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Job Summary The Care Manager—Registered Nurse is a key member of the Special Needs Plan (SNP) care team, responsible for coordinating care for members with multiple chronic medical and behavioral health conditions and social determinants of...

Blue Cross Blue Shield of Arizona is seeking a skilled professional for a clinical role addressing provider appeals and grievances. This position demands expertise in managed care while ensuring compliance with privacy regulations. The ideal...

A leading data platform company in the United States is seeking Registered Nurses to evaluate and train AI models. This part-time position offers competitive pay, flexible hours, and the ability to work from home. Registered Nurses will review...

IntelliResume is seeking an RN Case Manager to provide professional nursing care remotely. The role involves assessing, planning, implementing, and evaluating patient care to improve health outcomes. As an ideal candidate, you will prioritize...

Job Summary and ResponsibilitiesAs our RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient experience.Every day, you will...

Optum is seeking a Discharge Care Manager to implement telephonic case management interventions for high-risk members. This role involves evaluating discharge needs, collaborating with clinical teams, and ensuring seamless transitions of...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

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 programs are...

Shift: Monday - Friday, 8am - 5pm Work Arrangement: Remote - after training (up to one month) Department: MU Virtual Care Clinic Compensation: •...

Care Manager RN at Providence Saint Johns Health Center in Santa Monica, CA. This position is Part-time and will work 8 -hour, Day shifts. Providence Saint John's Health Center has been recognized as a Magnet hospital in 2025 a prestigious...

IntusCare is seeking a Utilization Management Nurse to deliver high-quality, compliant care for PACE participants, collaborating closely with interdisciplinary teams. This fully remote role involves managing care transitions, advocating for...

Description: OR PACU RN – FT Days $10,000 Sign On Bonus About the Role: The OR RN PACU - FT days role is critical in providing specialized nursing care to patients recovering from anesthesia following surgical procedures. This position focuses...

Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Specialist will review medical records for medical necessity, level of care, and authorization compliance while ensuring timely appeal submissions and...

3:15 is looking for a qualified Registered Nurse (RN) to manage the care of patients through various continuous care programs including Remote Patient Monitoring. The RN will welcome patients, educate them on health device usage, and create...

Come care with us at West Coast University! As a Nursing Faculty member for a certified Great Place to Work, you will guide nursing students to do...

Become a part of our caring community Work Schedule: Full-time/40 Hours Position Type: On-site Branch Location: West Allis, WI This is NOT a remote or work-from-home position. You will sit on-site at our West Allis, WI branch location. As a...

Leading Age Virginia in Anaheim, California is looking for a Registered Nurse to provide professional nursing care and coordinate patient care. The ideal candidate will have taken on roles involving patient assessments and operational duties,...

Adobecw is seeking a Special Projects Registered Nurse to support clinical initiatives aimed at improving quality outcomes and member engagement. This full-time remote position requires an active RN license in Arizona and a minimum of two years...

Townsen Memorial is looking for a full time Registered Nurse, PAT to join our team remotely ! Must reside in Texas. SUMMARY The Registered Nurse, Pre‑Admission Testing (PAT) is responsible for...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsibility for initiating phone contact with discharged patients from specified units, conducting query on patient experience and recovery, and...

Mercor in San Francisco is seeking Registered Nurses for a remote role focused on data labelling and training. The position offers a contract with compensation ranging from $60 to $80 per hour. As a Registered Nurse, you will review clinical...

Lehighbar is seeking a qualified nursing professional to provide comprehensive care management for patients in the Anaheim area. The role includes assessing and implementing care plans under supervision, collaborating with healthcare teams, and...

Harris Health is seeking a Utilization Management Review Nurse (UMRN) in Houston, Texas, to evaluate the necessity and efficiency of medical services. The ideal candidate will hold a Bachelor's in Nursing and a valid Texas RN license, with 5 years...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...

Texas Health Institute in Anaheim, California, is looking for a Registered Nurse to provide professional nursing care and assist with care management tasks. This role involves assessing and planning patient care under the supervision of a...