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87 health nurse jobs found

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Programme & Project Management United States health nurse
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EH
Medical Management Clinician Senior
Elevance Health Louisville, KY, USA
Medical Management Clinician Senior Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Schedule: Monday - Friday 8a - 5p EST (with weekend rotation) The Medical Management Clinician Senior is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not...

Jan 09, 2026
EH
Medical Management Clinician Senior
Elevance Health Mason, OH, USA
Medical Management Clinician Senior Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Schedule: Monday - Friday 8a - 5p EST (with weekend rotation) The Medical Management Clinician Senior is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not...

Jan 09, 2026
Lensa
Full time
 
Utilization Management Nurse Consultant - Work at Home
Lensa Albany, NY, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CVS Health. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And...

Jan 09, 2026
NM
Full time
 
Case Management Nurse - Left Ventricular Assist Device (LVAD)
Nebraska Medicine Omaha, NE, USA
Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America) Case Management Nurse - Left Ventricular Assist Device (LVAD) Position Highlights: Nebraska Medicine is seeking a Case Management Nurse to join our LVAD team, this role is located in Omaha, NE. the Case Management Nurse is responsible for coordinating patient care through the surgical process, providing education and advocacy, facilitating discharge planning and support services, assisting with insurance and resource needs, and collaborating with the multidisciplinary team to ensure safe, seamless, and holistic care. If you have questions about applying for the Case Management Nurse role, please contact Allie Bruss at allang@nebraskamed.com . Shift Details: Full Time Position | 1.0 FTE | 40 Scheduled Weekly Hours Monday - Friday | 8AM -...

Jan 09, 2026
EH
Medical Management Clinician Senior
Elevance Health Indianapolis, IN, USA
Medical Management Clinician Senior Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Schedule: Monday - Friday 8a - 5p EST (with weekend rotation) The Medical Management Clinician Senior is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not...

Jan 09, 2026
BH
Full time
 
Care Management Coordinator
Buckeye Hills Regional Council OH, USA
Buckeye Hills Regional Council is a council of governments dedicated to improving the lives of residents in southeast Ohio. By working collaboratively with elected officials across Athens, Hocking, Meigs, Monroe, Morgan, Noble, Perry, and Washington counties, we grow strong communities through our four divisions: Aging & Population Health, Community Development, Planning, Home Care. Buckeye Hills Regional Council is currently seeking a full-time Care Management Coordinator. The Care Management Coordinator utilizes the skills and knowledge from their profession as an RN, LPN, or LSW with minimal direction from their supervisor to implement, evaluate, and coordinate waiver services that will enable eligible individuals to remain in the community safely, avoiding institutionalization. The Care Management Coordinator independently develops and maintains comprehensive, person-centered care plans based on individual strengths/weaknesses, assessed needs, and formal and informal...

Jan 09, 2026
LH
LPN/CMA - Pain Management Program
Lakewood Health System Staples, MN, USA
Description $5,000 retention bonus for NEW full-time hire, pro-rated for part-time! About Lakewood Lakewood Health System is a comprehensive rural healthcare system in central Minnesota. Leading the way in providing quality, personalized healthcare for a lifetime, Lakewood prides itself on remaining fiercely independent to prioritize its patients, staff, and communities in all decisions. Voted as one of Star Tribune's Top Workplaces for the sixth year in a row, we do rural healthcare differently at LHS by providing a solid foundation of family practice providers with access to best-in-class specialty services, all right here at Lakewood. Across the spectrum of life, Lakewood Health System provides compassionate, quality care for the Brainerd Lakes region and beyond. About the Team Our dedicated Pain Management team provides specialized, patient-centered care for all ages. We collaborate across specialties to ensure prevention, diagnosis, and treatment are seamless,...

Jan 08, 2026
Highmark Health
Full time
 
RN Outpatient - Pain Management - West Penn - FT
Highmark Health Pittsburgh, PA, USA
Company Allegheny Health Network Job Description GENERAL OVERVIEW The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all actions as a licensed nurse and is accountable to patients for the quality of care delivered. OF Nursing care is delivered in an outpatient setting Essential Responsibilities The registered nurse provides transformational leadership in a professional practice setting by striving to create and participate in the future of healthcare. Team player who contributes to building the team by helping others succeed through role modeling and mentoring. Assigns or delegates tasks based on the needs of the patient and skill level of the RN, LPN or support staff. Assigns duties and lunches for staff when performing charge role. Considers maintenance of a safe environment, patient condition, complexity of...

Jan 07, 2026
Highmark Health
Nurse Practitioner, Pain Management
Highmark Health McMurray, PA, USA
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job provides primary or acute healthcare services for certain acute or chronic health conditions in specific populations in accordance with applicable scope and standards of practice and with the policies, values, and mission of the organization. ESSENTIAL RESPONSIBILITIES: Provides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation. (35%) Communicates and coordinates patient care with patient, family, community health services and interdisciplinary team. Involves attending physician regarding plan of care and involves physician in clinical decision making of any issues that are outside the CRNP's knowledge base or scope of practice. (15%) Prepares written prescription...

Jan 06, 2026
NP
Case Management Registered Nurse – Travel - RNNM#01
NavitsPartners Boston, MA, USA
Case Management Registered Nurse (RN) – Travel Location: Hyannis, MA 02601 Duration: 13 Weeks Shift: Day | 5×8s Type: Contract / Travel Travel Pay Range: $65–$70/hour ($2,600–$2,800 weekly) Overview: "Navitas Healthcare, LLC" is seeking Case Management Registered Nurse for an exciting job in Hyannis, MA. Responsibilities: Assess new admissions and identify discharge planning needs. Perform initial and ongoing clinical assessments using InterQual® or similar criteria. Conduct utilization reviews and collaborate with payers to ensure authorization and reimbursement. Coordinate interdisciplinary care plans and complex discharge arrangements. Educate patients/families on care options, coverage, and authorization status. Arrange post-acute care with community or home health providers. Support quality initiatives and ensure accurate, compliant documentation. Adhere to hospital policies, safety, and infection...

Jan 01, 2026
NP
Case Management Registered Nurse – Travel - RNNM#01
NavitsPartners Salem, MA, USA
Case Management Registered Nurse (RN) – Travel Location: Hyannis, MA 02601 Duration: 13 Weeks Shift: Day | 5×8s Type: Contract / Travel Travel Pay Range: $65–$70/hour ($2,600–$2,800 weekly) Overview: "Navitas Healthcare, LLC" is seeking Case Management Registered Nurse for an exciting job in Hyannis, MA. Responsibilities: Assess new admissions and identify discharge planning needs. Perform initial and ongoing clinical assessments using InterQual® or similar criteria. Conduct utilization reviews and collaborate with payers to ensure authorization and reimbursement. Coordinate interdisciplinary care plans and complex discharge arrangements. Educate patients/families on care options, coverage, and authorization status. Arrange post-acute care with community or home health providers. Support quality initiatives and ensure accurate, compliant documentation. Adhere to hospital policies, safety, and infection...

Jan 01, 2026
NP
Case Management Registered Nurse – Travel - RNNM#01
NavitsPartners Worcester, MA, USA
Case Management Registered Nurse (RN) – Travel Location: Hyannis, MA 02601 Duration: 13 Weeks Shift: Day | 5×8s Type: Contract / Travel Travel Pay Range: $65–$70/hour ($2,600–$2,800 weekly) Overview: "Navitas Healthcare, LLC" is seeking Case Management Registered Nurse for an exciting job in Hyannis, MA. Responsibilities: Assess new admissions and identify discharge planning needs. Perform initial and ongoing clinical assessments using InterQual® or similar criteria. Conduct utilization reviews and collaborate with payers to ensure authorization and reimbursement. Coordinate interdisciplinary care plans and complex discharge arrangements. Educate patients/families on care options, coverage, and authorization status. Arrange post-acute care with community or home health providers. Support quality initiatives and ensure accurate, compliant documentation. Adhere to hospital policies, safety, and infection...

Dec 31, 2025
NP
Case Management Registered Nurse – Travel - RNNM#01
NavitsPartners Attleboro, MA, USA
Case Management Registered Nurse (RN) – Travel Location: Hyannis, MA 02601 Duration: 13 Weeks Shift: Day | 5×8s Type: Contract / Travel Travel Pay Range: $65–$70/hour ($2,600–$2,800 weekly) Overview: "Navitas Healthcare, LLC" is seeking Case Management Registered Nurse for an exciting job in Hyannis, MA. Responsibilities: Assess new admissions and identify discharge planning needs. Perform initial and ongoing clinical assessments using InterQual® or similar criteria. Conduct utilization reviews and collaborate with payers to ensure authorization and reimbursement. Coordinate interdisciplinary care plans and complex discharge arrangements. Educate patients/families on care options, coverage, and authorization status. Arrange post-acute care with community or home health providers. Support quality initiatives and ensure accurate, compliant documentation. Adhere to hospital policies, safety, and infection...

Dec 31, 2025
SH
Contract
 
Travel LPN - Pain Management
Slate Healthcare, LLC Rapid City, SD, USA
Job description Title: Licensed Practical Nurse Unit: Pain management Gross Weekly : $2,178 (W2: $890 + Stipend: $1,288) Contract Length : 13 weeks Guaranteed Hours: 40 hours Shift : 5x8 days Location : Rapid City, SD Requirements: AHA BLS Required. EPIC Ambulatory is required. Basic nursing skills / sterile technique – can train on rest of Pain Management. Submit your resume or for more information, contact Richelle at richelle@slatehealthcare.com or call (281) 823-8140 Why Travel with Slate Healthcare? Slate Healthcare is where travel nurses thrive. We put our clinicians first—offering exceptional pay, nationwide opportunities, and personalized support from start to finish. ✅ Top-Tier Pay Packages ✅ Dedicated Recruiter Matching You with Your Ideal Assignments ✅ VIP Travel Support – Including Housing Guidance ✅ Comprehensive Benefits & Weekly Pay ✅ Contracts Nationwide for RNs, LPNs, and Allied Health Professionals LN01...

Dec 31, 2025
Lensa
Full time
 
Utilization Management Clinical Nurse Consultant - Prior Authorization
Lensa Saint Paul, MN, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CVS Health. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And...

Dec 30, 2025
Lensa
Full time
 
Utilization Management Clinical Nurse Consultant - Prior Authorization
Lensa Des Moines, IA, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CVS Health. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And...

Dec 30, 2025
Lensa
Full time
 
Utilization Management Clinical Nurse Consultant - Prior Authorization
Lensa Hartford, CT, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CVS Health. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And...

Dec 30, 2025
Lensa
Full time
 
Utilization Management Clinical Nurse Consultant - Prior Authorization
Lensa Lansing, MI, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CVS Health. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And...

Dec 30, 2025
CC
Full time
 
Enhanced Care Management Remote Positions
Care Crew Management Inc OH
REMOTE POSITIONS HIRING NOW Now Hiring: Remote Enhanced Care Management (ECM) Team Members Positions Available: Nurse Practitioners (NP) Registered Nurses (RN) Lead Care Managers (LCM) Behavioral Health Case Managers (BHCM) Location: California ( Full Remote Positions) Employment Type: Full-Time Program: Medi-Cal / CalAIM – Enhanced Care Management (ECM) How to Apply Submit a resume and applicable licensure information to the email CareCrewManagement@gmail.com Qualified applicants will be contacted for interviews. 1. Nurse Practitioner (NP) Location: California Salary: $150,000 to $200,000 Job Summary The ECM Nurse Practitioner provides advanced clinical care and clinical oversight for Medi-Cal members enrolled in California’s Enhanced Care Management (ECM) program under CalAIM. The NP supports whole-person care by integrating physical health, behavioral health, and social needs while collaborating with an...

Dec 30, 2025
Or
Full time
 
Director of Product Management - Clinical Note AI Agent
Oracle Boston, MA, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Oracle. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Job Description The Clinical Note AI Agent Product Management Leader will be responsible for defining and executing the global strategy for our rapidly expanding product - Clinical Note AI Agent. This role will drive product innovation and growth across multiple geographies and specialties, lead cross-functional collaboration, and ensure seamless integration with healthcare systems and key stakeholders, including government and reimbursement teams. This is a hands-on product...

Dec 27, 2025
CM
Medical Assistant - Weight Management Clinic
Children's Mercy Kansas City Kansas City, MO, USA
Thanks for your interest in Children's Mercy! Do you envision finding a meaningful role with an inclusive and compassionate team? At Children's Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the patients and families we serve. Our employees make the difference, which is why we have been recognized by U.S. News & World Report as a top pediatric hospital, for eleven consecutive years. Children's Mercy is in the heart of Kansas City - a metro abounding in cultural experiences, vibrant communities and thriving businesses. This is where our patients and families live, work and play. This is a community that has embraced our hospital and we strive to say thanks by giving back. As a leader in children's health, we engage in meaningful programs and partnerships throughout the region so that we can improve the lives of children beyond the walls of our hospital. Overview The Weight Management Clinic is within the Center for...

Dec 27, 2025
NM
Full time
 
Case Management Nurse - Cardiac Surgery
Nebraska Medicine Omaha, NE, USA
Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America) Case Management Nurse - Cardiac Surgery Position Highlights: Nebraska Medicine is seeking a Case Management Nurse to join our Cardiac Surgery team, this role is located in Omaha, NE. A Case Management Nurse for Cardiac Surgery works directly with the physicians and APPs to provide patient education, scheduling, and triage all patient messages and phone calls. If you have questions about applying for the Case Management Nurse role, please contact Allie Bruss at allang@nebraskamed.com . Shift Details: Full Time Position | 1.0 FTE | Exempt Position Monday - Friday | 8AM - 430PM Why Work with Nebraska Medicine? Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration....

Dec 26, 2025
Lensa
Full time
 
Utilization Management Nurse Consultant
Lensa Hartford, CT, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CVS Health. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And...

Dec 23, 2025
EH
Full time
 
Utilization Management Representative I
Elevance Health Wallingford, CT, USA
Anticipated End Date 2025-12-25 Position Title Utilization Management Representative I Job Description Utilization Management Representative I Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Hours: Working hours will be 10:30 AM to 7 PM Eastern. Training hours may vary. Training is 6 weeks and may require reporting to the nearest office. The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. How you will...

Dec 23, 2025
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