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A healthcare solutions provider is looking for a qualified RN to perform medical reviews and coordinate care for members. This role involves assessing service needs, engaging in patient education, and ensuring compliance with healthcare...

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...

Job Title: Registered Nurse (RN) Disease Manager Job Overview: The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or...

Nursing Assistant Position Under the direction of a Registered or Licensed Vocational Nurse, provides basic nursing care and implements selected aspects of the patients nursing plan of care. This position requires providing...

Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance and high-quality documentation. The role emphasizes strong clinical...

Patient Care Assistant, Observation UnitTitle: Patient Care Assistant Location: Long Beach, CA Department: Observation Care, Adult Status: Per Diem Shift: Nights (12hr) Pay Range*: $25.67/hr MemorialCare is a nonprofit integrated health system...

BrightSpring Health Services seeks a part-time Tele-Triage Licensed Practical Nurse (LPN) to provide remote triage and care planning for populations in the assigned locations. Must hold an LPN compact license and have experience in home health or...

Stryker Corporation in the United States is seeking a Clinical Documentation Integrity (CDI) Specialist – RN for a fully remote role. You will review inpatient records, issue physician queries, and collaborate with care teams to ensure accurate...

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...

Pomelo Care is seeking a Pediatric Triage RN for overnight shifts (9pm–9am ET) to provide patient-centered triage for pediatric cases across the United States. This full-time role involves three 12-hour shifts weekly, with weekend and holiday...

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...

Have you ever looked a medical bill and immediately noticed something was wrong? Were you itching to use your expertise to fix it? We've been there, too. In fact, that's how our business was born - and continues to thrive. Rising Medical Solutions...

Company : Highmark Health Job Summary This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...

Cross Country Nurses is seeking a travel nurse Correctional for a travel nursing job in Downey, California. Job Description & Requirements Specialty: Correctional Discipline: RN Start Date: 09/07/2026 Duration: 16 weeks 40 hours per week Shift: 8...

Hcpoftexas is seeking Full Time Registered Nurses (RN) in the SW Houston area to provide compassionate home health care. Utilizing modern tools to enhance care efficiency, you will focus primarily on patient care while reducing paperwork burden...

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...

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...

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 -...

At Amped HQ, we're on a mission to connect top talent with opportunities that drive real impact. We're constantly expanding our global network, seeking the best and brightest to join our team and contribute to our partners' success. With...

Stormont-Vail HealthCare, Inc. is seeking a full-time Registered Nurse for the First Shift (Days) to provide professional nursing care to clinic patients in Topeka, KS. The role follows established practices and emphasizes compassionate care...

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.

First Coast Service Options is seeking a Clinical Review Nurse to evaluate medical necessity, coverage, and payment levels for Medicare-related claims. The role applies clinical knowledge to determine the appropriateness of care in line with CMS...

NuWest Travel Nursing is seeking a local contract nurse Correctional for a local contract nursing job in Los Angeles, California. Job Description & Requirements Specialty: Correctional Discipline: RN Start Date: 09/10/2026 Duration: 16 weeks 40 hours...

WelbeHealth is seeking an Advocate Nurse, RN to provide continuous care for participants remotely, including after-hours support. This role emphasizes building relationships with participants over time rather than short-term interventions.

A leading telehealth provider is seeking a Remote Telehealth Triage Nurse to provide telephone triage and health advice to patients across the United States. Candidates should have a compact nursing license and a minimum of 3 years clinical...