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Sailor Health is looking for experienced RN Healthcare Advocates to provide compassionate support to older adults on Medicare. This remote position offers flexible hours starting at 15 hours per week, focusing on creating individualized care plans...

RESP & QUALIFICATIONS Purpose The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to...

As an In-Store Registered Nurse, you will provide safe, efficient, and compassionate immunization services while educating patients and supporting pharmacy operations during peak vaccination season. You will administer a variety of vaccines,...

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average...

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...

Optum is seeking a Discharge Care Manager to implement telephonic case management interventions for high-risk members. This role involves evaluating discharge needs, collaborating with clinical teams, and ensuring seamless transitions of...

Overview Carenet Health is not authorized to hire in certain states due to internal business considerations: CA, CO, NY, NJ, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto RicoAre you a compassionate, self-motivated registered nurse with...

RN Provider Performance Specialist Senior Step into a high-impact role where your clinical expertise directly influences provider quality and patient outcomes. As an RN Provider Performance Specialist Senior, you will serve as a trusted...

A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience...

Harris Health is seeking a Utilization Management Review Nurse (UMRN) in Houston, Texas, to evaluate the necessity and efficiency of medical services. The ideal candidate will hold a Bachelor's in Nursing and a valid Texas RN license, with 5 years...

About the Role Mercor is seeking experienced nurse practitioners to support a leading AI lab in advancing research and infrastructure for next-generation machine learning systems. This engagement focuses on diagnosing and solving real issues in...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

A healthcare services provider is seeking a Clinical Quality Improvement Support Nurse to provide HQ-level support for improvement projects at the Defense Health Agency. This fully remote role requires a Bachelor's degree in nursing, 10+ years of...

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

Clinical Quality Assurance Nurse (RN or LPN)Schedule: 3 different openingsM-F 11:30am – 8pm ESTM-F 8am-5pm ESTTues – Sat 8am-5pmPay:$24/hr for Licensed Practical Nurse (non- negotiable)$29/hr for Registered Nurse (non-negotiable)Training &...

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

A leading claims management firm in New Jersey seeks a passionate RN for case management. This role involves delivering effective case management services while ensuring compliance with standard practices. Candidates must possess an active RN...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...

To support healthcare revenue solutions, the full-time Remote Clinical Review Nurse will analyze denied insurance claims, draft persuasive appeal letters, and collaborate with legal teams to optimize patient care revenue without direct patient...

RN - Medical Coverage Policy Consultant - Full-Time/Part-Time Pay Rate: Up to $74.20/hour depending on experience! Schedule: Open to full-time or part-time, expected to work dayshift business hours. Location: This is a work...

Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top‑tier Compact Registered Nurses who want more than a typical remote role. This is a performance environment for nurses...

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...

Duties Consult with health experts and review the medical and scientific literature to obtain information for improving clinical practice and measures. Develop health care quality improvement policies and procedures for use in...

Salary Range $40.00 - $42.00 Hourly Position Type Full Time Category Nurse Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy — we're a dedicated partner in care, transforming how patients...

Company Description With more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education that prepares students to thrive as healthcare...