, with 40 hours per week and occasional weekend/holiday rotation.

Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members during critical moments in...

A healthcare company is seeking a Clinical Triage Nurse to assist with inbound patient calls, assess symptoms, and provide medical advice. The ideal candidate will have a valid RN license, strong communication skills, and the ability to work...

Alignment Health is seeking a Complex Care RN (CCM RN) for a fully virtual role focused on owning the member journey across a high-acuity Medicare Advantage panel. You will coordinate care with APCs, Health Coaches, Care Coordinators, and Social...

Travel Nurse Rn Med Surg Meda Health is looking for a Med Surg RN to work a travel assignment in an acute care hospital setting. Must have at least two years of experience, state licensure and BLS (at minimum). Competitive and Transparent...

LocationRedondo Beach, United States# Nurse Educator for school ownership at Internexus/AntaresLocationRedondo Beach, United StatesSalary$60 - $80 /hourJob TypePermanentDate PostedMarch 22nd, 2026Apply Now**Note: We are seeking a highly motivated,...

A healthcare quality organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The ideal candidate will have a BSN and an active RN license, along with experience in medical record review.