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Care Management Nurse Consultant Competitive Compensation & Benefits Package! Position eligible for: Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

MDS Solutions, a division of Key Rehabilitation, seeks a remote MDS Coordinator to plan, organize, and coordinate MDS completion under current Federal and State Regulations. The role requires an RN license (LPN not eligible) and involves...

CVS Aetna Appeals Nurse Consultant 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...

Sagility is seeking an experienced Senior Care Specialist (Registered Nurse) to deliver telephonic assessments and remote care management opportunities. You will develop individualized care plans, coach members on chronic condition management, and...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

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)...

Sagility is seeking a seasoned Registered Nurse to join as Senior Care Specialist in a work-from-home capacity. You will assess members remotely, develop care plans, provide education, and coordinate services to improve health outcomes for...

Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...

Agency Dept of Health and Human Services Division Health Service Regulation Job Classification Title Nurse Consultant I (NS) Position Number 60054032 Grade MH16...

Michigan Department of Health and Human Services is seeking a Nurse Consultant in the Care Coordination Section, Nursing Case Management Unit, to provide expert consultation to health care providers and local health departments on cases of...

Michael Hill, MD and Associates (MHMDAA) is seeking a Nurse Auditor Coder (RN + CRC or CIC) for a 100% remote, U.S.-based engagement as a 1099 contractor. The position requires Monday–Friday availability of at least 15 hours, in blocks of four...

JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance...

Valeris, Inc. is seeking an experienced registered nurse to provide telephonic education and support to patients, caregivers, and health care providers across multiple disease states. The role emphasizes accurate record keeping,...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service. We're growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South,...

Regional Nurse Consultant (RN) - Assisted Living Americare Senior Living is seeking an experienced Regional Nurse Consultant (RN) to support our Assisted Living communities...

OUR MISSION We exist to create a more connected, compassionate, and confident experience for people with cancer and those who care for them. We make it easier to get answers, access high-quality care quickly, and feel...

Regional Nurse Consultant RN StoneGate Senior Living in Tulsa, OK is hiring a Regional Nurse Consultant RN for our Tulsa, OK region. A rewarding career is waiting for you at a great facility that specializes in long-term and...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Logistics Health Incorporated (LHI), part of the Optum family, offers remote VA/telehealth roles for Physician Assistants and Nurse Practitioners across multiple states. You will perform virtual health assessments, triage patients, and coordinate...

Job Summary Works 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 medical...