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UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based...

Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department: HS -...

Gallagher Bassett is seeking a nurse for its Clinical Concierge group within GBCARE. The role involves high-velocity, process-driven case management with up to several new cases daily, leveraging modern technology for workflow and communication.

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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...

MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure and 3+ years of clinical experience. Responsibilities include assessing healthcare...

Cross Country Education is seeking a local contract nurse RN School RN for a local contract nursing job in Downey, California. Job Description & Requirements Specialty: School RN Discipline: RN Duration: 41 weeks 36 hours per week Shift: 12 hours...

UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience.

Enlyte is seeking a Telephonic Case Manager (RN) to support injured workers. This full-time, remote role requires an active RN license (compact) and NY RN license, working with physicians, employers, and patients to develop treatment plans and...

A leading healthcare company is seeking an experienced Telephonic Nurse Case Manager to manage medical claims and facilitate care for injured workers. The ideal candidate will have at least a year of experience in Florida Workers' Compensation,...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and to identify solutions that help members live healthier lives. The role involves reviewing inpatient cases, coordinating...

## Centralized Triage Registered Nurse (RN) - RemoteApplyremote type: Remotelocations: Birmingham, ALtime type: Full timeposted on: Posted Yesterdayjob requisition id: R-101012**Job Description:****About Us:**Affinity Hospice is one of the fastest...

Humana Inc. in the United States is seeking a Part C G&A Nurse (Utilization Management Nurse 2) to support case preparation, review medical documentation and coordinate appeal determinations. This remote, full-time role requires an RN with...

Desert Oasis Healthcare seeks an Intense Case Manager (LVN) to lead care management for high-risk patients with complex behavioral health and substance use needs. The role involves comprehensive physical and psychological assessments, care...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey's health solutions leader driving innovations that improve health care quality,...

Overview: Mountain Ridge is HIRING MDS Coordinator Flexible Schedule - Full time OR Part time This is not a remote role, onsite is required Offering $10,000 Bonus We are dedicated to improving the lives we touch through the delivery of...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the...

A growing telehealth women's health program is seeking a Board-Certified Womens Health Nurse Practitioner (WHNP) to provide comprehensive virtual care focused on perimenopause, menopause, and midlife health. This fully remote role offers...

Cannon Cochran Management Services, Inc. is seeking a Senior Nurse Case Manager for a Nevada Workers' Compensation program. You will provide medical case management and utilization review, serving as a clinical resource and guiding treatment plans...

Back Medical Claim Review Nurse | Remote | Washington | Contract Business & Care Management Long Beach , California Contract Aug 11, 2026 Medical Claim Review Nurse | Remote (Washington) | Contract Walker Healthforce is seeking a...

LanceSoft is seeking a travel nurse RN Wound Care for a travel nursing job in West Hollywood, California. Job Description & RequirementsSpecialty: Wound...

Alignment Health is seeking a Complex Care RN (CCM RN) for a fully virtual role focused on owning the member journey across a high-acuity Medicare Advantage panel. You will coordinate care with APCs, Health Coaches, Care Coordinators, and Social...

A healthcare services provider in Cleveland, Ohio, is seeking a Case Manager Nurse Advocate. This position offers remote work flexibility and requires an active nursing license and a Bachelor of Science in Nursing (BSN). The ideal candidate will...

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.

firsthand Health in Albuquerque, NM, seeks a remote Triage Nurse to provide telephone and electronic triage support. The role requires strong triage skills, 3+ years of ER experience, and a BSN or ASN. Benefit offerings include health coverage, a...