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Astrana Health, Inc. is seeking a Care Manager I - RN to remotely support members in the Maryland area. The role requires collaboration with care teams, discharge planning, and advocacy for patients regarding insurance and financial assistance.

Inland Empire Health Plan (IEHP) seeks a Quality Program Nurse to implement and monitor quality management policies under the DHCS framework. Responsibilities include site reviews, medical record surveys, CAP oversight, and HEDIS data abstraction.

A healthcare network is seeking a full-time Registered Nurse for Pre-Admission Testing (PAT) to work remotely. The role involves conducting comprehensive pre-operative assessments, coordinating with the medical team, and ensuring patient readiness...

A leading healthcare services provider in the United States is seeking a Remote Nurse Triage RN for part-time work. This role requires experience in a fast-paced environment and a Compact RN license. Responsibilities include providing remote...

At Houston Methodist, the Nurse Practitioner PRN position is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and consultation while maintaining and...

The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care to the terminally ill patient/family unit. The Triage Registered Nurse provides continuity of care 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...

Overview Provide clinical nursing expertise to support the training and evaluation of healthcare-focused AI systems. Review, annotate, and evaluate clinical data, including patient records and care scenarios. Translate real-world nursing...

Payfuture Technologies is looking for an RN Triage Nurse to provide remote telephone triage care. Ideal candidates have at least 5 years of experience in nursing, preferably in settings such as Emergency Departments or call centers. The...

UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure proper utilization of health services for members. You will assess needs, plan care, and collaborate with physicians to expedite appropriate levels of care. The role...

Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role involves developing and implementing...

UnitedHealth Group is seeking a Nurse Annotator to support AI-powered prior authorization processes. You will review medical records, annotate data, and apply UM guideline criteria to ensure clinically sound labeling for AI training. The...

Telenett is seeking a Remote Utilization Review Nurse to review medical records from a home office and determine medical necessity and care appropriateness. You will work with providers to develop compliant care plans and ensure high-quality,...

Core Measures Abstractor Join the American Data Network family and become part of an established, purpose-driven healthcare quality organization with more than 30 years of experience. At ADN, our work supports hospitals and healthcare...

Nursing Attendant III The County of Los Angeles, through its Department of Health Services, is seeking qualified candidates for the position of Nursing Attendant III. This position is located in Los Angeles County, CA, with a salary range...

Description Location: UCHealth Memorial Hospital Central, Colorado Springs - CO Department: 3C Medical Surgical Unit Work Schedule: Part Time, 48.00 hours per pay period (2 weeks) Shift: Days Pay: $35.29 - $54.71 / hour. Pay is dependent on...

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 prominent healthcare organization is seeking an A&G Clinical Specialist to manage health member complaints and appeals. This fully remote position requires expertise in clinical case management, understanding of regulatory compliance, and the...

A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must...

Certified Nursing Assistant The CNA in the MST department is a certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment...

Certified Nursing Assistant - CNA - Per DiemATC West has immediate full time opportunities for Certified Nursing Assistants! We're working with one of the top hospitals in the area and need CNAs for per diem positions!ResponsibilitiesUnder the...

Working as a Nurse Case Manager at Cunningham Childrens Home means youll be part of team that is dedicated to supporting youth in critical need of emotional, psychological, and physical care. Located in Urbana, IL, Cunningham Children's Home is a...

Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies. With a...

LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/21/2026 Duration: 13 weeks 40 hours per week Shift:...

Company : Highmark Health Job Summary This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...