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Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current employees and candidates who reside in Idaho and Utah...

Comagine Health is seeking an RN to perform Clinical Review work and QIDP reviews. The team member will serve as the QIDP (.5 FTE) and as a nurse clinical reviewer (.5 FTE). The role requires applying Alabama Medicaid criteria to determine medical...

Effizotech is looking for a dedicated Patient Care Coordinator to join their team. This role involves coordinating patient appointments for infusion services while ensuring timely communication with patients. The opportunity offers the flexibility...

HCSC is seeking a remote QOC Nurse under the supervision of the QOC Manager to conduct review and investigation of quality of care issues. The role supports quality improvement activities in compliance with CMS, NCQA and other regulatory...

Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides...

Ssbv Clinical Claims Review RnOptum 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...

WellSense Health Plan in Massachusetts is seeking a Remote Prior Authorization Clinician to review hospitalization and outpatient services for medical necessity using InterQual guidelines, ensuring timely and appropriate care for members. This...

Arkansas Blue Cross and Blue Shield is seeking an Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and benefit inquiries. The role ensures medical necessity and promotes quality care with cost...

A leading virtual care organization is seeking a Work-From-Home Nurse Practitioner to support its telehealth services. This role offers a flexible schedule and the opportunity to provide virtual care assessments for various acute issues. Qualified...

SafeGuard Services (SGS), a Peraton subsidiary, seeks a Nurse Reviewer Team Lead to guide medical reviews and fraud investigations within the SGS team. You will oversee workload, mentor staff, and coordinate with investigations to develop cases...

Remote Care Manager (RN) - MUST LIVE IN TEXAS TX, United States Trending Job Description JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state.

Mercy is seeking an experienced Registered Nurse for the Virtual triage (vAcute) program in the United States. The role involves 24/7 ED handoffs, scheduling facilitation, and supporting patients in the intensive care coordination pathway across...

Inova Health System is seeking a Registered Nurse (RN) for Virtual Acute Care in Virginia. This full-time role requires a 36-hour work week with a rotating schedule and four weekend shifts every six weeks. After six months, eligible for one remote...

8 Hours POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care.

Requisition number: 2395128 Job category: Nursing 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...

The Nurse Triage Registered Nurse is a practitioner who assesses, plans, implements and evaluates care for a defined patient group within Froedtert and MCW Patient Engagement Center. Responsibilities include telephone triage, patient education,...

Under the supervision of the RN Patient Scheduler Manager, provides timely, efficient, and accurate triage response and documentation. Evaluates patient needs and performs triage within the contact center setting, operating within...

Working remotely on a full-time basis, the Registered Nurse Clinical Documentation Specialist will conduct concurrent reviews of inpatient medical records to enhance documentation quality, ensure accurate coding, and collaborate with healthcare...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent...

Job ID: 33022 Description Take on a key role within an award-winning health system. Help improve patient experiences as part of a world-class healthcare team. Take your career in an exciting new direction. You can...

Elevance Health is seeking a Telephonic Nurse Case Manager I to provide remote care management for members with complex and chronic conditions. The role requires a BA/BS in a health-related field, a current RN license, and multi-state licensure...

Mercy Hospital St. Louis Critical Care Medicine Fellowship is seeking a Registered Nurse for the Mercy Virtual triage (vAcute) program. You will serve as a 24/7 point of contact for ED handoffs, help with scheduling, and support patients...

Advocate Medical Group (AMG) seeks a Registered Nurse to serve as the clinical navigator for patients evaluating or receiving anti‑amyloid therapies for Alzheimer's disease, starting at referral and guiding through treatment and monitoring.

Cadence is seeking a Clinical Navigator (Licensed Practical Nurse) to deliver virtual chronic care support for Medicare patients enrolled in Cadence care programs. You will conduct outbound outreach, coaching, and care coordination to close gaps...