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Vaya Health seeks a Physical Health Registered Nurse to perform clinical reviews for authorization requests and medical necessity. You will reference standardized criteria and coordinate with physician peers when needed. This role is part of a...

aitrainer is seeking a Remote Registered Nurse (RN) to conduct health screenings for a health study. This role involves remote assessments, eligibility determination, and scheduling onsite sessions, all while ensuring HIPAA compliance.

Centene Corporation is seeking a remote Mississippi-based Registered Nurse to develop and manage complex care plans for members, coordinating with providers and families to ensure timely, person-centered care. The role emphasizes ongoing...

Vivo Care is seeking a Care Navigator to build trusted relationships with patients, triage vital signs, and promote health behavior change. You will work with the care team to conduct wellness calls and develop action plans to improve health and...

Cambia Health is seeking remote Care Management RNs to provide case, disease, and care coordination from home within Oregon, Washington, Idaho or Utah. This role supports a person-focused health care experience with strong clinical judgment and...

Sr. Clinical Coding Nurse ConsultantExplore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for...

Prosser Memorial Health is seeking a Nurse Navigator (RN) to coordinate care for high‑risk patients, advocate for clients, and educate families across the care continuum. The NN will address barriers to access and improve transitions in care,...

Gainwell Technologies is seeking a DRG Quality Advisor Nurse for a remote role within the continental United States. The position focuses on QA audits, DRG validation, coding audits, and ensuring compliance with clinical and coding guidelines.

Great-Lakes-Management-Co. seeks a PRN/On Call Triage RN for a remote position serving residents in MN, WI, and CO. You must reside in MN, WI or CO and hold an active RN license in those states. The role offers on-call shifts with remote...

Description We are looking for a full-time LPN passionate about all aspects of women's health to provide direct patient care as part of an interdisciplinary care team and to serve as the first line of communication with patients in...

A healthcare solutions company is seeking a remote Case Management Nurse to lead a multidisciplinary team providing holistic care. The role requires a compact RN license and offers a pay range of $37.00/hr - $39.00/hr. Candidates should have 3...

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...

A healthcare organization is seeking an RN Case Manager to work remotely and facilitate case management activities, evaluating medical needs for overall member wellness. Candidates should have an active RN license, ideally compact, with at least...

CVS Health is seeking an experienced Registered Nurse to coordinate comprehensive patient care, develop personalized plans, and liaise with multiple providers. You will advocate for patients, monitor progress, and optimize resource use to improve...

Job OpportunitySeeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the opportunity...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

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...

A virtual healthcare company is seeking a compassionate RN or LPN to provide nursing care to mental health patients in a telemedicine setting across various states. This is a full-time position with a pay range of $60,000 - $90,000 and benefits...

A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare teams, and ensuring compliance. Candidates need an active RN license and...

A healthcare technology company in the United States seeks a Triage Registered Nurse to provide effective telephone triage for patients. The ideal candidate will have a BSN, strong clinical assessment skills, and at least 2 years experience in...

Molina Healthcare is seeking a remote Care Manager RN to support Medicaid members transitioning from incarceration in Washington. The role focuses on disease management education and identifying eligible resources to help members re-enter the...

Job Summary We're working to create a national model for improving health. Today, we're focused on bringing our region services that improve every facet of life to drive total health, inside and out. Through professional growth, quality...

A healthcare staffing agency is seeking an RN Health Care Facility Surveyor to work remotely with up to 75% travel. The role involves conducting surveys for compliance with Federal regulations at health care facilities. The ideal candidate will...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job...

A leading healthcare services provider in the United States is seeking a Remote Nurse Triage RN for part-time work. This role requires experience in a fast-paced environment and a Compact RN license. Responsibilities include providing remote...