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Mountain Pacific is seeking a part-time Clinical Field Reviewer (Remote) to perform in-home nursing assessments for MedicaidCFCS/PCS programs across Eastern Montana. The role emphasizes member-centered care and collaboration with providers to...

Have you ever looked a medical bill and immediately noticed something was wrong? Were you itching to use your expertise to fix it? We've been there, too. In fact, that's how our business was born - and continues to thrive. Rising Medical Solutions...

WPS Health Solutions in Columbus, OH, is seeking an Appeals Nurse to review medical records and Medicare claims for first-level appeals to determine medical necessity and coverage alignment. The role collaborates with Appeals Examiners to...

Ecumen is hiring a Triage Nurse (RN) for telephone-based care in Shoreview, MN. The role supports Assisted Living and Hospice by providing triage guidance, documentation, and follow-up, all from a remote-friendly setting. The position...

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...

Job description California Post Acute is a premier healthcare facility dedicated to providing exceptional care to our residents and patients. Our commitment to excellence, compassionate care, and innovative practices sets us apart as a...

Licensed Practical Nurse We are VITAS Healthcare, the nation's leading end-of-life care provider since 1978. Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally recognized best-in-class...

Unknown CDI team is seeking a Clinical Documentation Integrity (CDI) Specialist – RN for a 100% remote position based in the United States. You will drive accurate inpatient documentation, engage physicians, and ensure alignment with quality and...

A healthcare network is seeking a full-time Registered Nurse for Pre-Admission Testing (PAT) to work remotely. The role involves conducting comprehensive pre-operative assessments, coordinating with the medical team, and ensuring patient readiness...

Inland Empire Health Plan (IEHP) seeks a Quality Program Nurse to implement and monitor quality management policies under the DHCS framework. Responsibilities include site reviews, medical record surveys, CAP oversight, and HEDIS data abstraction.

Licensed Vocational Nurse The City of Los Angeles offers a comprehensive package of pay, benefits, paid time off and workplace opportunities to help you get the most out of your career and life. Your paycheck is just part of your total...

Corrections Licensed Practical Nurse The Corrections Licensed Practical Nurse works in close and immediate contact with adults and children in custody on a daily basis providing general and emergency nursing care in the Medical and...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

A healthcare management firm is seeking an RN Care Management Coordinator – Compliance Specialist to ensure compliance with relevant regulations and standards. This remote position requires a minimum of five years of clinical experience, an...

Namely is seeking California Based Nurse Care Managers for remote work to support members through their healthcare journey, ensuring needs are met with leading interventions. The position requires a Bachelor of Science in Nursing, 5+ years...

A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include...

Sato Inc. is seeking a Remote Nurse Navigator (RN) with 5+ years of clinical experience to join its AI-driven Centers of Excellence platform from Bodega Bay, CA. You will manage surgical patient journeys end-to-end, coordinate with U.S. and...

A healthcare company is seeking a Clinical Triage Nurse to assist with inbound patient calls, assess symptoms, and provide medical advice. The ideal candidate will have a valid RN license, strong communication skills, and the ability to work...

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...

LPN/LVN (PACT) The primary purpose of the LPN/LVN (PACT) is to perform assigned duties in a manner that promotes quality health care, positive customer service and the maintenance of an environment committed to serving our Veterans.

CareHarmony, Inc. is seeking a Licensed Practical Nurse (LPN) for a fully remote position based in Houston, Texas. The successful candidate will manage patient care and conduct health assessments while thriving in a fast-paced environment.

Upper Peninsula Health Plan (UPHP) is seeking a Remote Community Based Clinical Coordinator - Care Manager in Michigan. The role supports care management across the continuum of care and involves in-home and facility visits, with a focus on...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and to assess member needs to help them live healthier lives. You will collaborate with clinicians, interpret plans of care,...

Amicus Nursing Services Inc is seeking a dedicated Infusion Registered Nurse to join as an Independent Contractor. This role offers a high degree of independence with part-time flexibility, focusing on providing exemplary care through infusion...

A healthcare auditing firm is seeking a Hospital Bill Audit Nurse Supervisor to lead a remote team responsible for hospital bill audits. The candidate should have a nursing background with at least 5 years of experience in acute settings and be...