• Registered Nurse - Lung Transplant…

    Cedars-Sinai (CA)
    …a condition of continued employment. **Req ID** : 11005 **Working Title** : Registered Nurse - Lung Transplant Coordinator - Remote ON CALL **Department** : Lung ... happy to hear from you. With expert surgical and medical proficiency in lung, heart, liver, kidney, and pancreas...hope for a longer, healthier life. **This is a remote on-call position with a 24-hour shift schedule (7:00am… more
    Cedars-Sinai (07/19/25)
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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Phoenix, AZ)
    …and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description** Under supervision, is responsible for performing ... Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt...in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + At minimum must… more
    Prime Therapeutics (07/24/25)
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  • Quality Management Nurse Consultant…

    CVS Health (Phoenix, AZ)
    …plan administered by Aetna, a CVS Health company, is seeking a Quality Management Nurse Consultant to help ensure the highest standards of care for our diverse ... member population. In this remote role, you'll be part of a collaborative, experienced,...role for you! **Key Responsibilities** + Responsible for the review and evaluation of clinical information and documentation related… more
    CVS Health (07/13/25)
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  • UM LVN Delegation Oversight Nurse…

    Molina Healthcare (Oakland, CA)
    …Preservice and outpatient experience. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM ... as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the… more
    Molina Healthcare (07/09/25)
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  • Remote Registered Nurse…

    315 health (Warner Robins, GA)
    …confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and ... management of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the… more
    315 health (06/10/25)
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  • Remote Nurse Care Manager

    Insight Global (Boston, MA)
    Job Description Insight Global is looking for a Remote Nurse Care Manager to support a virtual care and healthcare navigation company. This individual will act ... packages for this role will start on the 31st day of employment and include medical , dental, and vision insurance, as well as HSA, FSA, and DCFSA account options,… more
    Insight Global (07/16/25)
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  • Care Manager Registered Nurse…

    CVS Health (Phoenix, AZ)
    …relationships, coordinating care, and improving health outcomes through integrated medical and behavioral health services. You will collaborate closely with ... health teams, direct care staff, primary care providers, specialists, and Durable Medical Equipment (DME) vendors to address care gaps and support members with… more
    CVS Health (07/10/25)
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  • Clinical Review Nurse - Concurrent…

    Centene Corporation (Little Rock, AR)
    …perspective on workplace flexibility. Clinical Review Nurse - Concurrent Review & Outpatient Services - Remote - Arkansas **Position Purpose:** Performs ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
    Centene Corporation (07/18/25)
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  • Utilization Review Nurse

    Actalent (Sunrise, FL)
    …staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, ... Utilization Management Nurse !Job Description The Utilization Management Nurse ...standardized Review Criteria. + Coordinate with the Medical Director/Physicians for requests outside standard Review … more
    Actalent (07/16/25)
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  • Case Manager Registered Nurse…

    CVS Health (Austin, TX)
    …implementing, and coordinating all case management activities with members to evaluate the medical needs of the member and to help facilitate the member's overall ... through integration. - Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and… more
    CVS Health (07/24/25)
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