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

A leading healthcare consultancy is seeking a Senior LTSS Service Care Manager (RN) for a remote position based in Edinburg, TX. This role requires qualifications including RN licensure, nursing experience, and skills in case management.

Life at aptihealth aptihealthis a fast-growing health tech company transforming behavioral healthcare. Our digital platform and affiliated medicalgroupmake it easier for people to access high-quality care when and where they need it.You'lljoin a...

CorVel Corporation is seeking a Telephonic Case Manager to coordinate medical care for injured individuals. This remote role emphasizes clinical assessment, cost-effective care plans, and communication with physicians, patients, and payers.

MedPOINT Management is seeking a remote RN/LVN Case Manager to assess, plan, and coordinate patient care across the continuum under the supervision of Leads & RN Clinical Manager for Case Management. You will advocate for patients and coordinate...

Research Nurse Coordinator III The Research Nurse Coordinator III is responsible for all activities associated with clinical study coordination, subject enrollment, data management/integrity, regulatory compliance, project/study...

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...

Humana Inc. in the United States is seeking a Part C G&A Nurse (Utilization Management Nurse 2) to support case preparation, review medical documentation and coordinate appeal determinations. This remote, full-time role requires an RN with...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information...

OpenLoop is looking for a full time Telemedicine Registered Nurse (RN) to join our team remotely. In this role, you will be responsible for providing patient education and clinical support, ensuring optimal health outcomes, and working closely...

Nurse Navigator 1 The University of Miami/UHealth Department of Medicine has an exciting opportunity for a Full-Time Nurse Navigator 1 to work in the UHealth Campus. Core Job Summary: The Nurse Navigator 1 (H) liaises...

Remote Position This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions, and must have their own secure...

PUBLIC HEALTH NURSE / EMERGENCY APPOINTMENT Print ( Apply  PUBLIC HEALTH NURSE / EMERGENCY APPOINTMENT Salary $105,247.44 - $157,542.24 Annually Location Los Angeles County, CA Job...

L&D/OB RN Opportunity at Community Hospital of Anaconda Community Hospital of Anaconda is seeking an experienced L&D/OB RN for NOC shifts with call. Must have experience in both OB and Labor & Delivery and Postpartum; 2 years of...

Enlyte is seeking a Telephonic Case Manager (RN) to support injured workers. This full-time, remote role requires an active RN license (compact) and NY RN license, working with physicians, employers, and patients to develop treatment plans and...

Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees.

UnitedHealth Group is seeking aRegistered Nurse in the United States for utilization review and case management. The role supports inpatient care decisions, discharge planning, and collaboration with clinical leadership to ensure high-quality...

A leading healthcare company is seeking an experienced Telephonic Nurse Case Manager to manage medical claims and facilitate care for injured workers. The ideal candidate will have at least a year of experience in Florida Workers' Compensation,...

A healthcare organization is seeking a remote RN to manage patient care related to chronic kidney disease. Responsibilities include ensuring continuity of care, coordinating treatment plans, and documenting patient information. Candidates must...

A virtual healthcare company is seeking a compassionate RN or LPN to provide nursing care to mental health patients in a telemedicine setting across various states. This is a full-time position with a pay range of $60,000 - $90,000 and benefits...

1 day ago Be among the first 25 applicants At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading...

A healthcare company is seeking a Tele-Health Registered Nurse to join their Specialty Pharmacy team in Irving, Texas. This role involves counseling patients on specialty drug therapies and ensuring adherence to treatment protocols. Successful...

Description: Job Summary: The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and...

Holon Health Nurse Practitioner Opportunity At Holon Health, we're not just tweaking the system—we're rebuilding it for the people it's failed. We provide whole-person care to justice-involved individuals living with Substance Use...