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Find your calling at Mercy! Job Summary: As the critical gateway to our health system, the Throughput RN plays a pivotal role in shaping first impressions and delivering a brand-defining experience for patients, their families,...

Overview RN / Registered Nurse, Home Health Location: Culver City Position: RN Case Manager, Home Health Position Type: Full Time Remote/Virtual Position: No Coverage Area: Culver City,...

Clinical Clearance Specialist (RN) Remote, United States Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often,...

Job Description: PRN Float Position covering Ambulatory Clinics in the Wasatch Back The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care...

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...

Description Utilization Review RN - Remote. This position is Full-time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Registered Nurse (RN) - Hospice Pay: $50 - $58 per hour Job Type: Full time Buena Vista Hospice delivers positive, life-changing care to patients across Ventura and Los Angeles Counties. We are...

Care Manager, Registered Nurse (RN) Wellcove has been recognized as the nation's leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care...

JOB DESCRIPTION This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between systems,...

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...

Registered Nurse Saratoga Medical is hiring a Registered Nurse in Springfield, VA (remote allowed; onsite required for initial training and as requested by the client). Package includes competitive rate, paid time off and benefit options.

Job Title Job Description Requirements / Qualifications Minimum requirements: Nursing License, Baccalaureate Degree, current CPR/1st Aid Certification - Will need to apply for School Nurse Credential if hired. Desirable...

Description: Estimated payment breakdown $2,244 per week in taxable pay and non-taxable stipends Specialty: RN Start Date: 8/3/2026...

Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must Have requirements: RN,...

Job Description: Location & Work Requirements This is a primarily telephonic position (approximately 80%), with occasional travel required for field or clinic visits (on average once per week, subject to change based on...

Telephonic Case Manager RN 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...

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Los Angeles, California Start Date: August 24, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay:...

Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate...

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.

Overview The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials, maximize...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider appeals regarding adverse coverage decisions and grievances. The...

Are you a detail-oriented Licensed Vocational Nurse who thrives in a fast-paced, collaborative environment? We are looking for a dedicated professional to join our hospice team as a part-time Weekend...

Horizon BCBSNJ Primary Nurse Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care...

Remote Nursing Position for TSA CARES Program Cetechs is seeking experienced Registered Nurses (RNs) to support the Transportation Security Administration (TSA) Candidate Assessment and Review for Eligibility Support (CARES) program. This...