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Gainwell Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews remotely in the United States. Responsibilities include reviewing medical records, documenting findings, and supporting decision-making within healthcare...

Self Fund Health Nurse Navigator Remote · Full time The Nurse Navigator is a remote WI-based RN who acts as the member's single point of contact through the healthcare system — coordinating care, advocating for patients, and steering...

Humana Inc. is seeking a Part C Grievance & Appeals (G&A) Nurse to support the coordination, documentation and determination of Medicare and Medicaid appeals. The role involves case preparation, applying guidelines, and outreach to...

Back Medical Claim Review Nurse | Remote | Washington | Contract Business & Care Management Long Beach , California Contract Aug 11, 2026 Medical Claim Review Nurse | Remote (Washington) | Contract Walker Healthforce is seeking a...

EMD Serono is seeking a Registered Nurse to join the Patient Support Hub as a remote RN, providing individualized clinical education and ongoing support to patients and caregivers for prescribed products. You will leverage nursing expertise and...

Telenett is seeking a Remote Utilization Review Nurse to review medical records from a home office and determine medical necessity and care appropriateness. You will work with providers to develop compliant care plans and ensure high-quality,...

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...

A national healthcare recruiting firm is seeking an experienced RN Case Manager in Sacramento, CA. In this telephonic role, you will assess and coordinate care for high-risk members. The ideal candidate will have an RN license and at least two...

EMD Serono is seeking an experienced RN to join the Patient Support Hub as a remote RN, West Coast-focused. You will provide individualized clinical education, product training, and ongoing support to patients and caregivers, leveraging AI-enabled...

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,...

Pacific Clinics is seeking Licensed Psychiatric Technicians (LPTs) and Licensed Vocational Nurses (LVNs) to provide direct patient care in psychiatric and mental health settings. You will assess patients, administer medications, and implement...

Palo Verde Community College District is seeking an experienced Clinical Documentation Integrity (CDI) Specialist (RN) for a fully remote role based in the US. The position supports quality outcomes, reimbursement accuracy, and regulatory...

National Brain Tumor Society (NBTS) unrelentingly invests in, mobilizes, and unites our community to discover a cure, deliver effective treatments, and advocate for patients and their care partners. NBTS is a leading policy advocacy and research...

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.

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...

A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...

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...

The position is work from home with field visits. JOB PURPOSE This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

RWJBarnabas Health is seeking an experienced Registered Nurse for a remote, day-shift role in New Jersey. The RN will support virtual urgent care navigation, referrals, and care coordination while working with a multidisciplinary team to ensure...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: SSM is looking for an experienced nurse with Hospice/...

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...

A leading healthcare provider in Columbia, Illinois is seeking an RN Supervisor for the Patient Access Center, focusing on evening shifts. The role demands strong clinical judgment and communication skills to optimize patient admissions and...

DaMar Staffing is seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. The role covers claims analysis, provider audits, fraud detection, and...

Overview Provide clinical nursing expertise to support the training and evaluation of healthcare-focused AI systems. Review, annotate, and evaluate clinical data, including patient records and care scenarios. Translate real-world nursing...

Illingworth Research Group is seeking a Per Diem Freelance Research Nurse to support patients in clinical studies by coordinating care and liaising with healthcare providers. The role involves guiding participants through study protocols,...