Sanford Health is seeking positive, compassionate, and hardworking registered nurses (RN) for the remote hybrid nurse role in the Innovations unit. This position offers flexibility with a work mix of floor shifts and virtual nurse shifts, focusing on non-clinical and documentation responsibilities to enhance bedside nurses' focus on patient care. The role includes tasks such as admission navigator, I/O documentation, activity documentation, pain reassessments, patient education, and full training on the position. This opportunity is ideal for adaptable, great communicators, detail-oriented individuals with excellent time management skills, and is open to both newly graduated and experienced RNs.

Bedside & Virtual Hybrid RN Position - Medical Surgical Unit

Remote Med Surg RN - Innovations Unit

The Case Manager RN at CVS Health is a remote position responsible for utilizing a collaborative process of assessment, planning, facilitation, and advocacy to meet individual's benefit plan and/or health needs. This role involves assessing health status and care coordination needs, inpatient review, discharge planning, developing and implementing case management plans, and monitoring and evaluating the plans. The position requires independent judgment, strong decision-making, interpersonal skills, and the ability to manage multiple priorities.

Case Manager RN - Case Management

Case Manager RN

Pine Park Health is seeking a Registered Nurse to join their team, focusing on providing primary care to residents of senior living communities. The role involves collaborating with a multidisciplinary team, triaging communications, supporting care team members, engaging in comprehensive chart preparation, overseeing post-appointment processes, conducting virtual patient assessments, and participating in quality improvement initiatives. The ideal candidate will have at least 2 years of clinical experience, preferably in geriatrics, and strong experience in remote roles.

Registered Nurse - Remote - Med Surg

Registered Nurse - Med Surg

The Case Management Utilization Review Registered Nurse at Steward Health Care assumes primary responsibility for documenting medical necessity for inpatient status or placement in observation. This role involves communicating with physicians and clinicians, ensuring timely clinical information submission for payor authorization, and collaborating with allied health professionals to ensure quality care and desired outcomes in a cost-effective manner. The position requires a bachelor's degree, three to five years of acute medical/surgical experience, and three to five years of Case Management experience.

Case Mgt Utilization Review RN - REMOTE - Utilization Review

Case Management Utilization Review Registered Nurse

As a Utilization Review RN at Ascension Seton Northwest, you will provide healthcare services related to admissions, case management, discharge planning, and utilization review. This role involves reviewing admissions and service requests for medical necessity and compliance with reimbursement policy criteria, providing case management and consultation for complex cases, assisting with coding, medical records, precertification, reimbursement, and claim denials/appeals, and overseeing compliance to utilization management rules and regulations.

Utilization Review RN - Utilization Review

Utilization Review RN

PeaceHealth is seeking a RN Clinical Research for a Per Diem/Relief, 0.00 FTE, Day position. The role involves participating, conducting, and managing clinical research studies, acting as a liaison between the clinic and the outside sponsoring firm, and coordinating and managing patient participation and data management for assigned studies. The position requires an Associate Degree in Nursing, a minimum of 3 years of nursing experience, and offers a salary range of $46.46 - $69.68.

RN Clinical Research- Remote

RN Clinical Research

IntellaTriage is seeking part-time Hospice Triage RNs to join their team, offering a remote work setting with a focus on end-of-life care. The role involves working from home, providing triage care without the need for daily commuting. Nurses will work a minimum of one evening shift per week, every other weekend, and may pick up additional shifts as needed. Training is provided remotely, and nurses will utilize technology to manage after-hours care for hospice and home health providers.

Remote Hospice Triage RN- PT 1 shift 3:30p-12a + rotating Sat & Sun 7:30-4p CST

Hospice Triage RN

Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role involves ensuring optimum outcomes, cost-effectiveness, and compliance with all state and federal regulations and guidelines through prior authorization reviews.

Care Review Clinician, Prior Auth (RN): South Carolina, REMOTE

Care Review Clinician, Prior Auth (RN)

Join Village Care as a full-time RN- Care Manager, working remotely to provide care and support to members in the greater NYC area. This role involves managing the care needs of a diverse patient population, with a focus on care planning, coordination, and health assessments. The position offers a competitive salary, comprehensive benefits, and the opportunity to make a significant impact on patient well-being.

RN- Care Manager

As a Case Manager, RN at CAI, you will be responsible for assisting in the holistic assessment, planning, arranging, coordinating, monitoring, and evaluation of outcomes and activities necessary to facilitate member access to healthcare services. This full-time, remote position involves effective communication, education of members, collaboration with healthcare providers, and developing individualized care plans to meet member needs.

Case Manager, RN

The Clinical Referral Specialist RN at Sutter Health acts as the in-office clinical liaison, representing the agency via telephone to receive and process referrals for patient care within the regional home health referral management team. This role involves working closely with various referral sources, including hospitals, physicians, and care facilities, to ensure timely and consistent admissions. The position includes entering referral information into the Electronic Medical Records (EMR), creating initial orders for patient care, and requires frequent interaction with referral sources, agency staff, and healthcare professionals across offices.

Clinical Referral Specialist RN  (Arizona, Idaho & Utah Applicants Only)

Clinical Referral Specialist RN

Molina Healthcare Services (HCS) is seeking a RN (Registered Nurse) Case Manager for Washoe County, Nevada. This remote position involves assessing, facilitating, planning, and coordinating integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role requires collaboration with multidisciplinary team members, conducting face-to-face or home visits, and maintaining a case load for regular outreach and management. Travel within the county for member visits is required, with mileage reimbursement.

Case Manager (RN): Nevada, Washoe County

Case Manager (RN)

PeaceHealth is seeking a RN Clinical Documentation Specialist for a full-time, variable position. The role involves ensuring that physician documentation of patient's diagnosis and treatment is consistent with the Medicare Diagnostic Related Group, reviewing various aspects of the chart to determine if documentation reflects the complexity of the patient and their resource consumption for the hospital stay. This remote position requires the incumbent to reside in OR, WA, AK, or TX.

RN Clinical Documentation Specialist - Remote

RN Clinical Documentation Specialist

The Care Manager, RN at Zillion Technologies Inc. is responsible for ensuring that members with complex medical and/or psychosocial needs have access to high-quality, cost-effective healthcare. This role involves holistic assessment, planning, arranging, coordinating, monitoring, and evaluation of outcomes related to members' healthcare. The position requires clinical judgment, collaboration with internal and external stakeholders, and adherence to regulatory guidelines and policies.

Care Manager, RN

The Utilization Management Clinician I performs utilization review for medical or behavioral health requests using established criteria, technologies, and tools. This role involves identifying, coordinating, and implementing high-quality, cost-effective alternatives for patient care, supporting physician decision-making, and ensuring timely access to care during transitions. The position is fully remote and available across Washington, Oregon, Idaho, Texas, and Florida.

Utilization Management Clinician I - RN or LPN

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