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Job Summary: Collaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental...

CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant (RN) to support coverage determinations remotely. The role requires collaborating with providers and care teams to coordinate treatment plans...

CVS Health is seeking an Utilization Management Nurse Consultant (RN) for Medicare precertification, offering a remote, full-time weekday schedule. You'll review cases, coordinate treatments, and apply clinical judgment to support decisions...

Position: Remote Nurse Consultant Company Overview: Absolute Elder Care is a leading provider of in-home care services for seniors. Our mission is to provide compassionate, personalized care to help seniors maintain their...

Santa Barbara Cottage Hospital is seeking a QIC Part A Nurse Consultant for a remote six-month assignment. The role focuses on reviewing determinations and rendering medical necessity decisions for Medicare State East cases, while resolving...

VitaCare Living in Stratford, Wisconsin seeks an experienced RN to serve as contracted RN Consultant, providing clinical oversight across assisted living and memory care communities. You will partner with local leaders to maintain survey readiness...

Regional Nurse Consultant (RNC)Sheridan Healthcare | Regional Corporate Clinical Role Shawnee Senior Living is proud to be part of the Sheridan Healthcare family of communities, a growing network of skilled nursing facilities throughout Illinois.

To support an upcoming clinical project, experienced Registered Nurses (RNs) will find a fully remote contract opportunity as a Remote RN Clinical Consultant, focusing on conducting comprehensive medical record and clinical chart reviews while...

JOB DESCRIPTION Job Summary 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...

CorVel Corporation seeks a Care Advocate Nurse for a remote role focused on assessing injury severity, reviewing medical data, and supporting the Claims Management department as a nurse consultant. The position requires clinical nursing...

Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Registered Nurse (Utilization Management). *** Candidate must be authorized to work in USA without requiring sponsorship...

CVS Health Corporation in the United States is seeking a Utilization Management Nurse Consultant to coordinate, document, and communicate all aspects of the utilization/benefit management program. This 100% remote role requires applying clinical...

CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote capacity. The role reviews inpatient and outpatient services using evidence-based criteria, authorizes care with providers, and escalates cases as needed.

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

CVS Health is hiring a Nurse Consultant for a 100% remote Utilization Management role. You will apply clinical judgment to review inpatient and outpatient services, authorize care, and collaborate with providers while maintaining precise...

CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote role. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient services, collaborate with providers to authorize care, and...

APremium Healthcare Solution, LLC seeks a Virtual Nurse Consultant to join our Conyers, GA team in a full-time, remote capacity. You will provide virtual nursing consultations, assess patient needs, and coordinate care with physicians and...

VitaCare Living seeks an experienced Registered Nurse (RN) to support our assisted living and memory care communities in Ladysmith, Wisconsin, as a contracted RN Consultant. You will oversee clinical practice, ensure regulatory compliance, educate...

VitaCare Living in Spooner, WI is seeking an experienced Registered Nurse (RN) Consultant to provide clinical oversight for our assisted living and memory care communities. You will guide practice, ensure regulatory compliance, and support staff...

Serving as the strategic quality advisor for a portfolio of Value-Based Care organizations, the full-time Lead VBC Quality Consultant will analyze performance, develop quality improvement strategies, and partner with provider organizations to...

CVS Health is seeking a Nurse Consultant for a 100% remote role. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient services, authorize care, and escalate cases as needed, while coordinating with...

Are you an experienced MDS nurse who enjoys solving problems, supporting teams, and making an impact across different skilled nursing environments? Health Dimensions Group (HDG)—a nationally respected leader in senior care consulting and...

CVS Health in Oklahoma is seeking an experienced Utilization Management Nurse Consultant (RN) for a 100% remote role based in Oklahoma. You will review medical necessity, coordinate care, support discharge planning and provide coverage...

Guardian Life is seeking an RN Clinical Consultant to support disability claim evaluations, assessing medical data and functional capacity. You will collaborate with providers and claims teams to influence outcomes and return-to-work decisions.

Advanced Health Institute is seeking a skilled MDS nurse to join our consulting team. The role can be Part Time with potential to become Full Time and offers a mix of Remote and On-site engagement with clients in the Minneapolis area. You...