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AuthoraCare Collective is seeking an RN for our After-hours Triage department serving our Burlington and Greensboro service areas. This is a remote part-time position; Every other Saturday and Sunday 10:00am - 4:00pm. Must reside in the...

TriWest Healthcare Alliance is seeking a Utilization Management Clinical Review nurse to assess medical necessity and manage prior authorizations for Behavioral Health and Medical/Surgical requests. You will apply InterQual criteria, document in...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe employee's primary work location will be the assigned clinic; however,...

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Case...

Cooper Home Health is seeking a compassionate Clinical Care Navigator (RN) to join our growing team in the Tampa Bay area, with flexible work-from-home options. You will guide patients and families through the home dialysis journey, from referral...

Elara Caring is seeking a Remote Hospice Triage Registered Nurse (RN) to join our expanding remote care team. This weekend-only position supports hospice patients and families after hours from home. You will triage by phone across multiple...

Trinity Health At Home is seeking a Virtual Care Coordinator RN to deliver telehealth hospice care and coordinate individualized care plans for patients and families from a remote setting. The role involves monitoring patient conditions,...

Call 4 Health is seeking experienced Registered Nurses to join our 24-hour remote triage team, delivering high-quality patient care from a home office. You will support providers nationwide, triaging via telephone, documenting in EHR systems, and...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

UnitedHealthcare is seeking an HSS Clinical Coordinator RN to serve as the primary care manager for a panel of members with complex health needs, including behavioral health, with a focus on coordinating medical, behavioral, and social...

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...

Sedgwick is seeking an RN Telephonic Case Manager to support injured workers remotely. You will partner with workers, employers, and medical providers to develop care plans that promote medical recovery and a successful return to work. The...

8 Hours POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care.

The University of Texas MD Anderson Cancer Center is seeking a Denials Management Coordinator to support revenue cycle operations by coordinating review, analysis, and resolution of insurance denials and to help secure accurate reimbursement. This...

Centene Management Company LLC in Illinois is seeking an RN to remotely support Medicaid High Risk Maternity members. The role requires an active Illinois RN license and follows a Monday–Friday 8am–5pm Central Time schedule. You will...

Trinity Health Corp. in Michigan is hiring an RN Intake Coordinator to act as the clinical gatekeeper for admissions to the Inpatient Psychiatric Medical Unit. The role coordinates the patient intake and admission process, conducts clinical...

Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...

Cambia Health is seeking an Utilization Management Nurse to work remotely within Oregon, Washington, Idaho or Utah. The role focuses on prospective, concurrent and retrospective reviews to ensure medical necessity and cost-effective care, applying...

A staffing and recruiting firm is seeking a HEDIS Nurse (RN or LPN) for a remote position which allows for a flexible schedule. This high-impact role involves ensuring accurate HEDIS reporting and quality improvement initiatives. Candidates should...

Job Summary Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical...

Mary Washington Healthcare is seeking a Virtual Registered Nurse (VRN) to deliver professional nursing care via two-way audio/visual technology, collaborating with bedside nurses to assess vital signs and monitoring data. The VRN provides direct...

Devoted Health is seeking a Clinical Guide for our Outpatient Utilization Management team. You will perform clinical reviews of outpatient authorization requests, applying evidence-based criteria and CMS requirements to ensure appropriate care...

Humana Inc. is seeking a Registered Nurse to join the Wisconsin Care Coaching team, coordinating member care, providing education, and helping members navigate their care with confidence. The role is remote with travel up to 40%; requires...

WE ARE TITANIUM HEALTHCARE Titanium is a healthcare company that puts heart and compassionabove all else. Millions of Americans justaren'tgetting the medical care they need.We'reon a mission to change that. For patients that means...