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Peraton is seeking a Nurse Reviewer to join SafeGuard Services (SGS) and conduct medical record reviews, applying clinical judgment to claim payments. The role supports fraud investigations and referrals, with opportunities to develop cases for...

THIS IS A REMOTE POSITION Part Time/Contract Position DUTIES: -Assess patient health problems over the phone and via secure video -Schedule appointments and refer patients -Advise and monitor...

Hybrid/Remote - Registered Nurse (Educator) Location: Indianapolis, IN, US Date Posted: 10-01-2026 Job Description Experience: Mid Level Salary: $80,000 - $89,000 per year Job...

The Utilization Management Registered Nurse at Humana interprets clinical data to support coordination, documentation and communication of medical services and benefit determinations for post-acute care. You will collaborate with physicians,...

Travel Nurse – RN, PEDS OR Join our team as a dedicated Registered Nurse (RN) specializing in the Pediatric Operating Room (PEDS OR). In this role, you will provide exceptional perioperative care to children undergoing surgical...

Lehigh Valley Health Network, Inc. seeks an experienced RN for remote triage and healthcare navigation in Pennsylvania. The role provides telephonic triage to identify appropriate care levels, coordinates care across settings, and supports...

Nascentia Health is seeking an Licensed Practical Nurse to support Health Plan Health Support within Care Management. This fully remote role requires NY licensure and periodic travel to the nearest office. You will triage calls, educate...

Watchung Pediatrics is seeking a compassionate Part-Time Triage Nurse to support centralized access and remote care operations. This role is critical to ensuring families receive timely, appropriate guidance when they reach out for help. As...

Fuze Health Inc. is hiring a Telehealth Registered Nurse to provide remote patient care and support via telehealth platforms. The role involves conducting virtual assessments, documenting health histories, and collaborating on care plans.

Position Summary The Emergency Department Registered Nurse is specially trained to provide prompt response and treatment for any patient presenting with any life threatening, emergent, or urgent medical need. Provides...

Detroit Medical Center is seeking a Registered Nurse (RN) Med Surg for a nursing job in Detroit, Michigan. Job Description & Requirements Specialty: Med Surg Discipline: RN Duration: Ongoing Employment Type: Staff Join our dedicated healthcare...

AccentCare, Inc. is seeking a Hospice Triage Registered Nurse for a remote, full-time position with nights and weekends coverage. Compensation ranges from $34.00 to $37.00 per hour based on experience, with eligible benefits for employees working...

IU Health in Indiana seeks an RN with at least 1 year of experience to join a fast-paced pediatric GI outpatient team. The role focuses on connecting with patients and families by phone, coordinating their care, and helping meet GI needs. After...

Baptist Health is seeking a Revenue Integrity RN to join our team in a remote role requiring residency in KY or IN. You will review payor medical necessity for services, obtain predeterminations and respond to denials or audits to recover revenue...

Inspire Health. Serve With Compassion. Be The Difference. Working directly with Intensivists to provide care to a specific patient population within the guidelines of written protocols. Will be performing critical care procedures such as,...

Job Description RN - Ambulatory Surgery PreOp/PACU at Providence Saint John's Health Center in Santa Monica, CA. This position is Per-Diem and will work 8-hour, Day shifts. Join Providence Saint John's Health Center,...

Here Now Health is seeking a PMHNP-BC to join a new psychiatry service for youth in foster care, launching in Virginia in early 2027. You will collaborate with a child/adolescent psychiatrist and therapy team, shaping how the service works while...

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles...

Actalent is seeking an experienced Utilization Review RN for a remote MondayFriday opportunity with a CA-based license requirement. The role reviews clinical information, applies criteria, and makes first-level recommendations to ensure regulatory...

PEDS RN Location: Madera, CA Weekly Rate: $3,020 - 3,102 Shift: Days, 8 hours Duration: 26 weeks Why PRN Healthcare? Your adventure starts here with PRN Healthcare! Take control of your career...

Jobgether, on behalf of a partner organization, seeks an experienced Registered Nurse for a remote Utilization Management role. You will review cases, assess medical necessity, and support prior authorization decisions while collaborating with...

Georgia Department of Community Health (DCH) is seeking a Compliance Nurse 2 for the Long-Term Care Unit to perform on-site surveys and document review. The role requires extensive travel (up to 90%), and prior RN experience with supervisory...

Clinical Claim Review Nurse 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...

Centene Management Company LLC is seeking a remote Care Manager RN in North Carolina. The ideal candidate will hold an active North Carolina RN license and bring pediatric CMARC experience, superb assessment skills, and strong communication with...

Registered Nurse (RN) – Private Duty Nursing $40–$42/hour | 1:1 Pediatric Care | Flexible Scheduling | Cases Available Across Michigan Looking for an RN position where you can focus on one patient...