Search Nursing Jobs

Yale University is seeking a Utilization Management RN for revenue integrity. This remote (Connecticut) role reviews documentation against payer policies and medical necessity criteria, prepares denial appeals, and educates providers to ensure...

...

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...

About the opportunity: Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of...

Deliver comprehensive nursing care using the nursing process, including assessment, planning, and evaluation.Monitor patient conditions, adjust care plans, and collaborate with the team to improve outcomes.Requirements:Active RN license, BLS...

CareHarmony is hiring a Licensed Practical Nurse (LPN) in Oklahoma City to join their team in delivering value-based care management. The role involves conducting health assessments, coordinating resources for chronic care, and educating patients.

Health & Human Services in North Carolina seeks a Nurse Consultant I (NS) to perform regulatory nursing home inspections, ensuring compliance with federal and state requirements and preparing deficiency reports. The role is home-based with regular...

Full-time Company Description WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Nascentia Health is seeking a Care Manager to provide care management for health plan members, create PCSP, coordinate services, and document care per plan standards. This is a remote-first role, Monday–Friday, 8:00 AM–4:30 PM. This...

TalentBurst, Inc is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty:...

Puget Sound Home Health and Hospice, a Pennant Group company, seeks a full-time Hospice Clinical Manager (RN) in Tacoma, WA. The role offers a $10,000 sign-on bonus, a salary range of $115,000–$135,000 DOE, and a flexible schedule including one...

Devoted Health is seeking a Clinical Guide for our Outpatient Utilization Management team. You will perform clinical reviews of outpatient authorization requests, applying evidence-based criteria and CMS requirements to ensure appropriate care...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN. PRIMARY PURPOSE:To provide comprehensive quality telephonic case management to...

Conduct telephonic nursing assessments and triage using protocols.Provide health education and referrals to diverse patient populations.Work Schedule:Full-time evenings with weekend shifts every two weeks.Virtual training for 2-4 weeks, 100%...

Mary Washington Healthcare Incorporated is seeking a Level II Registered Nurse for a Virtual Registered Nurse (VRN) role. The VRN provides professional nursing care via two-way audio/visual technology, conducts virtual assessments, and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...

Leveraging clinical expertise in a dynamic environment, the full-time Registered Nurse Utilization Management will assess, plan, and coordinate healthcare services for members while working remotely and requiring flexibility for evenings,...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

Nurse Care Manager We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading...

Manage patients assigned to your Care Team, ensuring visit frequencies align with acuity levels. Communicate via phone and video conferencing, assess and enroll patients, and develop care plans. Manage medications,...

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...

Title: Clinical Review Nurse Concurrent Review Location: Remote Duration: 12 months (Potential Extension) Schedule: Mon-Friday, 11AM to 8pm CST; Weekends and Holidays on a rotation basis based on...

Case Management Utilization RNSalary: $68.95 - $84.38 / hourLocation: Los Angeles, California, Los Angeles Medical CenterEmployee Status: RegularSchedule: Part-time, 32 hours per week, Day shiftJob Summary:Works collaboratively with an MD to...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health 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...