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A leading risk and claims administration company is seeking a part-time nurse to join their team in Annapolis. This role involves triaging medical calls to assess needs and offering appropriate care solutions. The ideal candidate should hold a...

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.

A healthcare management company is seeking a Medical Review Nurse to support appeals and grievances within their organization. This role involves facilitating medical reviews of claims, validating coding accuracy, and ensuring compliance with...

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...

Join to apply for the Clinical Nurse Consultant-RN role at Engage Consulting. Engage Consulting is seeking an experienced Clinical Nurse Consultant-RN for a 1099 contract to support an interim project in the post-acute...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

A healthcare provider is seeking a Clinical Documentation Specialist in Snohomish, WA. The role involves ensuring compliance of OASIS documents and collaborating with clinical staff for accurate documentation. Candidates must have a valid RN or PT...

A healthcare solutions provider is seeking a Payment Integrity RN to conduct claim reviews and ensure compliance with medical policies. Ideal candidates should have a degree in healthcare and 3 years of relevant experience, particularly in...

Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

AI Trainer - Registered Nurses (Remote) Prolific is building the biggest pool of quality human data in the world. Over 35,000 AI developers, researchers, and organizations use Prolific to gather data from paid study participants with a...

A leading health services company is seeking an Appeals Nurse 2 to join their team in Maryland. This role involves resolving clinical complaints and appeals, reviewing medical documentation, and coordinating clinical resolutions. Candidates should...

A leading healthcare organization is seeking an experienced RN for a remote position focusing on utilization review. Candidates must have 2 years of RN and UR experience, an active RN license, and reside within one hour of St. Louis. This role...

Nurse Navigator 1 - Site Disease - Full Time/Remote page is loaded## Nurse Navigator 1 - Site Disease - Full Time/Remotelocations: Miami, FLtime type: Full timeposted on: Posted Todayjob requisition id: R100091779## **Current Employees:**If you...

A national health organization is seeking a Clinical Review Nurse to perform concurrent reviews and enhance care quality for members. In this crucial role, you will assess patient health, document findings, and collaborate with healthcare...

Providence Health Plan Caregiver Opportunity Providence Health Plan caregivers are invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding,...

Overview Job Type Contract Engage Consulting is seeking an experienced Clinical Nurse Consultant-RN for a 1099 contract to support an interim project in the post-acute care space. The ideal candidate will live near any of...

Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday, 8:00 AM12:00 PM PST Compensation: $40,000$45,000 annually (part-time, 20 hours/week)...

A regional health insurance provider is seeking an Inpatient Utilization Management Clinician to evaluate inpatient treatments for medical necessity and facilitate discharge planning. This is a fully remote position requiring strong 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...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because...

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...

Registered Nurse (RN) - Remote Care Team Location: ME, NH or VT Hours: Full time, 37.5hrs/week, hourly (Non-Exempt) position Union Membership: This position is represented by AFT union in NH/VT & MSEA union in ME...

Who Is Guidehealth? Guidehealth is a data?powered, performance?driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

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...