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Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe position requires flexibility to travel and float to other clinic...

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...

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...

Sedgwick is seeking an RN Field Case Manager to work face to face with injured workers and medical providers, supporting advocacy, expedient treatment, and return-to-work efforts. The role blends remote work with necessary in-person interactions...

Utilization Management Nurse Consultant - Behavioral Health (Remote)### Utilization Management Nurse Consultant - Behavioral Health (Remote)Apply: Remote/Hybrid: AZ - Work from home: Full time: Posted Today: End Date: November 23, 2026 (13 days...

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,...

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,...

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...

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...

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...

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

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...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: ClinicDiscipline:...

Care Manager Registered Nurse (CMRN) At Hopscotch Primary Care, we believe great healthcare should be accessible to all people across all communities. Today, almost 20% of Americans live in a rural community, yet only 11% of physicians...

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...

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,...

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...

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...

Job ID: 33720 *Description* Become a key member of a world-class health organization and contribute to the delivery of Magnet® designated nursing excellence. Take your career to the next level. U can do all this and more at UCLA Health!

UnitedHealth Group is seeking a Telephonic Registered Nurse Case Manager to support a diverse member population by providing education, advocacy, and connections to resources. This remote role is ideal for nurses who want to make a meaningful...

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...

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%...

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...

Hines & Associates, Inc. is seeking a full-time Case Manager to leverage clinical nursing experience to design care plans and advocate for patients. This fully remote role focuses on coordinating healthcare services while supporting...

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...