Santa Barbara Cottage Hospital - New York,NY

Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with......

8/25/2026

Sportmed - New York,NY

Sportmed is seeking a part-time RN/LPN to triage patients remotely in Chattanooga, TN. This position allows for a flexible schedule with no nights, weekends, or holidays, and is perfect for professionals looking for work-life balance. The......

9/01/2026

Medix - New York,NY

A staffing and recruiting firm is seeking a HEDIS Nurse (RN or LPN) for a remote position which allows for a flexible schedule. This high-impact role involves ensuring accurate HEDIS reporting and quality improvement initiatives. Candidates should......

9/01/2026

LifeBridge Health - New York,NY

Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate and fully covered by the patient's insurance. The team focuses......

9/03/2026

Lexington Health - Brooklyn,NY

Select how often (in days) to receive an alert:Quality Management - AcuteFull TimeDay Shift8:00-4:30Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices,......

9/03/2026

HQSI - New York,NY

A healthcare quality organization is seeking a Nurse Reviewer to support Medical Review Services. The role involves conducting detailed medical necessity reviews for Medicaid claims in a remote work setting. Candidates should have a BSN with......

9/01/2026

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

Santa Barbara Cottage Hospital - New York,NY

Medlogix, LLC is seeking a Field Case Nurse Manager (RN/LPN) to work from home with travel to claimants' physician appointments or homes in the Northern New Jersey area. You will coordinate care with providers and insurance carriers while ensuring......

8/25/2026

Humana - New York,NY

Humana Inc. in the United States is seeking a Part C G&A Nurse (Utilization Management Nurse 2) to support case preparation, review medical documentation and coordinate appeal determinations. This remote, full-time role requires an RN with......

8/31/2026

UnitedHealthcare At Home - New York,NY

Program Integrity Clinical Compliance Auditor Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately......

8/23/2026