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Salary : $101,190.00 - $151,468.56 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5134L Department: HEALTH SERVICES...

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CommonSpirit Health is seeking a Continuing Care Coordinator RN in Centennial, CO. This full-time role focuses on chronic disease management, coordinating interdisciplinary care, and educating patients and families to improve outcomes. The...

CorVel Corporation is hiring a skilled Registered Nurse for a Medical Case Manager role in Kentucky, with the Georgetown/Lexington area preferred. The position offers work from home and local travel, Monday–Friday business hours. The role...

Open Non-Competitive Job Opportunity Exam Number: Y5134L First Day of Filing: 3/3/2026, 8:00 A.M., PT, until the needs of the service are met and is subject to close without prior notice. COVID-19 Vaccination Mandate: All...

BlueCross and BlueShield of South Carolina seeks an RN Managed Care Coordinator I to review medical/behavioral eligibility against benefits and clinical criteria. You will apply clinical expertise and administrative policies to ensure medical...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - HSPC Afterhours Triage Nurse - Remote (2398103) HSPC Afterhours Triage Nurse - Remote - 2398103 Explore opportunities with Amedisys,...

JOB DESCRIPTION - REGISTERED NURSE (A) Job Summary: The Registered Nurse provides patient care on a supplemental basis to our client facilities. With the delivery of safe, quality patient care as...

CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays,...

Job DescriptionJob DescriptionBilingual Remote LPN/LVN - Clinical Interviewer100% Remote | $25-$26/hour | Monday-Friday 11:30 - 8 PM EST (Can reside anywhere in the U.S. to be considered)**Must be bilingual and hold an active LPN/LVN license to be...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

Company Description WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services,...

Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...

Job Description Clinical Quality Assurance Nurse (RN/LPN) - Remote | $26.50/hr Title: Clinical Quality Assurance Nurse (RN/LPN) - Remote Location: Remote (U.S.-based)...

Job Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not...

Elevance Health, Inc. is seeking a Nurse Case Manager I (RN) to perform telephonic care management for members with complex and chronic care needs. The role supports assessment, development, implementation, coordination, monitoring and evaluation...

Mercy in Missouri seeks a Nurse Navigator (Part-Time, Remote) to guide patients through their healthcare journey, coordinate care from pre-treatment through follow-up, and act as a resource for patients, families, and care teams. This role...

Medical Services Manager - RN/LVNSalary Range $100,000.00 - $112,000.00 Salary/yearDescriptionTitle of Position: Medical Service ManagerLocation: Percy VillageExempt/Non-Exempt: ExemptUnion/ Non-Union: Non-UnionSupervisor: Program DirectorGateways...

Staff Builders is seeking a local contract nurse RN Case Management for a local contract nursing job in Glendale, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

Utilization Management Nurse Specialist RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Sagility is seeking a Senior Care Specialist (Registered Nurse) for a work-from-home role in the United States. The RN will conduct telephonic health assessments, develop care plans, and support transitions of care for Medicare, Medicaid, and...

Job TitleFacilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS. Reviewing paper and electronic...

Registered Nurse I (RN I) Kedren Community Health Center, Inc. is seeking a compassionate and dedicated Registered Nurse I (RN I) to provide professional nursing care to patients in an acute psychiatric setting. Working as part of...

Title of Position: Medical Service Manager Location: Percy Village Exempt/Non-Exempt: Exempt Union/ Non-Union: Non-Union Supervisor: Program Director ...