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hireops is seeking a Registered Nurse (RN) for a contract position lasting approximately 9 months. Remote work is available, but candidates must reside in Texas or Illinois. The job involves validating medical necessity, reviewing claims, and...

Beth Israel Lahey Health, Inc. is seeking a Clinical Documentation Integrity Specialist (RN) for a remote position. This role focuses on improving the accuracy and quality of patient documentation and requires collaboration with physicians and...

Vivo Care is seeking a Care Navigator to build trusted relationships with patients, triage vital signs, and promote health behavior change. You will work with the care team to conduct wellness calls and develop action plans to improve health and...

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...

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

aitrainer is seeking a Remote Registered Nurse (RN) to conduct health screenings for a health study. This role involves remote assessments, eligibility determination, and scheduling onsite sessions, all while ensuring HIPAA compliance.

Cambia Health is seeking a Remote Care Management Nurse to provide clinical care management, case management, and care coordination for members across Oregon, Washington, Idaho, or Utah. This role supports a person-focused, cost-effective...

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...

Aetna in Providence, RI is seeking a qualified Registered Nurse to support clinic operations and patient care. You will perform clinical duties, participate in phlebotomy, vaccinations, vitals, and diagnostic assessments while ensuring...

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...

Affinity Hospice is seeking a Centralized Triage Registered Nurse to provide compassionate, telephone-based nursing care to hospice patients and families after hours, weekends, and holidays. The role is remote, covering service areas across...

The Medical University of South Carolina is seeking a Transplant RN Coordinator II to join the Transplant Center. This remote position supports rotating nights, weekends, and holidays and requires high motivation to promote quality patient care.

Sagility LLC is seeking a Senior Care Specialist (RN) to deliver telephonic education to patients and caregivers from a home-based setting. You will follow clinical protocols within nursing scope and collaborate with the Clinical Operations team...

A healthcare technology company in the United States seeks a Triage Registered Nurse to provide effective telephone triage for patients. The ideal candidate will have a BSN, strong clinical assessment skills, and at least 2 years experience in...

Job OpportunitySeeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the opportunity...

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after‑hours support, triaging hospice patients and family needs over the phone with professionalism and empathy. You will help...

Walker Healthforce, LLC seeks a Medical Claim Review Nurse for a fully remote contract based in Washington. The role focuses on retrospective medical necessity reviews, appeals, and payment integrity within Molina Healthcare of Washington.

Winning Assistants is seeking a Medical Virtual Assistant - Registered Nurse to provide support for a healthcare practice. The role entails submitting prior authorizations, managing referrals, and maintaining patient communications while ensuring...

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...

Job Description 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,...

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...

Sr. Clinical Coding Nurse ConsultantExplore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for...

Guidehealth is seeking a remote Care Manager who can blend clinical nursing expertise with holistic patient care. You will guide patients and families through complex health journeys, coordinate care across providers, and empower members with...

A healthcare quality organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The ideal candidate will have a BSN and an active RN license, along with experience in medical record review.

UVA Health is seeking a Registered Nurse (RN) in Utilization Management for a remote role. You will leverage acute care experience to navigate complex clinical scenarios, determine medical necessity, and collaborate with interdisciplinary teams.