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A leading risk management company is seeking a part time nurse to provide telephonic triage caregiving, involving the evaluation of medical conditions and advising patients accordingly. Ideal candidates will have an RN licensure and a bachelor's...

A leading healthcare provider is seeking an experienced Medical Review Nurse to support medical claim and internal appeals review activities. Candidates must have a valid RN license and at least 2 years of clinical nursing experience, including...

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.

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...

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...

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...

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 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...

A healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...

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 professional to perform concurrent reviews and evaluate member health. This remote position requires a Nevada LPN or RN license and offers a pay range of $26.50 - $47.59 per hour, along with...

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...

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...

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)...

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,...

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...

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...

Contract Details Contract Duration: 520-hour contract-to-hire, long term opportunity Compensation: listed below, Fixed rates (no opportunity for negotiation) Training Schedule: Monday-Friday, 4-6 weeks; between 8 AM-5 PM EST...

A healthcare service provider is looking for a Medical Field Case Manager in Fort Lauderdale, Florida. This full-time role requires URAC Certification and involves regular local travel for patient appointments. You will create treatment plans and...

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...

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...

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...

RN Case Manager - Remote 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...