Remote RN

Twin Health is seeking a Registered Nurse and Manager, Clinical Stewardship Operations for a remote US role. You will own end-to-end stewardship program deployment, translating client goals into clinically sound programs while coordinating internal and external teams. We value a strong clinical voice within Client Operations & Partnerships, with excellent...

Jobgether seeks a Case Manager - Utilization Review Specialist to join a remote healthcare team in the United States. You will conduct admissions, concurrent reviews, and appeals, applying clinical nursing judgment to determine medical necessity and support appropriate care and reimbursement. You will collaborate with physicians, case managers, and payer...

Call 4 Health is seeking an experienced Registered Nurse (RN) for a Remote Triage role. You’ll provide clinical assessments and triage over the phone and patient portal, using established protocols to support patients and providers nationwide. Ideal candidates hold an active nursing license (e-NCL/ECNL) and have 2–4 years of RN experience, including...

Obran Health is seeking an experienced RN Clinical Coordinator to join our fully remote, full-time W2 team. You will coordinate care across California-based home health agencies, supporting field clinicians and ensuring compliant documentation. You will collaborate with the DPCS and a Clinician team, review SOCs, ROCS, and orders, mentor staff, and help...

Arkansas Blue Cross Blue Shield is seeking a licensed RN to perform clinical review of prior approvals, network exceptions, and medical necessity determinations for inpatient and outpatient services. You will interpret criteria and collaborate with providers to promote quality care and cost containment. The role enables remote work from home across several...

ArchWell Health in Oregon is seeking a Nurse Care Manager to coordinate and evaluate care for patients with acute and chronic conditions across the continuum. You will work with the care team to develop and execute individualized care plans, ensuring compliance and high-quality outcomes. This role emphasizes patient education, navigation, transitions of...

Machinify is seeking a Medical Review Nurse II - Commercial DME to audit medical claims for appropriate services in inpatient and outpatient settings. This remote role supports government and commercial payers in a fast-paced, cross-functional team. You will document findings, generate audit letters, and assist during appeals while staying current with...

Enlyte is seeking a Telephonic Case Manager (RN) to work remotely within the United States. The role partners with treating physicians, employers, and patients to design and implement treatment plans that support safe, cost-effective healthcare and timely return-to-work. Requirements include an active RN license, 2+ years of clinical practice, and reliable...

Clover Health is seeking a Lead RN, Utilization Management, to coach UM nurses, oversee daily review operations, and monitor quality. You will partner with Medical Directors and Clover teams to strengthen review consistency and improve workflows while ensuring compliance with CMS guidelines. The role emphasizes leadership, clinical judgment, and member-first...