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Back Medical Claim Review Nurse | Remote | Washington | Contract Business & Care Management Long Beach , California Contract Aug 11, 2026 Medical Claim Review Nurse | Remote (Washington) | Contract Walker Healthforce is seeking a...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and patient plans of care. The role offers remote work from anywhere in the U.S., with weekend coverage on a rotating basis and a...

A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include...

OpenLoop is looking for a full time Telemedicine Registered Nurse (RN) to join our team remotely. In this role, you will be responsible for providing patient education and clinical support, ensuring optimal health outcomes, and working closely...

A prominent healthcare organization is seeking an A&G Clinical Specialist to manage health member complaints and appeals. This fully remote position requires expertise in clinical case management, understanding of regulatory compliance, and the...

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...

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.

A healthcare company is seeking a compassionate and detail-oriented RN Triage Nurse for a remote role based in Charlotte, NC. Ideal candidates will have at least 5 years of experience in nursing, particularly in emergency departments or call...

Upper Peninsula Health Plan (UPHP) is seeking a Remote Community Based Clinical Coordinator - Care Manager. The role involves evaluating members, coordinating services, and ensuring high-quality, cost-effective care across care settings.

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...

This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $140,000.00/yr - $170,000.00/yr Direct message the job poster from...

Clarity Pediatrics is seeking a Nurse Care Coordinator Lead (RN) for remote, full-time work guiding a pediatric chronic care team. You will oversee nurses, medical assistants, and community health workers, coordinating appointments, educating...

Benefits: High Degree of Independence Flexible schedule Elevate Patient Care from the Comfort of Home Are you a highly skilled RN looking for the autonomy of independent practice and the flexibility of a part-time...

MedPOINT Management is seeking a remote RN/LVN Case Manager to assess, plan, and coordinate patient care across the continuum under the supervision of Leads & RN Clinical Manager for Case Management. You will advocate for patients and coordinate...

## Centralized Triage Registered Nurse (RN) - RemoteApplyremote type: Remotelocations: Birmingham, ALtime type: Full timeposted on: Posted Yesterdayjob requisition id: R-101012**Job Description:****About Us:**Affinity Hospice is one of the fastest...

Qualifications VA Health Professional Trainees (HPT) pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. A HPT is an individual...

A dedicated behavioral health organization is seeking a Florida-licensed Registered Nurse for a remote Geriatric Behavioral Health Care Manager role. The RN will deliver ongoing mental health support through telehealth, manage dementia care, and...

CASE MANAGER LIAISON NURSE - OUTPATIENT COMPLEX CONDITIONS - CAPITOL HILL/SEATTLE WA! MUST LIVE IN WA STATE - (3) DAYS/WEEK ONSITE AT CAPITOL HILL MEDICAL CENTER - MON THRU FRI 8A-4:30P The Complex Case Manager in this position will work in a...

A healthcare staffing agency in Guilford County, NC, is seeking a ClinicalLTSS Care Manager. This mid-senior level contract role involves developing and coordinating holistic care management activities for healthcare members with long-term support...

This is a remote role. CircleLink Health is looking for passionate, tech savvy ILLINOIS registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role (requires...

Anchor Health is seeking a compassionate RN Triage Nurse (Full-Time) to join our hospice/palliative care team. Under Nurse Manager supervision, you will triage via the nurse line and coordinate with Call Center agents, providers, and clinics to...

Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate and fully covered by the patient's insurance. The team focuses...

Healthmap Solutions is seeking a Care Navigator to manage kidney health programs and coordinate care across patients, providers, and interdisciplinary teams. You will document in Compass, complete health screenings, med reconciliation, and...

HealthSnap in the United States is looking for an LPN to support patients in chronic care management and remote monitoring programs. This full-time role involves educating patients, documenting care, and addressing concerns. Successful...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plan is currently hiring a Medical Policy Research Specialist/ Registered Nurse (RN) - Remote in Virginia! ...