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CVS Health is seeking a remote Appeals Nurse Consultant to review and resolve clinical appeals with sound clinical judgment and regulatory knowledge. The role supports a remote team with standard Monday–Friday hours and occasional on-call.

UnitedHealthcare is seeking an experienced registered nurse to join a frontline clinical resource program that educates and supports members about health management. The role emphasizes customer service, nursing judgment, and collaboration to...

Job OpportunityAre you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this...

Fonemed is seeking a Telehealth Triage Nurse to join our remote team in the United States. The role is full-time (0.8–1.0 FTE) with potential part-time consideration based on availability, requiring a compact nursing license and a CA license as...

A healthcare technology company in the United States seeks a Triage Registered Nurse to provide effective telephone triage for patients. The ideal candidate will have a BSN, strong clinical assessment skills, and at least 2 years experience in...

LanceSoft is seeking a travel nurse RN Special Procedures for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Special Procedures Discipline: RN Start Date: 10/26/2026 Duration: 13 weeks 40 hours per week...

Stanford Health Care in Palo Alto is seeking an Oncology Nurse Navigator to coordinate care from diagnosis through survivorship. As a licensed RN with oncology experience, you will partner with physicians, social workers, nutritionists, and...

Pay: $31-$35 per hour Join Maxim Healthcare Services and make a difference one patient at a time. Maxim Healthcare Services is seeking compassionate and skilled...

A leading healthcare provider is seeking an Associate RN for a remote role dedicated to acting as a care guide and advocate for patients. The candidate must hold a valid RN license in a compact state or California. Responsibilities include...

The ECM Case Manager will assume responsibilities for community outreach and engagement. This position will determine eligibility, complete enrollment assessments, and perform outreach to potential ECM members to offer an enhanced case management...

Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior...

Overview The Transfer Center RN Specialist is dedicated to facilitating appropriate patient transfers into Carle Hospital from referring physicians and facilities (hospitals, clinics, convenient/urgent cares, surgery centers,...

PIH Health Downey Hospital is seeking an RN Case Manager to oversee a continuum of care from pre-admission through post-discharge, ensuring efficient progression for assigned patients.Focus on appropriate utilization of hospital services,...

Genex Service LLC in El Monte, CA hires a Medical Field Case Manager to coordinate in-person patient appointments, collaborate with treating physicians and employers, and develop treatment plans aimed at quick, safe return-to-work. The role...

Southern California Hospital at Culver City is seeking a Behavioral Health Registered Nurse to provide specialized nursing care for patients with behavioral and/or mental disorders. The role requires collaboration with interdisciplinary teams to...

A prominent healthcare organization is seeking a Telephone Triage Nurse Line Advisor in Saint Paul, Minnesota. The role requires a current Minnesota RN License and 3+ years of RN work experience. You will independently triage patient calls and...

Clinical Clearance Specialist (RN) Remote, United States Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often,...

WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We serve the most vulnerable seniors with better quality and compassion in a value-based model.The Case...

EK Health is hiring a full-time Telephonic Nurse Case Manager (RN) for our Case Management Team. The role includes assessing, planning, coordinating, and evaluating service options to ensure injured workers receive timely, cost-effective care and...

To support effective utilization management, the part-time Senior Utilization Review Specialist will conduct concurrent and retrospective reviews of hospital services, ensuring compliance with medical necessity and payer authorization while...

Building Location: St Marys Hospital - Detroit Lakes Department: 3063470 PACU - DL HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and evaluation.

HonorHealth in Arizona is seeking a Clinical Data Abstractor II to abstract and audit complex clinical records for registries, ensuring compliance with care standards and accreditation requirements. This remote position requires Arizona residency.

Case Manager RNGlendale, CA$2824 /Weekly Gross* *Estimated pay package. Does not include taxes, insurance, or other deductions that may occur.Job ID: 47AJLWMTStart Date10/12/2026Shift8H Days(12:00 AM-12:00 PM)Length13 WeeksWeekly Hours40Facility...

CorVel Corporation is seeking a Telephonic Case Manager to coordinate medical care for injured individuals. This remote role emphasizes clinical assessment, cost-effective care plans, and communication with physicians, patients, and payers.

Job Category : Registered NurseRequisition Number : CASEM003725Full-TimeOn-siteSalary Range : $112,278.40 USD to $165,068.80 USDLocationsShowing 1 locationCommunity Hospital of Huntington ParkHuntington Park, CA 90255, USADescriptionJob Summary:...