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If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Clinical Reviewer RN - Alabama Alabama, US 30+ days ago Requisition...

Clinical Liaison (RN/Allied Health Professional) Location: Remote (covering PA and NYC) Employment Type: Part-Time - Weekend Coverage 9a-5p Compensation: $55-$60/hr The Role Are you an...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

UnitedHealth Group is seeking a Registered Nurse to support UnitedHealthcare programs in Texas, focusing on person-centered care. The role involves connecting members with financial, psychosocial, community, and state resources and coordinating...

Forensic Registered Nurse (RN) Scheduled Weekly Hours: 36 Work Shift: Days/Afternoons (United States of America) Summary of Primary Function The Forensic Registered Nurse (RN) is a highly specialized professional who...

A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity...

United Pacific Surgery Center in Tarzana, CA is seeking a Registered Nurse PreOp PACU - PRN to join our Team! United Pacific Surgery Center is a fast-paced, multi-specialty Ambulatory...

A leading healthcare provider is seeking a Registered Nurse for their LTSS department in New York. This role involves providing case management services, evaluating medical services, and managing appeals for denied services. Candidates must...

RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...

Centene Management Company LLC is seeking an RN for remote utilization management supporting Illinois Medicaid and Ambetter. The role is full-time with standard hours Mon-Fri 8am-5pm CT, with rotating weekends and holidays. The RN will...

Sentara Health Plans Community Care seeks a Utilization Review Nurse (RN) in Norfolk, VA. The role supports utilization management, including prior authorization, pre-certification, and care coordination to ensure treatment aligns with medical...

Registered Nurse I (RN I) Kedren Community Health Center, Inc. is seeking a compassionate and dedicated Registered Nurse I (RN I) to provide professional nursing care to patients in an acute psychiatric setting. Working as part of...

Utilization Management Registered Nurse NaphCare is hiring an experienced Utilization Management Registered Nurse just like you to join our Remote based, Arizona team. NaphCare is a family owned, healthcare technology company that has...

Overview Join our team as a day shift, full-time, Virtual Care Registered Nurse (RN). Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We...

TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers' compensation utilization review—prospective, concurrent, expedited, and retrospective reviews—to...

Job Title This is a remote, PRN position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values...

CVS Health is seeking an experienced Registered Nurse for the Medicare Utilisation Management Nurse Consultant role (Remote, Full-Time). You will help ensure members receive the right care at the right time within joint procedures and Medicare...

Registered Nurse The Registered Nurse, under general supervision, conducts patient assessments, participates in the development of the plan of care, implements and evaluates care according to patient specific age and/or developmental...

AHS Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Memphis, Missouri. Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 11/09/2026 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights...

Centene Corp. is seeking a fully remote nurse reviewer to evaluate concurrent care plans and determine appropriate levels of care for members. The role prefers an active NY State RN license and requires availability Monday–Friday, 8:30 AM–5:00...

Compensation: $85,000 – $92,000 Hourly Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (typically 1st shift) CLIENT NOTES / EXPECTATIONS Candidates must meet required AND preferred...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to...

A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare teams, and ensuring compliance. Candidates need an active RN license and...

Ochsner Health, a leading not-for-profit healthcare provider in the Gulf South, seeks an experienced RN for a remote case management role. You will coordinate care by liaising with patients, caregivers, multidisciplinary teams, and payers to...

Humana's Utilization Management team seeks a registered nurse to interpret and coordinate medical services, benefit determinations, and post-acute care support from home. The role emphasizes coordinated care across SNF, Home Health, and DME...