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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...

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...

RN Triage Nurse - Remote job at Get It - Healthcare. Charlotte, NC. Are you an experienced Registered Nurse looking for a flexible, remote opportunity in a fast-paced environment? We are seeking skilled RNs with both pediatric and adult experience...

firsthand Health in Albuquerque, NM, seeks a remote Triage Nurse to provide telephone and electronic triage support. The role requires strong triage skills, 3+ years of ER experience, and a BSN or ASN. Benefit offerings include health coverage, a...

A healthcare technology company is seeking an experienced On-Call Registered Nurse (RN) for a remote, part-time position. This role offers flexibility and the opportunity to support patient care from home. Candidates must possess a current Compact...

PIH Health Whittier Hospital is seeking a licensed LVN to process medication refill requests for patients within PIH Health. You will review medical records, verify orders, and ensure refills align with protocols while documenting accurately in...

Cadence is a clinical AI company transforming chronic disease care and is hiring a Licensed Practical/Vocational Nurse (LPN/LVN) to monitor remotely enrolled patients and move those in need into care the same day. You will review vitals and...

CNA Position at Long Beach VAMC Life in Long Beach is so much sweeter... The community Long Beach, California Long Beach is a waterfront playground located right in the heart of Southern California. Here you can experience it all:...

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...

About the Job All Care Home Health Provider is committed to caring. Serving the community for 30 years, we help educate our nurses with continuous clinical skills training for your home care career advantage. About the...

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...

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...

A healthcare network is seeking a full-time Registered Nurse for Pre-Admission Testing (PAT) to work remotely. The role involves conducting comprehensive pre-operative assessments, coordinating with the medical team, and ensuring patient readiness...

Northwell Health is seeking a Registered Nurse CDI Auditor to validate acute inpatient coded charts and ensure documentation substantiates diagnostic information. This remote position in New York requires a NY RN license, a BSN, and strong...

Mountain Pacific is seeking a part-time Clinical Field Reviewer (Remote) to perform in-home nursing assessments for MedicaidCFCS/PCS programs across Eastern Montana. The role emphasizes member-centered care and collaboration with providers to...

Enlyte is seeking a full-time RN case manager positioned remotely with regular travel to Denver, CO for in-person appointments. The role combines clinical expertise with case management to support injured workers' recovery and safe return to work.

University of Kentucky's Human Development Institute (HDI) is hiring a Nurse Coordinator to support the Supports Community Living waiver. This remote, home-based role serves Kentucky residents and requires travel across the state. The RN...

Travel Rn Pacu Job Type: Travel Profession: RN Specialty: PACU Shift Details: Shift Variable Shifts: 40 Hours Job Order Details: Start Date 08/24/2026 End Date 11/23/2026 Duration 13 Week(s)...

Affinity Hospice is seeking a Centralized Triage Registered Nurse (RN) to provide remote, telephone-based nursing care for hospice patients and families. You will serve as the primary contact during after-hours, weekends, and holidays across...

Network Medical Review Company is seeking an entry-level Clinical Quality Assurance Specialist to support the QA Department in ensuring accuracy, integrity, and compliance of clinical peer review reports. This role is ideal for candidates with...

A leading Quality Improvement Consulting Company is seeking an RN Health Care Facility Surveyor to conduct compliance surveys across various healthcare facilities. The role is heavily focused on ensuring quality standards are met, involving...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and to assess member needs to help them live healthier lives. You will collaborate with clinicians, interpret plans of care,...

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: 09/21/2026 Duration: 16 weeks 40 hours per week Shift: 8...

Sentara Health Plans is seeking an Utilization Review Nurse (RN) for Medicaid with remote opportunities across listed states. The role supports pre-certification, ongoing reviews, and care coordination within licensure. Schedule includes 8am-5pm...

Guidehealth is seeking a remote-based Care Manager (RN) to guide patients and families through complex health journeys. You will blend clinical expertise with holistic care, addressing medical, behavioral, and social needs while coordinating...