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OpenKrill is seeking a part-time Utilization Review RN in the United States to evaluate medical necessity, review admissions, and ensure care aligns with criteria and payer requirements. You will collaborate with physicians, care managers, and...

Optum is seeking a Fertility Utilization Management RN to work remotely within the United States. You will assess and determine the appropriateness of inpatient and outpatient services, translating clinical concepts into practical care-management...

Glendale Office Regional Compliance and Quality Assurance (QA) Nurse - So Cal Region Pay Range: $185,000 - $205,000 Annually This regional position supports communities throughout Southern California and...

Bellin Health's Emplify Health contact center in Green Bay, WI seeks an experienced Registered Nurse (RN) to join the triage team. The role blends onsite and remote work, with a 32-hour per week schedule (PM shift 3:00-11:30 pm) and rotating...

UnitedHealthcare, part of the UnitedHealth Group family, invites you to join as a SSBV Clinical Claims Review RN. This role is a multifaceted position with autonomy and responsibility, focusing on administrative reviews of inpatient hospital...

Description To participate in a remote work arrangement, employees must reside in the United States. No remote work arrangement will be considered for working from outside the United States. If you are a current employee,...

Insurance Or Managed Care Industry Registered Nurse (RN) $40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically...

Details Client Name Adventist White Memorial Hospital Job Type Travel Offering Nursing Profession RN...

RN Career Transition Opportunity – Nurse Case ManagerAre you an RN seeking a rewarding career shift that uses your clinical skills and compassion — without the physical demands of bedside care?QuestPro has the exclusive listing for a...

Type: Hourly Contract Compensation: $120–$150/hour Location: Remote – United States About the Opportunity We are seeking experienced Nurse Practitioners (NPs) and...

Salary : $128,451.00 - $160,563.00 Annually Location : City of Pasadena, CA Job Type: Limited Term Job Number: 27-047 Department: Public Health...

WPS Health Solutions in Columbus, OH, is seeking an Appeals Nurse to review medical records and Medicare claims for first-level appeals to determine medical necessity and coverage alignment. The role collaborates with Appeals Examiners to...

Nurse Next Door is seeking a part-time Registered Nurse for New Mexico. You will deliver in-home nursing care, develop individualized care plans, and coordinate with a Care Designer to ensure a premium client experience while supporting families.

Triage RN Position The Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This position applies...

RN Case Manager This position functions autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, cost-effective care while minimizing fragmentation of the healthcare delivery system...

Nurse Practitioner The City of Pasadena Public Health Department is seeking a Nurse Practitioner working within the Epidemiology and Disease Control Division to provide an enhanced clinician case management and outreach program to promote...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

Job Opportunity Seeking 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...

Posting Date 10/06/2026 601 Hawaii St, El Segundo, California, 90245-4814, United States of America RN Case Manager - Position Highlights Location: Pasadena, CA Hybrid - (ESKD) This is a...

Nurse Practitioners, Physician Assistants, or Certified Nurse Midwives Planned Parenthood Los Angeles is seeking highly skilled full-time Clinicians with great communication skills, clinical skills and a strong emphasis on excellent...

Trillium Health Resources is seeking a Compliance Nurse to perform clinical compliance reviews and evaluate claims to ensure adherence to regulatory and coverage requirements. The role applies clinical judgment to assess documentation, determine...

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...

Job Description: Flight Nurse – Pediatric Focus (PICU/Pediatric ED Experience Preferred) Join Our Life Flight Team | Elevate Your Nursing Career Are you a highly skilled critical care nurse with a passion for pediatric care and a sense of...

Overview Cove PREP is hiring a LPN to join our team on a full-time basis! This full-time role will be a combination of daylight and evening hours, with weekend rotation. Daylight Hours: 7:00a.m. -...

About Us Telemedicine Opportunities Are you a psychiatric mental health nurse practitioner looking for an innovative opportunity in Telemedicine? HealthLinkNow is currently looking for PMHNP's interested in providing...