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$5,000 Sign-on Bonus for External Candidates Telephonic After-Hours Call - Per Diem Active Nurse Practitioner license in Connecticut or Rhode Island Required Optum Home & Community Care, part of the Optum family of businesses, is creating...

Job Summary: Provides case management services to a limited caseload of low-risk patients. Coordinates with patients and their caregivers to evaluate needs, goals, and current services. Determines initial eligibility,...

Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ, or CT) Schedule: Monday – Friday, 9:00 AM – 5:00...

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...

To support care management functions, the full-time Health Services Intake Specialist will facilitate eligibility and benefit verification, authorization status inquiries, and documentation processes, initially training onsite before becoming...

Nurse Navigator - Cancer Center Exams - 10 Hour Days Beverly Hills, CA, United States Job Description Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical...

HCS 247 is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: ClinicDiscipline:...

Job OverviewPay Range: $46.76hr - $51.76hrRequirement/Must Have5+ years Clinical nursing experience.2+ years Care Management.Bachelor's Degree in Nursing.In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required...

AHS Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Memphis, Missouri. Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 11/09/2026 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights...

*Job Summary and Responsibilities* As our Director Nursing Perioperative Services at California Hospital, you will be responsible for Surgical Services including Main OR, Pre-Op, PACU, GI, and SPD. We have 7 operating rooms and a robust surgical...

Telephonic Nurse Case Manager II Telephonic Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and...

Collaborate with physicians, psychologists, and therapists in a virtual pediatric clinic.Ensure seamless care delivery for children with chronic conditions.Responsibilities:Coordinate appointments, referrals, and care transitions.Provide patient...

Top Tier Electrical Contractor Seeks Experienced Estimator, Top-Line Compensation Package, Great Tenure Across Organization This Jobot Job is hosted by: Ross Theel Are you a fit? Easy Apply now by clicking the "Apply"...

Prime Staffing is seeking a travel nurse RN Infusion for a travel nursing job in West Hollywood, California. Job Description & RequirementsSpecialty:...

GQR Healthcare is seeking a travel nurse Correctional for a travel nursing job in Sylmar, California. Job Description & RequirementsSpecialty:...

Manage CMS and State Administering Agency audits for PACE compliance.Ensure audit readiness and serve as point with audit teams.Champion compliance culture across the organization.Key Responsibilities:Monitor audit universe data and review...

Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion...

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Infusion Referral Intake Coordinator...

WORK REMOTELY after training! CANDIDATE MUST RESIDE IN THE METROPOLITAN NEW YORK AREA! !! Process all requests for services in accordance with Medicare and NYS Medicaid guidelines as well as departmental criteria and...

This position offers an opportunity for a registered nursing professional to contribute to patient care within a healthcare environment focused on quality, collaboration, and innovation.The role involves coordinating telehealth services and...

Nurse Practitioner – Work From Home Acute Care (Nationwide)Base pay range: $150.00/hr - $210.00/hrA growing virtual care group is seeking Nurse Practitioners to deliver convenient, high-quality telehealth services to patients across the U.S.

Job Summary CVS Health is seeking a dedicated Drug Utilization Review (DUR) Technician to join our growing remote pharmacy operations team. In this role, you will play a critical part in ensuring patient safety and medication effectiveness through...

Hiring for all shifts: Day Shift, Mid-Day Shift, & Nocturnist shifts available| Fully RemoteTX license required and/or IMLC LOQ preferredConsult-Liaison Psychiatry Role | 2+ years of consult-liaison experience post-residency required.Are you a...

As a Clinical Documentation Review Specialist (RN), you will help medical staff clarify patient records to ensure appropriate reimbursement and reflect care complexity.You will perform concurrent reviews and engage with physicians to resolve...

Collaborate with physicians, psychologists, and therapists in a virtual pediatric clinic.Ensure seamless care delivery for children with chronic conditions.Responsibilities:Coordinate appointments, referrals, and care transitions.Provide patient...