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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.

Hcpoftexas is seeking Full Time Registered Nurses (RN) in the SW Houston area to provide compassionate home health care. Utilizing modern tools to enhance care efficiency, you will focus primarily on patient care while reducing paperwork burden...

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...

Great Lakes Management Company is seeking a Remote Triage RN to cover after-hours triage calls from various sites. This PRN/on-call role requires an RN licensed in MN, WI, or CO, with 5+ years in home health, assisted living, or long-term care...

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...

Tapestry Health is seeking a Part-Time Registered Nurse (RN) for the Remote Patient Monitoring (RPM) Notification Center. You will review notifications from remote devices, verify data integrity, and escalate as needed according to clinical...

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.

UnitedHealthcare in Tennessee seeks a Licensed Field Care Coordinator to coordinate care for medically complex members, delivering education, self-management support, and advocacy. This field-based, remote role requires strong clinical skills and...

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...

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...

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...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department : PACU AIP Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant...

UnitedHealth Group is seeking a Registered Nurse Clinical Annotator to support AI-driven prior authorization in healthcare. You will interpret clinical data, apply guideline-based criteria, and ensure accurate annotations for model training. This...

First Coast Service Options is seeking a Clinical Review Nurse to evaluate medical necessity, coverage, and payment levels for Medicare-related claims. The role applies clinical knowledge to determine the appropriateness of care in line with CMS...

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

IntellaTriage is seeking a compassionate registered nurse to join our remote hospice triage team. This role provides after-hours phone triage for hospice patients and families, coordinating care with on-call teams and documenting interventions.

A healthcare technology company is seeking an experienced On-Call Registered Nurse (RN) for a remote, part-time position. This role offers flexibility and the opportunity to support patient care from home. Candidates must possess a current Compact...

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.

Monovo is seeking a Remote RPM Nurse to review patient vital sign data from connected devices and engage patients in their care plans. The role emphasizes identifying abnormal readings, educating patients, and collaborating with providers to...

Outlier AI in Arlington, TX offers a remote RN position contributing to AI data training. Earn up to $15 USD/hr with weekly payouts and rewards based on quality. Join a global community shaping AI safety and performance through high-quality...

Cross Country Nurses is seeking a travel nurse Correctional for a travel nursing job in Downey, California. Job Description & Requirements Specialty: Correctional Discipline: RN Start Date: 09/21/2026 Duration: 16 weeks 40 hours per week Shift: 8...

Premera is a health plan seeking a licensed RN for a Care Coordinator - Clinical Appeals role. You will review inpatient, concurrent, and retrospective requests to determine medical necessity and appropriate care across plans. You will...

UVA Health seeks a Clinical Documentation Specialist with nursing experience to ensure the clinical story is accurate and complete across the health system. This fully remote opportunity requires at least three years in CDI or a similar...

A healthcare organization is looking for a Senior Clinical Reimbursement Analyst to provide analytical guidance across segments. This role requires reviewing Medicare/Medicaid documentation, ensuring accuracy in MDS coding, and training staff on...

A leading Quality Improvement Consulting Company is seeking an RN Health Care Facility Surveyor to conduct compliance surveys across various healthcare facilities. The role is heavily focused on ensuring quality standards are met, involving...