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The Health Specialist role is to provide advanced and accurate clinical inquiry responses to health related, disease control and prevention issues, including questions related to bioterrorism, first responders and national emergency situations...

nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Availity, a leader in healthcare technology, is hiring a UM Nurse Analyst (Clinical Informaticist) to interpret payer medical policies and build AI-enabled decision trees for automated prior authorization. You'll collaborate with Product,...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Atrium Health Greater Charlotte is seeking a focused RN to join the Single Call team as a Flow Coordinator. This role supports hospitalists by triaging admissions, coordinating patient flow, and partnering with physicians and APPs to optimize care...

UnitedHealth Group's UnitedHealthcare is seeking a Registered Nurse for a Weslaco, TX area role. The RN will assess, plan, and implement person-centered care, linking members with resources across financial, psychosocial, and community services,...

Vivo Care is seeking a Care Navigator to build trust-based relationships with patients, triage vital signs via a Remote Care Platform, and coach patients toward healthier behaviors. The role focuses on RPM data, wellness calls, and collaboration...

AIS Healthcare in the Syracuse, NY area is seeking a Home Infusion RN to perform infusions in patients' homes for Pediatric and Adult patients. This fully remote PRN role offers 2-3 days per week and the chance to practice outside a hospital...

Advocate Health is seeking an experienced Registered Nurse for a remote-based Transitional Care role focused on high-risk patients undergoing discharge and 30-day transitions. The role emphasizes comprehensive assessments, patient education, and...

Actalent is seeking an LVN Nurse Consultant for a fully remote telephonic nursing position. You will contact patients or caregivers to ensure adherence to prescribed therapies and address issues they may encounter, including nursing home...

Humana's CenterWell Specialty Pharmacy seeks a Registered Nurse with a BSN to join as Care Manager, Telephonic Nurse 2 in a fast-paced call-center setting delivering patient support and education. You will support the Patient Management...

American Senior Communities is seeking a Community Nurse Liaison (LPN) to evaluate patients and coordinate with hospital teams for admission to skilled nursing facilities. The role requires weekend hours (Saturday and Sunday 8a–5p) and a remote...

Supports the values of service excellence, teamwork, and integrity while managing patient care. Acts as a liaison among patients, caregivers, multidisciplinary teams, and payers. Qualifications: Requires a...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality,...

1 day ago Be among the first 25 applicants At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading...

Prolific is seeking Registered Nurses to help train and evaluate AI models. You'll complete a quick test to assess your skills and, if successful, join Prolific as a Domain Expert participant, where you'll get paid to train and evaluate powerful...

Jobgether SRL is seeking a part-time remote clinical support professional to assist a Canada-wide healthcare team. You will provide essential clinical and administrative support across Canada, coordinating with laboratories, pharmacies, referrals,...

Hey Jane is seeking a compassionate Registered Nurse to support medication abortion care via telemedicine. This remote, full-time role emphasizes trauma-informed, patient-centered care and clear communication with patients during stressful...

Teleperformance is seeking a Healthcare Customer Service Representative to handle inquiries via phone, email, chat, and social media. The role focuses on de-escalation, issue resolution, and proactive payment processing while maintaining quality...

Abbott is seeking a CORONARY, CLINICAL SPECIALIST to promote vascular products through education and sales support within a defined territory. You will travel to hospital accounts to educate physicians, nurses and staff on product usage and...

Cleveland Clinic Home Care Services seeks an LPN to provide nurse-led care in patients' homes across West-Cuyahoga and Lorain County. You will visit approximately six patients daily, administer medications, and coordinate with RNs to ensure safe...

Centene Corp. is seeking a Clinical Review Nurse - Prior Authorization (Hospice) to analyze medical necessity and determine the appropriate level of care. This remote role supports patients nationwide and collaborates with medical directors...

Molina Healthcare is seeking an Illinois-licensed RN Case Manager to support Medicare members in Illinois. This telephonic role may require occasional face-to-face meetings from home, with 8 AM–5 PM CST hours. Preference given to applicants with...

Inland Empire Health Plan in California seeks an LVN-validated Claims Review Nurse to audit medical necessity across inpatient and outpatient claims and support the UM/Claims interface. You will analyze records, determine authorization needs, and...