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Job Title Pay Rate: $27.50 per hour Work Mode: Fully Remote Duration: September to February with possible extension Responsibilities: Work telephonically with claimants, physicians, employers, and customers to ensure...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and...

nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure...

Optumcare Medical Behavioral Integration Nurse Case Manager (MBI NCM) For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum...

Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must Have Requirements: RN,...

Research Nurse (Per Diem) - Greater Portland, OR Area Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

CVS Health is seeking a Nurse Consultant for a remote role focused on inpatient clinical reviews. The position emphasizes collaboration with hospitals and care teams to ensure appropriate levels of care and efficient discharge planning from a...

Job Title: Clinical Quality Assurance Nurse Pay: see below Registered Nurse - $28.50/hr (Non-negotiable) LPN/LVN- $26.50/hr (non-negotiable) Regular Schedule after...

CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote capacity. The role reviews inpatient and outpatient services using evidence-based criteria, authorizes care with providers, and escalates cases as needed.

Fairview Health Services is seeking a registered nurse for a 0.6 FTE daytime position that is primarily remote with occasional in-person attendance in Minnesota. The role involves nursing decisions in emergencies, comprehensive patient...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Job Description: RNs at Intermountain Healthcare are committed to providing patient centered care while demonstrating our values and mission. If you are interested in contributing to our mission of helping people live the healthiest lives...

To support a dynamic team, the full-time Clinical Quality Assurance Coordinator will ensure the quality and integrity of peer review case reports while working remotely, adhering to client agreements and regulatory standards.Key...

Humana's CenterWell Specialty Pharmacy seeks a Registered Nurse with a BSN to join as Care Manager, Telephonic Nurse 2 in a fast-paced call-center setting delivering patient support and education. You will support the Patient Management...

The IMA Group is seeking a Remote Telephonic Nurse Case Manager to support injured workers from home. You will assess needs via consultative evaluations and collaborate with physicians and adjusters to create cost-conscious treatment plans for...

The Licensed Vocational Nurse is responsible for providing direct or indirect nursing care to patients who present with urgent, emergent, or potential health problems;...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

JOB DESCRIPTION This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Children's Mercy Job Opportunity Do you envision finding a meaningful role with an inclusive and compassionate team? At Children's Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the...

TalentBurst is seeking a Kubernetes-certified? Just kidding. Sorry. actual: RN Clinical Documentation Integrity Specialist Remote at TalentBurst. This role focuses on ensuring medical documentation meets quality and regulatory standards and...

Summary This opening is for a Hiring/Onboarding Event. After qualifications are verified, invited candidates in Los Angeles will attend in person; others may interview virtually. Date: Saturday, November 7, 2026 Time:...

Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues...

Guidehealth is seeking a dedicated Registered Nurse (RN) to join as a Telehealth Medicare Annual Wellness Visit Specialist - PRN. In this remote role, you will conduct AWVs via telehealth under physician supervision, focusing on preventive care,...