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Qlarant, a nonprofit organization, seeks a Nurse Specialist II to perform medical record and claims review for Medicare, Medicaid, and other data. This remote role in the United States involves ensuring adherence to guidelines while assessing for...

Overview Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal...

Saint Luke's Hospital of Kansas City in the United States is seeking an experienced Registered Nurse for our Primary Care Shoal Creek location. The role features a Monday through Friday schedule, 8:00 am to 4:30 pm, with no nights, weekends, or...

Cardinal Health is seeking a Virtual Injection Training Nurse within Individualized Care. The role educates patients on therapies, conducts virtual injection training via Zoom with patients and caregivers, and collaborates with healthcare...

Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you...

AccentCare is seeking a Regional Clinical Support Specialist IPC. The role supports hospice inpatient care programs with nursing teams across the Southeast region, emphasizing Florida and Georgia. This full-time, remote-friendly position requires...

Case Manager Utilization RNWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the...

CVS Health Corporation is seeking a RN-qualified professional to lead quality improvement initiatives and performance measurement within POSC, aiming to meet HEDIS and CAHPS goals. The role involves analyzing clinical workflows, implementing...

Description Location: UCHealth Anschutz Inpatient Pavilion, Aurora - CO Department: Orthopedics Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Days Pay: $35.29 - $54.71 / hour. Pay is dependent on applicant's relevant...

Trinity Health is seeking a Night Shift RN Utilization Review in Grand Rapids, MI, offering full-time work with remote options. You will review assigned cases against criteria and payor guidelines to ensure proper reimbursement and medical...

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...

Sedgwick is hiring for a Clinical Consultation Triage Nurse in a remote, full-time role. You will triage calls, assess needs, and provide care guidance to determine the appropriate level of care, while supporting return-to-work goals. The...

Fairview Skilled Rehab & Nursing Center is seeking a Remote Registered Nurse in the Philippines who is NCLEX-passed or eligible to support our U.S. skilled nursing team. The ideal candidate will review medical records, assist with...

Remote Registered Nurse Position The position is 100% remote. Preferred locations are Northern VA and Central VA. The EST time zone is required. Must have acute care experience as an RN. Day to day responsibilities include working with...

Registered Nurse Opportunity Step into a vital role within a supportive school environment as a Registered Nurse, where your medical expertise will make a direct impact on the well-being and success of students. This contract, part-time...

Overview Carenet Health is not authorized to hire in certain states due to internal business considerations: IL, AK, CA, MA, MI, MN, NY, NV, NJ, OR, RI, WA, WV, HI, CT, DE, VT, Puerto Rico Start date: 10/12/2026...

JOB DESCRIPTION Opportunity in Southern California for an experienced Managed Care Leader to join our health plan in California. Candidates must have a minimum of 7 years of healthcare experience, 3 of those should be with a Managed Care...

Pay Range: $35.92 - $53.88 A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education. This position is responsible for the coordination of patients...

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

Base pay range $60.00/hr - $110.00/hr At Crossing Hurdles, we work as a referral partner. We refer candidates to our Partner that collaborates with the world's leading AI research labs to build and train cutting‑edge AI...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

Job Tittle: Healthcare - Clinical Appeals Nurse (RN) Location: Location: Remote - Must reside in **AZ, FL, GA, ID, IA, KY, MI, MS, NE, NM, NY (outside Greater NYC), OH, SC, TX, UT, WA (outside Greater...

Turing is looking for candidates who have solid experience in nursing care, patient assessment, and clinical documentation, particularly at the level expected for licensed registered nurses working in hospital or outpatient care...

At Arjo, we know what moves us. We go above and beyond for people facing mobility challenges. We take every opportunity to work and grow as one team and take pride in sharing our knowledge and experience. Does that sound like...

AccentCare is seeking a Regional Clinical Support Specialist IPC. The role supports hospice inpatient care programs with nursing teams across the Southeast region, emphasizing Florida and Georgia. This full-time, remote-friendly position requires...