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The University of Texas MD Anderson Cancer Center is seeking a Denials Management Coordinator to support revenue cycle operations by coordinating review, analysis, and resolution of insurance denials and to help secure accurate reimbursement. This...

Deliver comprehensive nursing care using the nursing process, including assessment, planning, and evaluation.Monitor patient conditions, adjust care plans, and collaborate with the team to improve outcomes.Requirements:Active RN license, BLS...

Sedgwick is seeking an RN Telephonic Case Manager to support injured workers remotely. You will partner with workers, employers, and medical providers to develop care plans that promote medical recovery and a successful return to work. The...

NTT DATA is seeking a Clinical Reviewer Specialist to perform clinical and medical necessity reviews for appeals, ensuring compliance with state and federal regulations, Medicaid, and NCQA standards. This fully remoteFlorida-based position...

Salary Range: $350,775.00 to $441,423.00 Potential Premium Earnings: $63,264.00 Salary range includes incentives that are contingent upon skills, competencies, longevity, experience and...

Wellstar is seeking a Remote RN to join an interdisciplinary team delivering high-quality patient care via phone or secure messaging. This role is fully remote and led by a nurse supervisor. An active RN license and BLS are required, with Georgia...

Vassar Brothers Medical Center in Poughkeepsie, NY is seeking a skilled Utilization Review Nurse to perform clinical reviews, determine level of care, and collaborate with physicians to ensure appropriate patient placement and regulatory...

A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare...

Call 4 Health is seeking experienced Registered Nurses to join our 24-hour remote triage team, delivering high-quality patient care from a home office. You will support providers nationwide, triaging via telephone, documenting in EHR systems, and...

Sentara Health is hiring a Remote Utilization Review Registered Nurse to perform prior authorization and utilization review for inpatient and outpatient services. Candidates must reside in Virginia and hold an active Virginia RN license. As...

UnitedHealth Group is seeking an RN On-Call for hospice care to provide after-hours clinical support, triage patient needs and coordinate care for continuity and quality outcomes. The role includes remote and field-based nursing support with...

Seeking a full-time LVN who is passionate about mental health. This position is specifically for 6.30am- 7pm.Who We Are:Since 2000, Clearview Treatment Programs has offered individualized evidence-based treatment for adults suffering from mental...

Job Description Job Description Bilingual Remote LPN/LVN - Clinical Interviewer 100% Remote | $25-$26/hour | Monday-Friday 11:30 - 8 PM EST (Can reside anywhere in the U.S. to be considered)...

Trinity Health At Home is seeking a Virtual Care Coordinator RN to deliver telehealth hospice care and coordinate individualized care plans for patients and families from a remote setting. The role involves monitoring patient conditions,...

GQR Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Woodland Hills, California. Job Description & RequirementsSpecialty:...

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Manage patients assigned to your Care Team, ensuring visit frequencies align with acuity levels. Communicate via phone and video conferencing, assess and enroll patients, and develop care plans. Manage medications,...

Buena Vista Home Health, Palliative Care & Hospice (BV) is seeking an experienced OASIS Review Nurse (RN) for a remote, part-time QA role. The RN will ensure OASIS assessments are accurate, complete, and compliant with CMS regulations and state...

Conduct telephonic nursing assessments and triage using protocols.Provide health education and referrals to diverse patient populations.Work Schedule:Full-time evenings with weekend shifts every two weeks.Virtual training for 2-4 weeks, 100%...

UCLA Health in Santa Monica, CA is seeking a Certified Nursing Assistant to join the 4MN Med Surg/Telemetry unit on 11.5 hour night shifts, including weekends and holidays. You will assist patients with admissions, transfers and discharges,...

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...

UnitedHealthcare is seeking an HSS Clinical Coordinator RN to serve as the primary care manager for a panel of members with complex health needs, including behavioral health, with a focus on coordinating medical, behavioral, and social...

Back RN/Managed Care Coordinator (Remote) Healthcare Columbia , South Carolina Contract Hybrid Nov 10, 2026 RN/Managed Care CoordinatorJob at a GlanceTitle: Managed Care...

BlueCross and BlueShield of South Carolina seeks an RN Medical Reviewer II to join the Palmetto GBA Medical Review team. You will perform medical reviews using clinical information, apply guidelines, and help ensure accurate coverage and payment...

Licensed Vocational Nurse (LVN) – Los Angeles, CA Local Pay: $31.50/hour - (W2) Join our team and make a meaningful impact by delivering exceptional care in a professional healthcare setting. We're looking for a dedicated and compassionate...