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This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes telephonic...

Registered Nurse Specializing In Utilization Review Join our team as a Registered Nurse specializing in Utilization Review, where you'll play a crucial role in patient care management. What You'll Be Doing Conduct...

Customer Success Nurse Consultant The Customer Success Nurse Consultant (CSNC) is responsible for driving post-implementation success for ICU Medical's infusion technologies through clinical expertise, data-driven consulting, and...

Mercor connects elite creative and technical talent with leading AI research labs. The Nurse Practitioner contract role is remote, with an immediate start for 3–4 weeks at 30–40 hours per week. Compensation is $80–$100 per hour,...

Americare is seeking a diligent Intake Coordinator RN to join our remote/full-time team. You will take referrals, assess eligibility, and process appropriate home care services while maintaining clear communication with referral sources and...

The Connection Center Virtual Registered Nurse (RN) delivers high-quality, patient-centered care remotely through telephonic and video interactions, covering the full nursing process from assessment to evaluation. Works with interdisciplinary...

Western Reserve Area Agency on Aging in North Olmsted, OH is seeking an LPN Community Resource Consultant to assess consumer needs and determine eligibility for WRAAA programs. The role involves educating clients and coordinating with caregivers...

Clinical Practice Specialist The Clinical Practice Specialist directs and elevates evidence based practice across nursing service lines specific to the role. This may span multiple age populations. The Clinical Practice Specialist will...

Claims Medical Review Nursing Consultant Job No: 544045 Work Type: Full-time Location: REMOTE OPTIONS, VARIOUS-STATEWIDE, PHOENIX Categories: Healthcare/Medical Support Level,...

National Care Advisors is seeking a Nurse Case Manager in the DC/Baltimore area to coordinate case management for eldercare clients, working with families, attorneys, and trustees to support quality of life. The role emphasizes timely...

Cincinnati Children's is seeking a registered nurse to join the After Hours Nurse Helpline on a remote, full-time schedule with rotating weekends and holidays. The role supports patient care when offices are closed and requires adaptation to a...

UnitedHealth Group is seeking a Clinical Grievances Nurse to review retrospective cases and current cases ensuring appropriate care and addressing immediate member needs. This role offers PST hours with remote work options and a Monday–Friday...

Compass Healthcare Consulting & Placement is conducting a search for an experienced MLTC Intake RN with UAS-NY experience for a Managed Care Plan servicing New York. Intake Assessments / Enrollments are Field & Remote Assessments working directly...

JOB DESCRIPTION AND POSITION REQUIREMENTS If you reside in one of the states listed in the above Notice to Out of State Applicants, please complete our SAFE‑T TeleSANE interest form. We accept qualified applicants from all states. Shape the next...

Utilization Review Nurse - RN | 100% Remote | Part-Time10-20 Hours Per Week | Flexible Schedule | Evenings & WeekendsLooking for a way to use your nursing experience without returning to a full-time bedside schedule?We're seeking an experienced...

River Valley Child Development Services Inc seeks a Child Care Nurse Health Consultant to provide technical assistance and develop trainings on health, safety, and nutrition for childcare providers in WV. This exempt, full-time role offers remote...

Registered Nurse (Centralized Phone Triage, After Hours) - Remote Opportunity Job Category: Nursing & Clinical Requisition Number: REGIS009776 Posted : October 12, 2026 Full-Time ...

OpTech is seeking a Registered Nurse (RN) to support utilization review and clinical review activities for a Michigan health plan. This role involves evaluating medical services for medical necessity, level of care, and clinical criteria. The...

Are you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional nurses & offering...

Humana is seeking a Utilization Management Nurse to support coordination, documentation, and communication of medical services and benefit determinations. This role suits experienced nurses who can work independently and make critical patient-care...

## Clinical Documentation Specialist - RN (Remote)Apply: Fully Remote: Covington, LA: Full time: Posted Today: R13037At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to...

This position is offered fully Home based (Remote) As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

*This role will require the successful candidate to work the shift of Monday to Friday, 1pm to 10pm Central (2pm to 11pm Eastern). The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This...

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...