Nurse Clinical Operations Jobs

Provide education on diagnoses, medications, and preventive measures to promote ongoing wellness and reduce risk of r

Onsite Care Coordination Nurse at Humana in Wisconsin, United States. Remote · $71.1K – $97.8K/yr.

Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and utilization management? Join our team and play a vital role in ensuring members receive…

Job Summary The Utilization Management Nurse supports the effective coordination and management of healthcare services by reviewing clinical information, determining medical necessity, facilitating appropriate resource utilization, and ensuring compliance with regulatory and…

Position Summary The Quality Management Nurse is responsible for supporting the development, implementation, and evaluation of quality improvement and patient safety initiatives to enhance healthcare outcomes and ensure compliance with regulatory and accreditation standards.…

As a Registered Nurse (RN), Home Infusion you will work outside the walls of a hospital setting in a growing specialized area of the nursing field. If you are spending 12 hours on your feet or rushing from patient to patient with no time to provide quality patient care, this…

Case Manager Registered Nurse Schedule: Mon-Fri 08:00-05:00 PM EST Position Summary The Case Manager RN is responsible for providing comprehensive care management services to members with complex medical, behavioral health, and social needs. The role includes conducting clinical…

🟢 Full-Time Float | 30-40 Hrs/Week 📍 Boston Market: Charlestown, Medford, Wellesley, Newton, Watertown, Stoughton, Quincy & Braintree 🗓️ 2-3 weekdays + every other weekend ✅ Benefits eligible at 30 hours/week A Brief Overview As the largest retail health care provider in the…

Registered Nurse - Utilization Management (Remote) Make a difference in patient care while leveraging your clinical expertise in a dynamic, collaborative environment. We are seeking an experienced Registered Nurse (RN) to join our Utilization Management team. In this role, you…

Position Summary Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. Gathers clinical information and applies the appropriate…

Utilization Management Nurse Consultant (EST) at Cvshealth in United States. Remote.

RN Utilization Management Nurse Consultant (Medicare – Joint Procedures) Remote | Full-Time | Monday–Friday (9:00 am to 5:30 pm in your time zone, with occasional evenings/holidays) Are you an experienced Registered Nurse looking to make an impact beyond the bedside? Join a…

Utilization Management Nurse Consultant at Cvshealth in United States. Remote.

***Westminster, MD Area Locations (Part-time 20-25 hour/week) *** Please note: To be considered, candidates must be able to work 1-2 ten hour weekday shifts and every other weekend both Saturday & Sunday. 8 hour shift on Saturday and 7 hours on Sunday) A Brief Overview As the…

Schedule WFH- Monday through Friday 8a-5p in time zone of residence Position Summary Applies specialized clinical and industry knowledge and performance improvement best practices to quality improvement efforts. Analyzes workflow and organizational performance to evaluate…