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Duration: 3+ Months Contract Only - No End Date Job Description: Hour/Schedule: Monday through Friday, 8:30 am -5:00 pm. Two late shifts until 8:00 pm per month, 11:30 am - 8:00 pm, no late shifts on...

Field Based Registered Nurse 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...

Care Manager—Registered Nurse We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...

CVS Health Registered Nurse We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...

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...

Massachusetts Licensed Graduate Nursing Faculty is a full-time, remote, tenure-track or contract position responsible for teaching graduate nursing courses, managing curriculum delivery, and overseeing student experiences.Key ResponsibilitiesTeach...

RN Health and Social Services Care Coordinator $5,000 Sign-on Bonus for External Candidates At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.

Job Title: Healthcare Consultant I – MTM Ops Nurse (RN) Pay rate: $34.13 an hr Location: Remote (U.S.) — must reside in an eligible Nurse Licensure Compact (NLC) state (see eligibility below) Job Type: Contract to hire Start date: 7/6/26...

Nurse Appeals Job Description: Nurse Appeals RN-Quality of Care Must reside in the state of Louisiana. Locations: Metairie, LA; Baton Rouge, LA; New Orleans, LA and Lafayette, LA Virtual: This role enables associates...

Job Description: Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

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...

Evaluating medical necessity and appropriateness for claims, the full-time State Licensed Legal Nurse will review liability demand packages, analyze medical records, and support negotiation and litigation efforts in a remote environment.Key...

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...

Evaluating and managing catastrophic episodes of illness, the full-time remote South Carolina Licensed Stop Loss RN will facilitate cost estimates for underwriting, consult on claims, and provide case management oversight.Key...

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...

Responsible for securing and evaluating clinical sites for the School of Nursing, the full-time remote Clinical Coordinator will manage relationships with healthcare facilities, support student clinical placements, and assist with...

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...

A company is looking for a Bilingual (English/Spanish) Transitions of Care RN Case Manager.Key ResponsibilitiesEngage with newly discharged patients to assess their needs and develop care plansCoordinate care with healthcare providers and...

To enhance the effectiveness of the Clinical Chart Validation team, the full-time RN Licensed Auditor Trainer will develop and deliver technical training, mentor team members, and assess training needs while collaborating with various stakeholders...

Working remotely, the full-time Clinical Validation Auditor RN will apply expert knowledge of MS-DRG and APR-DRG coding methodologies to audit inpatient claims, validate ICD-10 codes, and identify overpayments while composing rationales to support...

To support clinical auditing efforts, the full-time RN Clinical Auditor will perform retrospective chart reviews on Readmission and Place of Service Claims, utilizing clinical guidelines and proprietary systems while maintaining productivity and...

Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, while collaborating with various Health Plan departments and utilizing fraud detection...

Referral Authorization Specialist is a full-time position responsible for processing and documenting referral or prior authorization requests, providing customer support for clinical areas and patients.Key ResponsibilitiesOversee data entry and...

A company is looking for a Remote Psychiatric Nurse Practitioner.Key ResponsibilitiesConduct thorough psychiatric evaluations and manage treatment plansPrescribe and monitor psychotropic medications and provide psychotherapyCoordinate care with...