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Job Description JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the...

Type: Full-time, salaried, FLSA exempt Pay: $80,000 - $85,000 annually, plus bonus potential Location: US, remote; some evening hours, weekend hours, and travel are required...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Remote Clinical Review Nurse Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full?Time About the Role We are seeking an experienced Registered Nurse to join our team...

RN-Psychiatry Estimated Gross Weekly Wage $1336 Location Columbus, OH Schedule Multiple 7:30 AM-4:30 PM Start Date 02/07/2026 Assignment Length 52 weeks Job Type Travel Job ID 9006...

A healthcare facility is seeking a Registered Nurse for night admissions in Columbus, OH. This role offers a competitive hourly rate of $34-$40. Responsibilities include coordinating patient care, maintaining records, and ensuring compliance with...

Facility: CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807 Department: 1651 Virtual Care Command Center Scheduled Weekly Hours: 24 Hours:...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

A leading healthcare management firm seeks an experienced RN for pharmacy utilization management services in Denver, Colorado. This role involves assessing patient medication usage, ensuring safety, and collaborating with medical professionals in...

Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Overview Are you a dedicated and experienced Licensed Practical Nurse with a passion for assisting individuals on their journey towards mental health and recovery? We're seeking a proactive and compassionate LPN to join our...

A leading healthcare provider is seeking a Clinic Registered Nurse (RN) for their urology team in Omaha, Nebraska. This hybrid role allows for remote work after training. The RN will collaborate with a multidisciplinary team to provide...

We are hiring for: RN / Registered Nurse / Forensic ACTT Type: Regular If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

About Lower Lights Christian Health Center Lower Lights Christian Health Center (LLCHC) is a mission-driven, faith-based Federally Qualified Health Center (FQHC) that provides whole-person, high-quality, and accessible...

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...

A healthcare solutions company is seeking a Clinical Review RN (Independent Dispute Resolution) to provide remote case determinations for Independent Dispute Resolution. This role requires a licensed RN in New York State with a minimum of two...

divh2RN Care Review Clinician/h2pThe RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

Join Encompass Health: Where Nursing Meets Heart, Home, and Healing. Are you looking for a fulfilling nursing career that resonates with your passion for care? At Encompass Health, we provide a transformative experience where your skills as a...

Overview Experience the advantages of real career change Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and...

An educational platform is seeking a tutor for the ANCC - Psychiatric-Mental Health Nurse Practitioner (PMHNP) certification. This role allows you to set your own hours and conduct sessions remotely. Ideal candidates will have strong communication...

Position Summary: Provides nursing care through physical and mental assessments, laboratory testing, plans of care and therapeutic treatments. Knowledgeable of a wide range of disorders; cognitive, emotional, developmental,...

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

The Registered Nurse provides professional nursing care to patients within assigned areas utilizing the nursing process to assess, plan, implement and evaluate patients. What you will do Provides nursing...