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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...

Elevance Health, Inc. invites applications for a Medical Management Clinician Associate working primarily in a virtual capacity. The role requires an active RN/LPN license and at least 2 years of clinical or utilization review experience, with...

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...

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...

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

We are looking for a Travel OR RN for a great Travel nursing job in Lynwood, CA. This OR Travel nursing job pays for 36 hours a week for 13 weeks. With Wanderly you can compare...

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...

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...

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...

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...

Guidehealth is a remote-first healthcare company seeking an experienced RN Case Manager with an Illinois license to join the Value Based Care Services team. The role focuses on improving member management, satisfaction, and cost effectiveness...

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...

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...

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

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...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12...

CVS Health Job Opportunity 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...

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)...

SCAN Health Plan Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists...

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...

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...

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...

Case Manager RNBurbank, CA$2537 /Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur8H Days26 Weeks40Short Term Acute Care Hospital368EPICRequirementsAt least 2+ years' experienceEither an...