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Humana, Inc. is seeking an Utilization Management Nurse 2 to coordinate, document, and communicate medical services and benefit determinations for our members. You will interpret clinical information to support recommendations and care...

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. LVN Full Time Clerical Beverly Hills, CA, US 3 days ago Requisition...

Essentia Health is seeking a nurse for a 0.8 FTE role to provide telephone triage and health guidance. The position supports remote work with evening hours and requires active RN licensure in at least one of the states and the ability to obtain...

*Job Summary and Responsibilities* As our Director Nursing Perioperative Services at St. Mary Medical Center, you will be responsible for Surgical service departments including OR, PACU, GI, Short Stay (Pre and Post Op Outpatient Surgery), and...

Licensed Vocational Nurse (LVN) – OB/GYN SpecialtyNoor Staffing Group is seeking a dedicated and experienced Licensed Vocational Nurse (LVN) with a focus in OB/GYN for a reputable healthcare facility in Los Angeles, CA. This role offers the...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to start a rewarding career path in the healthcare...

Back Registered Nurse – Review Analyst | Remote | Contract Business & Care Management Detroit , Michigan Contract Nov 6, 2026 Registered Nurse – Review Analyst | Remote | Contract Walker Healthforce is seeking a...

SCAN Health Plan is hiring a registered nurse for clinical review of medical claims and post-service appeals. You will analyze pre/post payments, perform audits, and apply CMS guidelines to determine medical necessity and appropriate care.

CommonSpirit Health is seeking a Continuing Care Coordinator RN in Centennial, CO. This full-time role focuses on chronic disease management, coordinating interdisciplinary care, and educating patients and families to improve outcomes. The...

CVS Specialty Pharmacy Nurse, Clinical Operations CVS Specialty Pharmacy provides medications and support for rare and complex conditions. The Nurse, Clinical Operations position is primarily responsible for supporting the clinical...

The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential...

Pre-Admissions Testing Registered Nurse/LVN Part Time Position Summary: The Pre-admission Testing RN/LVN is responsible for ensuring all surgical patients are appropriately...

Clinic LVNSetting: Healthcare FacilitiesJob Type: Contract - Full TimePay: $38 / HourHours: 40.00Location: Covina, CAUnder the supervision of a Registered Nurse, the LicensedPractical/Vocational Nurse works in a variety of remote or clinic...

Clinic LVNSetting: Healthcare FacilitiesJob Type: Contract - Full TimePay: $38 / HourHours: 40.00Location: Covina, CAUnder the supervision of a Registered Nurse, the Licensed Practical/Vocational Nurse works in a variety of remote or clinic...

Use bedside nursing or NP judgment to review clinical documents and AI answers on triage, medication and care planning. Work is remote and part-time, and you start paid tasks after a short recorded interview. What you will...

Atrius Health in Massachusetts is seeking a Registered Nurse to deliver effective care within the GI/Anticoagulation Management Services team, combining nursing processes with evidence-based practice to ensure patient safety and quality outcomes.

Conduct prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services. Collaborate with UM Medical Director on reviews and final determination. Draft denial language to ensure...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

We are seeking to hire a Treatment Nurse - Licensed Vocational Nurse to join our team! We are a skilled nursing facility looking for dynamic associates to join our clinical team and provide our residents with a best-in-class care experience.

Job Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not...

Los Angeles Community Hospitals in Norwalk, CA seeks a Licensed Vocational Nurse to provide patient care under RN/MD supervision, including administering medications, assisting with exams, and documenting vital signs. The role emphasizes...

Sagility is seeking an experienced Senior Care Specialist (Registered Nurse) to perform telephonic health assessments and develop individualized care plans from a work-from-home setting in Ohio. This seasonal opportunity targets experienced RNs...

Inland Empire Health Plan (IEHP) is seeking an experienced Utilization Management Nurse to perform prospective, concurrent and retrospective reviews ensuring medical necessity and alignment with UM criteria. Under the UM Manager, you will...

BlueCross BlueShield of South Carolina, Palmetto GBA Medical Review team, seeks an RN Medical Reviewer II to apply clinical guidelines and protocols for medical reviews and payment determinations from a home office. This full-time role emphasizes...

Ironwood Cancer & Research Centers seeks a Float LPN IV Certified Triage/Infusion Nurse to support patient care coordination across Glendale, Surprise, and Goodyear locations. The role involves triage by phone, IV therapies, and collaboration with...