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CVS Health is seeking a Clinical Quality & Compliance RN for a remote role focused on quality, compliance, and operational excellence. You will ensure utilization management processes meet regulatory, accreditation, and quality standards,...

Why Join Sunrise Senior Living At Sunrise Senior Living, we believe meaningful work starts with purpose. Our team members are passionate about making a positive difference in the lives of residents every...

ComplexCare Solutions is seeking a Nurse Practitioner for per diem home and telehealth assessments nationwide. The role covers all zip codes in Carter County, OK, with an emphasis on evaluating health status, gaps in care and care management...

Great Lakes Management Company is seeking a Remote Triage RN to cover after-hours triage calls from various sites. This PRN/on-call role requires an RN licensed in MN, WI, or CO, with 5+ years in home health, assisted living, or long-term care...

Cross Country Nurses is seeking a travel nurse Correctional for a travel nursing job in Downey, California. Job Description & Requirements Specialty: Correctional Discipline: RN Start Date: 09/07/2026 Duration: 16 weeks 40 hours per week Shift: 8...

Building Location: Essentia Health 45th Street Clinic Department: 3661800 FAMILY PRACTICE - 45TH ST Job Description: Essentia Health is seeking a Licensed Practical Nurse or Certified Medical Assistant to serve in our family practice at our 45th...

Position: Medication Nurse, LVN / LPN Shifts, Time, and Days: PART TIME (FRIDAY AND SATURDAY. PM SHIFT 2:00PM-10:30PM) Pay Range: $31.00-$33.00PER HOUR Oakmont of Fullerton is a premier senior living...

Role Summary We are looking for a highly organized Hotel & Resort Coordination Specialist to assist with managing accommodation arrangements and coordinating client requests. This role plays a key part in ensuring all lodging details are...

About Klarity Klarity is bringing the future of telehealth to psychiatry. Trusted by 8,000+ patients & 50+ practitioners, Klarity has provided over 100K e-visits for patients in 25 states for professional ADHD care. Klarity is devoted to...

Johns Hopkins Medicine is seeking a Utilization Review Registered Nurse based in Hanover, MD. This full-time role allows you to leverage your clinical expertise to enhance member care through effective monitoring and communication. Your insights...

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden Grove Hospital Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand...

Join NPHire as a remote Nurse Practitioner to provide primary and acute care through virtual visits. Base pay range: $120.00/hr - $185.00/hr Location: Remote (fully U.S. based, U.S. license required) What You'll...

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...

UnitedHealth Group is seeking aRegistered Nurse in the United States for utilization review and case management. The role supports inpatient care decisions, discharge planning, and collaboration with clinical leadership to ensure high-quality...

Optum Behavioral Care Virtual, part of the Optum family of businesses, is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our team in Hawaii. As a member of the Optum Behavioral Care (OBC) team, you'll be an integral...

Broadway Ventures, a veteran-owned SDVOSB headquartered in Mississippi, seeks an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud referrals. You will apply clinical expertise...

University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and...

Meet Luro Health Luro Health is a mission-driven telehealth organization committed to improving health outcomes for Medicare and Medicaid patients through evidence-informed, multidisciplinary care. We partner with safety-net providers to expand...

A healthcare solutions provider is looking for a qualified RN to perform medical reviews and coordinate care for members. This role involves assessing service needs, engaging in patient education, and ensuring compliance with healthcare...

Tapestry Health is seeking a Part-Time Registered Nurse (RN) for the Remote Patient Monitoring (RPM) Notification Center. You will review notifications from remote devices, verify data integrity, and escalate as needed according to clinical...

Local LVN/LPN Opportunity | Long Term Care | Covina, CA Looking for your next LTC assignment in Southern California? We have an immediate opening for a compassionate and dependable LVN/LPN in beautiful Covina,...

Overview The position is work from home with field visits. Job Purpose This position is responsible for conducting medical management and health education programs for customers on government health care programs.

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...

Premera is a health plan seeking a licensed RN for a Care Coordinator - Clinical Appeals role. You will review inpatient, concurrent, and retrospective requests to determine medical necessity and appropriate care across plans. You will...

Urgently Hiring POSITION SUMMARY The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility...