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Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does...

The Nurse Practitioner provides health care services to patients within scope of license, performs physical examinations and diagnostic tests, assessments and screenings, prescribes medications, and instructs patients and family members on medical...

Neolytix is seeking a remote, full-time Clinical Operations reviewer in the United States. The role leverages a nursing background to assess documentation for authorization, utilization review, and payer workflows. You will manage...

Unit Notes Unit/Department : LTC/Skilled Nursing Type of Facility: Skilled Nursing Unit as part of the acute hospital Private/Semi-private rooms? Semi-private rooms EMR: Cerner Ratios: RN's: 5:1 LPN's CNA's...

Spectrumforce Technologies, Inc. is seeking a Clinical Review Nurse - Concurrent Review for a 3-month contract to hire. The role is remote with work location listed as Remote-MS CST, schedule 8 am-5 pm Central time, with occasional weekend...

Evry Health seeks an RN Integrated Care Coordinator (UM) to provide comprehensive care coordination and drive quality outcomes for members across the care continuum. This remote role requires rotating weekend hours for utilization review and...

Loyola University Maryland is seeking a part-time Affiliate Clinical Instructor for the BSN Program. This role involves delivering clinical instruction to nursing students at local hospitals in Baltimore, MD, with remote and hybrid options...

Concierge Home Care is seeking an experienced Utilization Review Specialist (RN) to join our remote home health team. This Florida-based role requires OASIS and coding certifications and supports QA and regulatory compliance. You'll review...

Trend Health Partners, a tech-enabled payment integrity company, seeks a Nurse Coder DRG Auditor to review medical records and validate DRG/APC assignments and medical necessity for inpatient care. The role applies CPT and ICD-10 guidelines and...

Highpoint Health Sumner is seeking a Registered Nurse (RN) Clinical Documentation Specialist to join as a remote FT (days). You'll contribute by applying plan-of-care interventions and driving patient-care innovations with advanced technology.

PIH Health Downey Hospital is seeking an RN Case Manager to oversee a continuum of care from pre-admission through post-discharge, ensuring efficient progression for assigned patients.Focus on appropriate utilization of hospital services,...

Job Summary and Responsibilities As our Registered Nurse (RN), in Surgery you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and...

Ontario Trillium Foundation is seeking Nursing Professionals for Seasonal Flu Clinics across various sites including corporate offices, schools and municipalities. Nursing staff will administer flu vaccines, answer questions, and monitor patients...

EK Health is hiring a full-time Telephonic Nurse Case Manager (RN) for our Case Management Team. The role includes assessing, planning, coordinating, and evaluating service options to ensure injured workers receive timely, cost-effective care and...

RN Care Coordination Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic...

A leading healthcare company is seeking a Tele-Health Nurse to provide high-quality service for specialty prescription drugs. This role includes case management and patient coordination. Ideal candidates should possess a Vocational or technical...

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the...

Welby Health is seeking a Lead Care Manager to supervise a dedicated team of care managers and medical assistants. You will oversee a remote patient monitoring and chronic care management patient panel, ensure documentation accuracy, and drive...

Mass General Brigham Health Plan is hiring a Registered Nurse for remote work with occasional onsite meetings in Somerville, MA. You will handle clinical appeals and grievances, interact with providers and members, and coordinate with the medical...

Cancer Nurse Navigator Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally for excellence in cancer treatment,...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

RN Clinical Assessor - (Hybrid Remote - Waldo/Kennebec County, Maine) General information Date Friday, August 21, 2026 City Augusta State ME Country United States Working time...

Job DescriptionRegistered Nurse (RN) Care Management Specialist Location: Remote- Onsite for Training (Must reside within 2 hours of Columbia, SC) Pay Rate: $30/hour ScheduleMonday through...

Guidehealth is seeking an Utilization Management Registered Nurse to perform medical-necessity reviews and document findings for determinations. The role involves collaborating with medical leadership, reviewing cases for appropriate treatments,...

UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and document determinations. The role offers telecommuting from anywhere in the U.S. with a focus on...