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Employer Industry: Healthcare Services Why consider this job opportunity Opportunity for career advancement and growth within the organization Work remotely, with flexibility in scheduling Engage in...

**JOB DESCRIPTION** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations -...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

A leading health company is seeking a Telephonic Nurse Case Manager II responsible for managing care for members with chronic needs. The position requires a BA/BS in a health-related field, a current RN license, and five years of clinical...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

A state government agency in Florida is seeking a Registered Nurse Specialist to support foster children with complex medical needs. The role involves conducting assessments, home visits, and collaborating with caregivers and healthcare teams.

Clinical Claims Review At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

Take advantage of flexible schedules and get paid up to $68 an hour as a Registered Nurse (RN) in Westerville, Ohio, and surrounding areas. Nursing...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

A leading healthcare provider in Winston-Salem is seeking a Telehealth Nurse to provide nursing services remotely. Applicants should have a valid RN license and at least 3 years of clinical experience, preferably in telephone triage. Strong...

A telehealth practice is seeking a Virtual Registered Nurse for a 6-month contracted position to provide high-quality patient care through EMR communications and triage. Candidates should have a BSN and an active nursing license, along with...

Overview Contract role - 8/8/23-12/31/23, with possible extension Pay rate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC Basic function: This position is responsible for discharge care...

A leading home health care provider is seeking a Compliance RN Home Health Clinical Partner in Nashville, TN. This full-time position involves conducting clinical audits, performing HIPAA checks, and providing compliance education. Ideal...

Job post summaryDate posted: November 24, 2025Pay: $2,264 - $2,318 per weekJob description Join our team for an exciting travel nursing...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

A healthcare organization is seeking a Clinical Systems Trainer to oversee onboarding and ongoing training for clinical staff. The ideal candidate will have a Registered Nurse license and a minimum of 2 years of clinical experience, along with...

Nurse Appeals -Licensed Nurse Location : Ohio, candidates must be residents of Ohio to be considered. Hybrid 1 : This role requires associates to be in-office 1-2 days per week,...

Take advantage of flexible schedules and get paid up to $68 an hour as a Registered Nurse (RN) in Westerville, Ohio, and surrounding areas. Nursing...

A nationwide home infusion company is seeking a Quality Assurance Chart Review Nurse. This role involves reviewing clinical records for compliance and accuracy. Candidates should have a nursing degree, an active license, and experience in home...

A talent marketplace for AI research is seeking experienced Registered Nurses to work remotely on innovative projects. You will create and review deliverables that contribute to advancing AI research. Ideal candidates should have over 4 years of...

A leading healthcare company seeks a Remote Tele-Health Nurse to provide telephonic support to patients and caregivers. This role involves coordinating clinical data, ensuring compliance, and applying behavior modification techniques to enhance...