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Discover Vanderbilt University Medical Center Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim...

Talkiatry is seeking an experienced PMHNP for a fully remote outpatient psychiatry role. You will conduct evaluations, develop treatment plans, and manage medications within an integrated care model supported by scheduling, billing, intake...

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including...

Cadence in Dallas, TX is seeking an RN Supervisor to lead a remote team of Registered Nurses in a high-volume triage environment. This role demands strong clinical judgment, operational management, and performance coaching to maintain quality...

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 solutions provider is looking for a qualified RN to perform medical reviews and coordinate care for members. This role involves assessing service needs, engaging in patient education, and ensuring compliance with healthcare...

UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum,...

A Quality Improvement Consulting Company is seeking a RN Health Care Facility Surveyor to work remotely with up to 75% travel. The Surveyor will conduct on-site surveys of Medicare-Medicaid certified health care facilities and assess compliance...

A leading Quality Improvement Consulting Company is seeking an RN Health Care Facility Surveyor to conduct compliance surveys across various healthcare facilities. The role is heavily focused on ensuring quality standards are met, involving...

Impact Recruiting Solutions is seeking a RN Health Care Facility Surveyor for nationwide support in a QA consulting environment. The role requires an RN with CMS training and SMQT, plus 2+ years of surveyor experience, with up to 75% travel and...

Abode Hospice of Colorado is seeking an Administrator On-Call RN to provide after-hours indirect patient care and leadership for weekend on-call clinical activities. The role emphasizes education, documentation, and oversight of weekend workflows...

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UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum,...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

Telenett is seeking a Remote Utilization Review Nurse to review medical records and treatment plans from home. You will determine medical necessity, collaborate with providers, and help develop care plans that meet client needs. The role...

A leading healthcare staffing firm is seeking a Clinical Liaison to evaluate clinicians and ensure compliance with staffing needs. This remote role requires an Associate's Degree in Nursing and at least 3 years of nursing experience. Strong...

UnitedHealth Group is a health care and well-being company thats dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a...

Vaya Health seeks a Physical Health Registered Nurse to perform clinical reviews for authorization requests and medical necessity. You will reference standardized criteria and coordinate with physician peers when needed. This role is part of a...

An established industry player is seeking a dedicated Registered Nurse for a remote contract position focused on reviewing medical claims within the insurance sector. This role involves validating treatment plans using accepted criteria and...

A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must...

Building Location: Building B - St Marys Medical Center Department: 2003900 SMMC 9-CRITICAL CARE - SMMC HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning,...

Inland Empire Health Plan (IEHP) seeks a Quality Program Nurse to implement and monitor quality management policies under the DHCS framework. Responsibilities include site reviews, medical record surveys, CAP oversight, and HEDIS data abstraction.

A leading healthcare consultancy is seeking a Senior LTSS Service Care Manager (RN) for a remote position based in Edinburg, TX. This role requires qualifications including RN licensure, nursing experience, and skills in case management.

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...