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Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations. You will report to the Manager of Utilization Management on the One...

Carle Health seeks a Registered Nurse to deliver high-quality care within the Illinois RN scope and to guide patients, families, and care teams. The role includes a required six months of in-office training at the Champaign location before...

CVS Health is seeking an experienced RN to review clinical documentation and apply appropriate criteria for post-service claims. You will coordinate resolutions with clinicians as needed and support customer service and claims teams. The role...

*Job Summary and Responsibilities* As our RN Trauma Performance Improvement, you will contribute significantly to our mission by leading proactive efforts to minimize traumatic injuries and support vulnerable patients. Your role elevates...

Job Title: Nurse, Clinical Medical Review Location: Columbia, MD (Primarily remote, but hybrid) Duration: 6 Months Contract PURPOSE: We are seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a...

At Avanta Care, we prioritize the well-being of our employees. Our culture is built on the foundation of compassion, respect, and teamwork. We believe that when our employees feel valued and supported, they are better equipped to provide the...

Peraton Overview Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

A healthcare staffing company in Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year of Home Health experience and must possess an active CA RN License. Responsibilities...

Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote United States position. You will use your nursing expertise to evaluate medical records, assess medical necessity, and manage appeals to support patient care and...

Back RN/Managed Care Coordinator - Remote Healthcare Columbia , South Carolina Contract Hybrid Oct 30, 2026 RN/Managed Care CoordinatorJob at a GlanceTitle: Managed Care...

RN Status Review Specialist It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Use your nursing expertise in a strategic, non-bedside role. As an RN Status Review Specialist, you'll evaluate patient...

Clinical Eligibility & Intake Nurse Part Time/1099 Contractor Fully Remote Monday-Friday; 3-5 hours per day / 15-20 hours per week*; schedule must overlap intake hours** Clinical Operations Reporting to:...

Description: Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a...

CareHarmony's Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...

Registered Nurse (RN) Lake Regional Healthcare is currently seeking Registered Nurses (RN) to deliver the best possible nursing care in LRH's patient-focused setting. Summary: Utilize the nursing process to identify patient...

We are seeking experienced Registered Nurses with inpatient clinical expertise to contribute to a project focused on improving the accuracy, safety, and reliability of AI systems in healthcare. In this role, you will apply your nursing...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...

Overview Talent Staffing Solutions Inc. DBA Mendrix Agency Group is a fast-growing, nurse-first staffing agency serving Skilled Nursing Facilities (SNFs) and Nursing Homes across Los Angeles County. We are hiring on CNAs,...

Medical Director Services PC is seeking compassionate RNs or LPNs for a remote hybrid role in patient monitoring. You will track vitals, review biometric data, and collaborate with providers to improve outcomes while visiting the facility twice a...

The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives,...

Job Requirements Education & Experience Bachelor's Degree in Nursing (BSN) – Preferred Acute care facility experience – Preferred Previous hospital/acute care nursing experience...

Job Title Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital...

Intermountain Health is seeking a Registered Nurse for a fully remote Home Health and Hospice role (St George) with flexible, part-time scheduling. You will assess, plan, and deliver evidence-based care in patients' homes, using technology and...

Thank you for considering a career at Conduit Health Partners! Scheduled Weekly Hours: 24 Work Shift: Evenings (United States of America) The RN Triage Specialist provides...