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Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role, you will research the substance of complex appeal or retrospective review requests including pre-pay and...

The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative.

Min USD $100,000.00/Yr. Max USD $103,000.00/Yr. Position Overview SCOPE OF ROLE: The Registered Nurse collaborates with physicians and the...

Hours: FT, Mon-Fri 8:30-5p Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of...

Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance...

Registered Nurse: Review and Evaluation Are you a registered nurse ready to take your career in an exciting new direction—one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization...

Job Details Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish...

Benefits: Competitive salary Flexible schedule Paid time off Vision insurance About the Role: Join APremium Healthcare Solution, LLC as a Remote Transitions...

Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...

The substitute/part-time nurse will work on an as-needed basis assisting with providing assessment, intervention, referral and follow-up of those health conditions which interfere with students' attainment of optimal academic potential and well as...

Nurse Care Manager The Nurse Care Manager is an integral member of the care team and is vital to enhancing the health outcomes of HCMG patients. This position will manage a caseload of high-risk patients where he/she is responsible for...

Clinical Care Manager-Massachusetts The Clinical Care Manager-Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex...

Staffing Solutions Home Care Nurses America Inc Remote – Texas Candidates located in Houston, Dallas, Austin, San Antonio, or surrounding areas are encouraged to apply. Position...

RN Transitional Care Coordinator-Lake West A Brief Overview: Ensures appropriate next site of care for patient using evidence-based decision support tools. The Transitional Care Coordinator (TCC) collaborates with all members of a...

Join Our Caring Community The Patient Services Coordinator-LPN is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The...

Advocacy 24/7 Triage Nurse The Advocacy 24/7 Triage Nurse provides telephonic first aid to injured workers on a case-by-case basis using nationally recognized standards of care to facilitate treatment goals. The position is an essential...

Nurse Staff Minister (Nurses Christian Fellowship) Work Location: Remote - USA Job Type: Full time To advance the purpose of InterVarsity, this position will develop and equip NCF nurse group leaders and provide...

RN Care Manager, Team Lead Chamber Cardio – Where Care Comes Together Cardiovascular disease remains the leading cause of death in America. At Chamber, we're rebuilding the system for cardiology, creating a world where outcomes,...

Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...

Hospice RN Columbus, OH Overview Salary Range $75,000.00 - $85,000.00 Salary/year Category Registered Nurse (RN) Description $10,000 Sign-On Bonus Possible!! Summit Home Care and Hospice is searching...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Employment Type: Full time Shift: Day Shift Description: Purpose Work Remote Position (Pay Range: $36.8795-$47.8193) The Nursing...

Job Title Clinical Nurse Educator Location Remote/Nationwide, USA Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...