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COPE Health Solutions is seeking a qualified Utilization Management Nurse (RN) to assess member needs, determine medical necessity and coordinate care across providers and care teams. This full-time, remote position reports to Medical Management...

A leading healthcare company is seeking a Tele-Health Nurse to provide high-quality service for specialty prescription drugs. This role includes case management and patient coordination. Ideal candidates should possess a Vocational or technical...

Case Manager, RNNorth Hollywood, CA, USAWelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We serve the most vulnerable seniors with better quality and...

MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure and 3+ years of clinical experience. Responsibilities include assessing healthcare...

Employer Industry: Behavioral Healthcare Management Why consider this job opportunityStarting pay up to $50,000 per year, based on experienceFree Teladoc access and visits for employees and eligible...

A leading healthcare services provider in the United States is seeking a Remote Nurse Triage RN for part-time work. This role requires experience in a fast-paced environment and a Compact RN license. Responsibilities include providing remote...

Cambia Health is hiring a Payment Integrity Nurse I to work remotely from Oregon, Washington, Idaho, Utah, or North Dakota. You will apply nursing expertise to ensure accurate reimbursement and maintain compliance with medical policies. The...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

Overview The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This roles monitors...

UCLA Center for Prehospital Care is seeking a Fire Department Nurse Educator for a per-diem role supporting emergency medical services in affiliated fire departments and law enforcement agencies in Los Angeles County.The position involves...

MES Solutions is seeking a self-driven RN or LPN to join as Clinical Quality Assurance Coordinator. This 100% remote role focuses on reviewing peer reports, ensuring accuracy, and aligning with client agreements, regulatory standards, and state...

Indiana University Health Metro Region is seeking a PRN Psychiatric Nurse Practitioner or Psychiatric Physician Assistant to join our Virtual Care Behavioral Health team. This remote role provides virtual consults across Indiana's emergency...

Admissions RN Bristol Hospice Greater LA, CA - Lakewood, CA 90712 Overview Salary Range $55.00 - $58.00 Hourly Position Type FT Hourly Job Shift Any Description Do you enjoy being at the beginning of the...

Utilization Review Nurse Auditor Fully Remote • Mount Laurel, NJ 08054 Salary Range $33.00 - $46.00 Hourly Position Type Full Time Travel Percentage 10% ExamWorks is looking for a Utilization Review Nurse Auditor to join...

About This Role The Case Manager Utilization RN-Per Diem works collaboratively with physicians to coordinate admissions and continued stays, ensuring appropriate care levels for patients. This role is ideal for experienced nurses who excel in a...

Syneos Health, Inc. in Spain is seeking a Perm Part Time Research Nurse to support clinical trials in the Barcelona area. This remote role coordinates patient visits, data collection, and adherence to study protocols while maintaining regulatory...

CVS Health is seeking a Registered Nurse Case Manager for a remote, work-from-home role across the United States. You will handle telephonic case management, apply clinical guidelines, and collaborate with care teams. Requirements include...

Army Public Health Nurse Job Overview As an Army Public Health Nurse, you'll assess health risks and implement programs to monitor the spread of disease. You'll promote wellness for Soldiers and their families while also informing policy and...

Consulting Clinical Professional For North Dakota CGM Services Med Supply US is an ACHC-accredited, Medicare-enrolled mail-order supplier of continuous glucose monitors serving patients nationwide. We're expanding into North Dakota and...

NK Consultancy LLC in California is seeking a Registered Nurse (RN) Field Case Manager for Workers' Compensation. This field-based role coordinates medical care and advocates for injured workers, helping them safely navigate recovery and return to...

UM Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply,...

McLendon Leadershi is seeking a Case Manager Nurse to coordinate patient care across hospital and community settings. The role focuses on optimizing utilization and seamless transitions, with emphasis on advocacy and care coordination for diverse...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

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...

Hospitals on Incredible Health are actively hiring and accepting applications in the Los Angeles, CA area for the following position: Registered Nurse - Case Management Supervisor. Nurses with experience in any of the following areas are strongly...