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Centene Corporation is seeking a remote healthcare professional in Missouri to coordinate care management for members, develop personalized care plans, and educate families on benefits and services. The role supports children with elevated blood...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

Alignment Health invites experienced Registered Nurses to join as Telephonic Case Managers for our Special Needs Plan (SNP) members, working fully remotely from anywhere in the U.S. You will navigate care journeys, close gaps in care, and help...

Pay: $30 - $35 / hour Weekly Pay | Flexible Scheduling Provide Care One Patient at a Time Join Maxim Healthcare and deliver personalized 1:1 nursing care in patients' homes. Enjoy consistent assignments, a manageable pace, and...

Job Title: LVN Nurse Consultant - Remote Job Description We are seeking a dedicated LVN Nurse Consultant for a telephonic nursing position. This role involves reaching out to patients to ensure adherence to therapy prescriptions...

Forensic Registered Nurse (RN) Scheduled Weekly Hours: 36 Work Shift: Days/Afternoons (United States of America) Summary of Primary Function The Forensic Registered Nurse (RN) is a highly specialized professional who...

Novant Health is seeking an RN Coach for telephonic virtual care to help patients navigate their healthcare journey through chronic-care management, self-management support, and acute triage, collaborating with physicians and care teams to deliver...

Clinical Appeals Nurse (RN) | Remote | Contract Walker Healthforce is seeking a Clinical Appeals Nurse (RN) with 2+ years of clinical nursing experience to provide clinical review and...

RN CDI Specialist As one of the Top 8 Most Innovative Healthcare Systems in Becker's Hospital Review, we're working to create a national model for improving health. Today, we're focused on bringing our region services that improve every...

Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse, you'll play an important role in helping us offer customized, self-funded...

CVS Health is seeking a Nurse, Clinical Operations for CVS Specialty Pharmacy. This fully remote role requires residing within 50 miles of Orlando or Tampa and will occasionally require coming into the office. The shift runs 12:00-8:30 ET,...

ChartSpan is the largest chronic care management (CCM) service provider in the US. CCM and Remote Patient Monitoring (RPM) programs focus on patients who have multiple (two or more) chronic conditions that are expected to last at least 12 months...

Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans,...

Clinical Guide A bit about this role: As a Clinical Guide on our Outpatient Utilization Management team, you'll have the opportunity to make a difference in the lives of our members. You'll be responsible for clinical review of...

Contract Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and...

About IntusCare IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay...

Research Nurse (Per Diem) - Greater Portland, OR /Vancouver, WA areaIllingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include...

U.S. Army Perioperative Nurses ensure the proper care and safety of our nation's heroes throughout the surgical journey. If your goal is to be part of a fine-tuned surgical team, the U.S. Army can offer you a fulfilling career as a Perioperative...

Salary: $82,555.20 - $123,822.40 Annually Location : Chaska Government Center, MN Job Type: Full-Time Remote Employment: Flexible/Hybrid Job Number:...

A behavioral health provider in New York is looking for a dedicated Nurse Practitioner to deliver psychiatric evaluations and medication management. The ideal candidate will treat individuals with substance use disorders, adapting to technological...

Join a team that's transforming mental healthcare. Founded by psychiatrists , Headlight is more than a company: it's a movement. A movement that exists on the front lines of the mental health crisis, transforming the way people access care and the...

School-Based Registered Nurse Step into a meaningful opportunity serving students near Pacific Palisades, CA as a part-time Registered Nurse on a contract basis. This school-based position focuses on promoting student health and wellness...

Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service. We're growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South,...

Utilization Management Nurse (RN) (Temporary) Remote in California We believe every candidate deserves thoughtful consideration. That's why we do not use AI or automated systems to review applications. Every application is reviewed...

Aya Healthcare has an immediate opening for the following position: Utilization Review Registered Nurse in Torrance, CA. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country,...