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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...

UnitedHealth Group is seeking an Inpatient Utilization Management Nurse, RN for a fully remote role serving the Sacramento area. The position requires 3+ years in acute care and 1+ year in utilization management, with certification in RN licensure...

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...

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...

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...

CareXM is hiring a Remote Registered Nurse (RN) for early morning triage on a part-time schedule. The role focuses on secure, compassionate after-hours triage for hospice and home health partners, conducted entirely from the nurse's home.

A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and...

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,...

A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare teams, and ensuring compliance. Candidates need an active RN license and...

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...

Chronic Care Manager (RN)Vitability Health of New Jersey Remote PositionOur MissionAt Vitability Health of New Jersey, we believe great care goes beyond checklists and charts—it's about relationships, trust, and walking alongside patients as...

A prominent healthcare organization is seeking a Telephone Triage Nurse Line Advisor in Saint Paul, Minnesota. The role requires a current Minnesota RN License and 3+ years of RN work experience. You will independently triage patient calls and...

Chronic Care Manager (RN)Vitability Health of New Jersey Remote PositionOur MissionAt Vitability Health of New Jersey, we believe great care goes beyond checklists and charts—it's about relationships, trust, and walking alongside patients as...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

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...

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/...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

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...

Centene Corp. is hiring a Quality Improvement Coordinator II to conduct reviews of delegated entities for quality, service performance and utilization, and to lead clinical quality initiatives across provider sites. The role involves...

Moments Hospice seeks a Triage RN to join the interdisciplinary team in an after-hours, fully remote role. You will assess needs, provide guidance, and coordinate care using the nursing process and Telecare protocols. Ideal candidates are...

A leading healthcare company is seeking an experienced Telephonic Nurse Case Manager to manage medical claims and facilitate care for injured workers. The ideal candidate will have at least a year of experience in Florida Workers' Compensation,...

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...

The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care to the terminally ill patient/family unit. The Triage Registered Nurse provides continuity of care to...

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...

Allina Health is seeking a Daytime RN Triage for a fully remote position with orientation. The role supports centralized nursing programs, triage services, anti-coagulation and refill in an outpatient clinic setting. Candidate must live...