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Remote Appeals Nurse for Medicare Medical Review

WPS Health Solutions - New York,NY

WPS Health Solutions in Columbus, OH, is seeking an Appeals Nurse to review medical records and Medicare claims for first-level appeals to determine medical necessity and coverage alignment. The role collaborates with Appeals Examiners to......

8/25/2026


Remote Care Management Nurse

Cambia Health Solutions - New York,NY

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify......

9/04/2026


Community Nurse Educator & Clinical Education Leader

Baptist Health - Brooklyn,NY

Baptist Health in Lexington, KY is seeking a Community Nurse Educator PRN to support clinical education, orientation, and ongoing competency verification across the organization. The Educator will lead evidence-based practice, consult with......

9/06/2026


Registered Nurse

DOCS Health - Brooklyn,NY

Independent Contractor Registered Nurse Attention all Registered Nurses, we are calling you to partner with us as independent contractors providing services to our Military Service members. We primarily work weekends, with some......

9/05/2026


Project Nurse

University of Rochester - Brooklyn,NY

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the......

9/05/2026


Nurse Educator

United Future - Brooklyn,NY

RN Nurse Educator - Maternal Child CareJoin our dynamic healthcare team as a pivotal RN Nurse Educator specializing in Maternal Child care. This role is essential in shaping the future of nursing by providing advanced education and training to our......

9/05/2026


Telehealth Registered Nurse

CVS Health - New York,NY

Telephonic Registered 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......

9/04/2026


Specialist Nurse Educator

Mitchell Martin Healthcare - New York,NY

Mitchell Martin Healthcare is seeking a travel nurse RN Educator for a 13-week assignment in New York, NY. You will support clinical education across units, deliver nursing education, and mentor staff on evidence-based practice.The role requires a......

9/04/2026


Case Manager Utilization RN, Per Diem Day

Kaiser Permanente - Brooklyn,NY

Job SummaryWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical......

9/05/2026


Remote RN: Utilization Management & Care Review

Vaya Health - New York,NY

Vaya Health seeks a Physical Health Registered Nurse to perform clinical reviews for authorization requests and medical necessity. You will reference standardized criteria and coordinate with physician peers when needed. This role is part of a......

8/25/2026