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A prominent health services provider in Albany, NY is seeking a Care Manager—Registered Nurse to coordinate care for members with multiple chronic conditions. The role involves telephonic engagement, developing individualized care plans, and...

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...

Clever Care is hiring a UM Nurse I - RN to conduct clinical reviews of authorization requests in California. The role involves ensuring compliance with regulatory requirements, documenting medical necessity, and communicating decisions...

Working remotely in a full-time capacity, the RN Clinical Documentation Specialist will review medical records to enhance the accuracy of clinical documentation, ensuring it reflects the patient's severity of illness and risk of mortality while...

A prominent healthcare organization is seeking an A&G Clinical Specialist to manage health member complaints and appeals. This fully remote position requires expertise in clinical case management, understanding of regulatory compliance, and the...

A leading pharmaceutical support services company seeks a Remote Registered Nurse (RN) Case Manager to advocate for program patients, assess barriers, and educate them throughout their therapy journey. Ideal candidates will have an active RN...

A leading forensic consulting firm is seeking a part-time Forensic Nurse Expert to provide expertise in criminal and civil matters. The role combines remote work with occasional travel and includes reviewing cases, producing written reports, and...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

A healthcare company is looking for an RN Telephone Triage to work remotely. This role involves assessing symptoms using clinical algorithms, delivering health education for symptom management, and assisting patients in accessing appropriate...

Job Title: Clinical Trial Nurse (Remote) Company: Angel City VA Location: Work From Home Pay Rate: $7 USD/hour About Us Angel City VA is a people-first organization specializing in talent acquisition, onboarding, and...

A subsidiary providing healthcare solutions seeks a Clinical Measurement Support Nurse to deliver quality consultation and data analysis for the Defense Health Agencys Clinical Quality Management Program. This fully remote role requires a minimum...

*Description* Per Diem Dispensing Nurse – LPN MedMark Treatment Centers is looking for a detail oriented and empathetic Licensed Practical Nurse to dispense prescribed medications as part of a treatment team in partnership with...

Location: Any city, AK, US, 99999 Work Mode: Virtual (Exception only) 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...

Connexall is seeking a Clinical Informatics Specialist-RN to provide clinical support and professional services during the project lifecycle. Responsibilities include clinical workflow design, data analytics, and user training. The role requires a...

Work From Home Nurse Practitioner – Telehealth Women's Health | $125K+ 2 days ago Be among the first 25 applicants This range is provided by NPHire. Your actual pay will be based on your skills and experience — talk with your...

Job Description: HSL provides enhanced housing with services to seniors living in its four affordable housing locations, and at partner housing sites, with the goal of improving quality of life and supporting independent living. At its core,...

Geisinger is seeking an Associate Director of Nursing Informatics who will provide strategic and operational leadership across the organization. This role is crucial in aligning nursing practice with clinical operations and digital health...

A healthcare services company is seeking a remote Nurse Educator/Review Coordinator to facilitate provider education related to claim reviews. Responsibilities include identifying billing issues, providing recommendations, and conducting education...

Santa Barbara Cottage Hospital is seeking a clinical professional for the Medical Management/Health Services team. This remote position involves conducting concurrent reviews to determine members overall health and ensure appropriate care.

A prominent healthcare company is seeking a Case Management Nurse to conduct comprehensive assessments and develop care plans for beneficiaries. The ideal candidate will have 5+ years of clinical RN experience and a current RN license.

To support clinical auditing efforts, the full-time RN Clinical Auditor will perform retrospective chart reviews on Readmission and Place of Service Claims, utilizing clinical guidelines and proprietary systems while maintaining productivity and...

OverviewPosition Type: Full timeJob Title: Care Review Clinician ILocation: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle),...

A public health contractor is seeking a fully remote Patient Safety Support Nurse in the United States. The ideal candidate will have at least 10 years of combined clinical and administrative healthcare experience, including 3-5 years in patient...

A-Line Staffing is now hiring a Remote Care Manager (RN) in Northeast Ohio. Please contact Staffing Manager, Tiona Scroggins @ tscroggins@alinestaffing.com Assignment Dates: 06/08/2026 – 01/06/2027 Pay Rate: $45.00/hour – Weekly Pay Schedule:...

A healthcare company seeks a Remote Utility Management Nurse to optimize insurance coding practices and enhance revenue management. This part-time role offers flexible hours and compensation ranging from $45 to $75 per hour, depending on...