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Job Title: Registered Nurse (Navy Nurse Corps) Category / Component: Officer • Both Overview Navy Nurse Corps Officers deliver professional nursing care to service members, families, and global communities in leading edge military medical centers,...

Overview Clinical Documentation Specialist - RN, Remote 40 hours per week Facilitates improvement in the overall quality, completeness and accuracy of medical record documentation. Educates members of the patient care team...

Optum NV is seeking an RN Case Manager Telephone Advice Nurse to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll...

Under general supervision and according to established policies and procedures, provide remote Blood Pressure (BP) monitoring for all patients enrolled in the Blip Care program. Communicates significant blood pressure changes and patient concerns...

About Clarity Pediatrics Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD. After successfully launching our virtual clinic for ADHD and anxiety, we are expanding our pediatric care platform to address other...

CorVel Corporation is seeking a Utilization Review Case Manager for a remote role. The ideal candidate holds an RN license and has 4+ years of clinical experience with utilization review, CPT/ICD coding knowledge, and strong communication skills.

OpTech is seeking a Registered Nurse (RN) to support utilization review and clinical review activities for a Michigan health plan. This role involves evaluating medical services for medical necessity, level of care, and clinical criteria. The...

OpenTrain AI invites experienced Registered Nurses to join a remote, flexible AI training program in the United States. You will review inpatient nursing documentation, assess AI-generated outputs for accuracy and safety, and provide explanations...

VIVA HEALTH in Birmingham, AL is seeking a Case Manager, Utilization Review to support members and high-risk patients. The role involves coordinating utilization review activities, performing timely medical records checks, and determining medical...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Trillium Health Resources is seeking a Compliance Nurse to perform clinical compliance reviews and evaluate claims to ensure adherence to regulatory and coverage requirements. The role requires an Associate's degree in Nursing, NC RN licensure,...

We're looking for a detail-driven LPN Intake Specialist to join our team. In this role, you'll manage incoming referrals, ensure documentation is accurate and compliant, and help coordinate a smooth admission process for patients. This is a...

Come work at the best place to give and receive care! Job Description:Who We Are: SolutionHealth is an integrated health system uniquely focused on providing access to high-value, primary, and specialty care...

AdventHealth is seeking a Diabetes Educator/RN to provide comprehensive diabetes self-management education. The role involves assessing patients, tailoring learning objectives, and delivering individual and group instruction. You will...

Humana is seeking a Behavioral Health Prior Authorization Nurse to join the Wisconsin Medicaid Market (iCare) team. This role involves reviewing the clinical appropriateness of prior authorization requests to ensure they meet medical necessity and...

Comagine Health is seeking an experienced Registered Nurse for a remote Clinical Reviewer role supporting a Washington L&I contract. The position emphasizes evaluating medical necessity, quality, and appropriateness of care using established...

Abbott is seeking a per-diem RN trainer to deliver home-based training for Acelis Connected Health's PT/INR products across the United States. The role includes remotely scheduling sessions, traveling to patients' homes, and guiding caregivers on...

Ensemble Health Partners is seeking an RN Utilization Review quality professional to lead QA efforts within the VUR team. You will mentor staff, evaluate QA processes, and drive improvements across multiple clients and systems. The role...

After Hours Service Answer Line Rn The Answer Line After Hours Service provides after-hours exchange and nurse triage services for over 300 subscribing community pediatricians in the St. Louis and surrounding areas. Answer Line RNs...

Saint Joseph Health System is seeking an RN Utilization Review specialist for a part-time, remote PRN role that requires on-site training in Mishawaka, Indiana. The position emphasizes reviewing medical necessity, insurance requirements, and...

Ascension is seeking a Registered Nurse for the Case Management team. This role reviews admissions and service requests for medical necessity, coordinates discharge planning, and supports coding, documentation, precertification, reimbursement and...

Licensed Vocational Nurse II Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Job Description & Requirements Family Medicine Nurse Practitioner or Physician Assistant(NP) StartDate: ASAP Available Shifts: Day 8 Pay Rate: $72.75 - $78.75 This facility is seeking a Family Medicine Nurse Practitioner or...

TEKsystems is seeking a Clinical Quality Assurance Specialist (RN/LPN) for a 100% remote, full-time role with hourly pay of $26.50–$28.50. Training will be conducted on a set schedule, with four 10-hour shifts and potential conversion to 4-day...