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Sr. Clinical Coding Nurse ConsultantExplore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for...

JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member...

UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based...

Overview Position Type: Full time Job Title: Care Review Clinician I Location: 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,...

*Job Summary and Responsibilities* As our Critical Care/Emergency Educator, and in accordance with our mission and core values of integrity, compassion, collaboration, and excellence, you will serve as a consultant and resource professional by...

Area Quality Specialist Registered Nurse Find your purpose giving patient care teams the knowledge and tools they need to better care for patients as an Area Quality Specialist Registered Nurse! This is a rare opening on a...

To support effective utilization management, the full-time remote Utilization Review RN will examine medical records, develop clinical reviews for authorization, and collaborate with interdisciplinary teams to optimize reimbursement and prevent...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...

Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

Travel LPN Company: Fusion Medical Staffing Location: Facility in Beverly Hills, CA Job Details Fusion Medical Staffing is seeking a skilled Licensed...

Back Medical Claim Review Nurse | Remote | Washington | Contract Business & Care Management Long Beach , California Contract Aug 11, 2026 Medical Claim Review Nurse | Remote (Washington) | Contract Walker Healthforce is seeking a...

Care Management Coordinator/RNLocation: 100% Remote Duration: 3+ Months (FT conversion)This is a Utilization Management RN part time position - working every other weekend (2 days a week in a 2 week cycle). Must be available M-F 8:30-4:30pm for...

Santa Barbara Cottage Hospital is seeking an experienced Utilization Management Nurse Consultant for a remote role with the Spine Team. You will review spine-related authorizations, apply criteria, and collaborate with providers and Medical...

Licensed Vocational Nurse (LVN) – Homecare Pay: $30 Done running room-to-room? Slow it down and actually care. If your current role feels...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...

Job Description: Job Profile Summary The Patient Care Technician functions as a clinical support partner, assisting the patient care team by performing various tasks and procedures as instructed by a licensed professional. Additionally, the...

Cadence is hiring a Clinical Navigator (Licensed Practical Nurse) to provide virtual chronic care support for patients enrolled in their care programs. This remote position requires effective communication and clinical expertise to guide patients...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

Working as a Nurse Case Manager at Cunningham Childrens Home means youll be part of team that is dedicated to supporting youth in critical need of emotional, psychological, and physical care. Located in Urbana, IL, Cunningham Children's Home is a...

The Transplant RN Coordinator II at Medical University of South Carolina reports to the Transplant Programs Manager within the Transplant Center. This on-site role develops advanced clinical management, consultation, education, and research to...

Job Description \n \n Perm Staff Jobs is seeking a Registered Nurse (RN) Infusion for a nursing job in Aurora, Colorado. Job Description & Requirements\n \n Specialty: Infusion \n Discipline: RN \n Duration: Ongoing \n Employment Type: Staff \n \n...

Immediate need for a talented Clinical Documentation Improvement (CDI) Specialist. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job...

Frontier Psychiatry is seeking a Psychiatric Mental Health Nurse Practitioner to join our fully remote Idaho-based team. You will provide comprehensive psychiatric care to Idaho residents, with a base salary plus production-based income totaling...