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Spectraforce Technologies is seeking a Quality Audit Specialist (RN) for a remote 6-month assignment. The role focuses on abstraction of medical records for HEDIS, with accurate data entry into healthplans databases. The ideal candidate...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Santa Barbara Cottage Hospital is seeking an experienced RN/LPN to perform remote clinical reviews for appeal cases. You will review medical records, apply InterQual criteria, and prepare clinical determinations for physician review. The...

PIH Health is seeking a dedicated and compassionate Licensed Vocational Nurse (LVN) for an 8-hour shift position based at PHP - Whittier, located at 14350 Whittier Blvd, Whittier, CA. This is a Full-Time/Regular, at-will position within PIH...

Registered Nurse (RN) Clinical Documentation Specialist Job Type: Remote FT | Days Your experience matters At Highpoint Health Sumner we are driven by a profound commitment to prioritize your...

Researching complex appeal requests, the full-time South Carolina Licensed RN Appeals Analyst will perform clinical reviews and benefit analyses to determine medical necessity, all while working remotely and adhering to regulatory standards.Key...

Building Location: St Marys Hospital - Detroit Lakes Department: 3062750 ENDOSCOPY - DL HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and...

UnitedHealthcare is seeking a Senior Clinical Admin Nurse RN for Emerging CARE, with remote work flexibility across the United States. The role supports members by providing guidance, education, and front-line clinical resources to manage health...

Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Primary Care - Watonga Monday-Friday, 40 hours per week *This is a hybrid...

Sedgwick in the United States is seeking a Telephonic Case Manager to collaborate with injured workers, employers and medical providers. You will develop a case management strategy to facilitate medical recovery and support a successful return to...

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use. I...

Centene Corp. is hiring a Quality Improvement Coordinator II to conduct reviews of delegated entities for quality, service performance and utilization, and to lead clinical quality initiatives across provider sites. The role involves...

Employment Type: Full time Shift: Night Shift Description: Position Summary: Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to...

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...

CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. **This position is remote. Candidates must be local to New England States for consideration** The Clinical...

Humana is seeking a Telephonic Registered Nurse Care Manager to support patients transitioning into and out of Humana's home-based services. This remote role reports to the Manager, Care Management and focuses on post-acute levels of care,...

Registered Nurse - Compliance Partner Salary: $110,000 to $120,000 annually, DOE. Location: This is a field-based position that requires regular travel to assigned facilities. Candidates must live within close proximity to a major airport...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

Job TitleWork Location: Los Angeles, CA, USAOnsite or Remote Fully On-Site Work Schedule Monday - Friday: 8:00am - 5:00pm, hours may varySalary Range: $38.54 - 50.84 HourlyEmployment Type 2 - Staff: Career Duration IndefinitePrimary Duties and...

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...

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging...

Select how often (in days) to receive an alert: Date: Sep 21, 2026 Location: Any city, KS, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of...

A leading healthcare provider is seeking an Associate RN for a remote role dedicated to acting as a care guide and advocate for patients. The candidate must hold a valid RN license in a compact state or California. Responsibilities include...

UnitedHealthcare is seeking an experienced registered nurse to join a frontline clinical resource program that educates and supports members about health management. The role emphasizes customer service, nursing judgment, and collaboration to...