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Centene is seeking a licensed Practical Nurse or Registered Nurse for a remote utilization management role based in Oklahoma. You will review prior authorization requests for medical necessity and coordinate with medical teams to ensure...

Cityblock Health is seeking an RN Care Manager to oversee a panel of clinically complex members, coordinating with the Cityblock Care Team and external providers. The role focuses on care planning, reassessment, and guiding members through...

SteadyMD is excited to invite Nurse Practitioners with licensurein at least 30 licenses for a potential full-time role with our team. About Us: Recognized by Forbes as a Top 100 Best Startup Employer, SteadyMD is at the...

Telenett is seeking a Remote Utilization Review Nurse to review medical records and treatment plans from home. You will determine medical necessity, collaborate with providers, and help develop care plans that meet client needs. The role...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and to assess member needs to help them live healthier lives. You will collaborate with clinicians, interpret plans of care,...

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...

Certified Nursing Assistant (CNA) at Valley Presbyterian HospitalMake a Difference in Patient Care Every DayAt Valley Presbyterian Hospital, our CNAs are at the heart of patient care. We're looking for a compassionate and reliable Certified...

UnitedHealthcare is seeking a Manager of Clinical Annotation to lead RN Clinical Annotators in labeling and validating data for AI-driven prior authorization. You will guide clinical standards, ensure data quality, and partner across data science,...

BHU Intake Nurse Coordinator (RN)Job Title: BHU Intake Nurse Coordinator (RN) - Per Diem: 1 shift per week, weekend availability requiredBase Rate: $41.73- $61.3512 hr. shifts- paid overtime after 8 hours, resulting in an average rate of $48.69 -...

$40,000 Student Loan Repayment Or $25,00 Sign-on Bonus ...

Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant...

Work From Home Nurse Practitioner – Telehealth Women's Health | $125K+2 days ago Be among the first 25 applicantsThis range is provided by NPHire. Your actual pay will be based on your skills and experience — talk with your recruiter to learn...

Astrana Health, Inc. is seeking a Care Manager I - RN to remotely support members in the Maryland area. The role requires collaboration with care teams, discharge planning, and advocacy for patients regarding insurance and financial assistance.

Certified Nurse AssistantMarycrest Manor, a faith-based skilled nursing facility, is seeking a compassionate and dependable Certified Nursing Assistant (CNA) to join our supportive and caring team. The primary purpose of your job is to provide...

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...

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 healthcare technology company seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should...

UnitedHealth Group is seeking a Manager of Clinical Annotation to lead a team of Registered Nurse Clinical Annotators responsible for labeling and validating medical data used to train AI models for prior authorization automation. The role...

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...

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...

Welby Health is seeking a licensed RN to serve as Care Manager for our remote physiological monitoring program. You will monitor vitals, develop care plans, and provide education to improve adherence and outcomes. In this remote role, you...

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.

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

Job Description Join our General Surgery North clinic as a Full Time RN! We are seeking an RN that will work with both general surgery and bariatric patients. Monday - Friday 8am - 430pm No Nights! No Weekends! KS & MO RN Licensure required.

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...