Search Nursing Jobs

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

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...

Vivo Care, a patient-centered health platform, seeks a Care Navigator (RN/LPN/LVN) for remote work in the CST window. You'll build trusted relationships with patients, conduct wellness calls, and coordinate care using RPM data to drive health...

CVS Health is seeking a Utilization Management Nurse Consultant (Medical Review) to ensure members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote role leverages your...

A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare...

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.

Tryon Medical Partners in Charlotte, NC is seeking a Registered Nurse to join our Triage Call Center. In this full-time role you will manage and document medical inquiries and medication refills via phone, with hybrid/remote options and hours...

SCAN Health Plan Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists...

Licensed Vocational Nurse (LVN) – Los Angeles, CA Local Pay: $31.50/hour - (W2) Join our team and make a meaningful impact by delivering exceptional care in a professional healthcare setting. We're looking for a dedicated and compassionate...

Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

UnitedHealth Group is seeking an RN On-Call for hospice care to provide after-hours clinical support, triage patient needs and coordinate care for continuity and quality outcomes. The role includes remote and field-based nursing support with...

HCSC is seeking a remote QOC Nurse under the supervision of the QOC Manager to conduct review and investigation of quality of care issues. The role supports quality improvement activities in compliance with CMS, NCQA and other regulatory...

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...

BlueCross and BlueShield of South Carolina seeks an RN Medical Reviewer II to join the Palmetto GBA Medical Review team. You will perform medical reviews using clinical information, apply guidelines, and help ensure accurate coverage and payment...

Registered Nurse The MT Youth Challenge Academy (MYCA) registered nurse (RN) provides services for daily sick calls, skilled nursing assessments, recording and maintaining accurate records, administer medications and monitor patient's...

Intermountain Health is seeking an RN Utilization Review Care Management I for remote work. The role focuses on screenings, assessments, and evaluations to ensure cost-effective, high-quality care while coordinating with patients, families,...

LVN MDS Nurse – Full-Time, Monday–Friday Days | $40–$48/hr | West Los Angeles | Oceana Healthcare Center Bring your MDS expertise to a 5-star Quality Measures team Are you an LVN with MDS experience who wants...

5K Sign On Bonus!Southwest Care Center employees can answer yes to these 3 questions: 1. Do you want to make a difference? 2. Do you believe everyone is entitled to quality healthcare? 3. Do you desire to serve the...

Job DescriptionJob DescriptionBilingual Remote LPN/LVN - Clinical Interviewer100% Remote | $25-$26/hour | Monday-Friday 11:30 - 8 PM EST (Can reside anywhere in the U.S. to be considered)**Must be bilingual and hold an active LPN/LVN license to be...

Licensed Practical Nurse/Licensed Vocational Nurse Job Category: RN LVN Requisition Number: LICEN006640 Full-TimeOn-siteRate: $35 USD per hourLocations Showing 1...

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...

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,...

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...

Hi. We're Hummingbird. We're elevating patient access so patients can get healthcare how, when, and where they need it. We partner with healthcare systems to transform how patients access care, enabling their providers to focus on what...

OverviewAs our Educator, RN in Periop, you will serve as a consultant/resource professional by providing staff development expertise as an educator, facilitator, change agent, leader, and researcher, ensuring educational initiatives are...