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Centene Corporation seeks an experienced RN to analyze prior authorization requests from a remote location within the United States. The role evaluates medical necessity and appropriate level of care in line with national standards and contract...

Seasoned Recruitment is seeking licensed Psychiatric-Mental Health Nurse Practitioners (PMHNPs) to perform online clinical assessments and direct psychotropic medication management. Enjoy autonomy over your schedule and strong administrative...

DISC Surgery Center stands as the epitome of excellence in spine care, orthopedics, interventional pain management, and sports medicine. Our cutting-edge facilities, strategically located in Newport Beach, Marina Del Rey, Walnut Creek, Valencia,...

Quality Correctional Care Quality Correctional Care (QCC) is a mission-driven organization that provides medical and mental healthcare and addiction recovery services to justice-involved patients. Our approach to patient care is uniquely...

Remote Care Manager (RN) - MUST LIVE IN TEXAS TX, United States Trending Job Description JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state.

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

Medical Management Coordinator Provides medical management to workers compensation injured employees, performing case management through telephonic and in-person contact with injured workers and medical providers. Coordinates with...

RN Ambulatory - East Compton Clinic - Full Time Days RN Ambulatory - East Compton Clinic - Full Time Days 10/1/2026 RNAM MLK Community Hospital & Foundation 135 E. Compton Boulevard Compton CA United States of America Onsite...

Travel Rn Specialty Case Manager Job Type: Travel Profession: RN Specialty: Case Manager Shift Details: 5x8 Days Job Order Details: Start Date 11/02/2026 End Date 12/29/2026 Duration 13 Week(s) Client...

Centene is seeking a RN/UM Supervisor to oversee Prior Authorization, Concurrent Review, and Retrospective Review teams, ensuring compliant and quality care for members. The role collaborates with the UM team and senior management to improve...

Join Our Caring Community As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working with a dedicated...

Job Title This position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

Arkansas Blue Cross Blue Shield is seeking an Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, benefit inquiries, and admissions. The role evaluates medical necessity using evidence-based criteria...

PLEASE NOTE: This job is available to people in the Philippines only. QuickTeam is a company that provides businesses with virtual employees to help them grow and become more productive. We provide virtual assistants,...

Description The Care Manager Registered Nurse (RN) serves as a key clinical member of the interdisciplinary care team as part of the Care at Home Solutions program. The Care Manager RN partners closely with the Medical...

WellSky is seeking a registered nurse to conduct telephonic patient evaluations for multiple payer programs, working on Pacific Time hours. The role emphasizes remote care coordination, schedule management, and collaborative protocol development.

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Clinical Triage Specialist (CTS) (RN) - Access Center St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are...

Benefits: High Degree of Independence Flexible schedule Elevate Patient Care from the Comfort of Home Are you a highly skilled RN looking for the autonomy of independent practice and the flexibility of a part-time...

Nurse Case Mgr II (RN) role at Elevance Health offers virtual, full-time care management for members with complex needs. The position emphasizes risk stratification, planning, implementation, and transition of care to optimize outcomes and access...

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

Registered Nurse We are looking for Registered Nurses for Care Centers. RN will be providing non-judgmental and compassionate care for patients who are experiencing homelessness and have complex and often severe medical and psychiatric...

Comprehensive Rehab Consultants (CRC) is building the future of nursing homes. We empower nursing home teams to provide exceptional clinical care to their elderly patients by embedding our clinicians and technology. Job Description...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the...