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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...

UBC is seeking a Telephonic LPN for their call center in a remote US setting. The role delivers telephonic nursing support, patient education, and resource referrals for client-funded programs. Requirements include an associate degree in...

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...

Centene is seeking a licensed Practical Nurse or Registered Nurse for a remote utilization management role based in Oklahoma. You will review prior authorization requests for medical necessity and coordinate with medical teams to ensure...

Unknown CDI team is seeking a Clinical Documentation Integrity (CDI) Specialist – RN for a 100% remote position based in the United States. You will drive accurate inpatient documentation, engage physicians, and ensure alignment with quality and...

When you join Turnitin, you'll be welcomed into a company that is a recognized innovator in global education. For over 25 years, Turnitin has partnered with educators and institutions to develop learning integrity solutions that recognize the...

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...

UVA Health seeks a Clinical Documentation Specialist with nursing experience to ensure the clinical story is accurate and complete across the health system. This fully remote opportunity requires at least three years in CDI or a similar...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Building Location: Essentia Health 45th Street Clinic Department: 3661800 FAMILY PRACTICE - 45TH ST Job Description: Essentia Health is seeking a Licensed Practical Nurse or Certified Medical Assistant to serve in our family practice at our 45th...

UnitedHealth Group is seeking a Registered Nurse Clinical Annotator to support AI-driven prior authorization in healthcare. You will interpret clinical data, apply guideline-based criteria, and ensure accurate annotations for model training. This...

Certified Nurse AssistantThe Certified Nurse Assistant (CNA) works cooperatively with all team members in planning and performing basic care. The Certified Nurse Assistant supports patient care delivery and is responsible for adhering to all...

*Job Summary and Responsibilities* As our surgical services nurse at Glendale Memorial Medical Center you will prepare patients for surgical procedures and assist in the operating room to ensure they receive excellent nursing when they are at...

A healthcare consulting company is seeking a remote RN Health Care Facility Surveyor to assess compliance at various healthcare facilities across the United States. This role requires strong independent decision-making skills, a nursing degree,...

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...

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...

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...

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...

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...

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...

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...

Amergis Staffing is currently seeking Certified School Nurse for the 2026/27 school year in the Fullerton, CA area. Position Details: Must have CA SCRN Hours/Week: 6 hours daily (sub role must be okay...

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...

A dedicated home health organization seeks a Full Time Registered Nurse (RN) in Jourdanton, Texas. You will provide high-quality nursing care, collaborate on personalized care plans, and leverage innovative technology to improve patient outcomes.

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...