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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.

Summary: Work Schedule: This is a remote role that requires every Saturday and Sunday commitment. JOB SUMMARY: The Inpatient Care Manager, in collaboration with the clinical team and medical provider, provides discharge planning coordination and...

Grievance & Appeals Nurse Specialist Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value...

Medlogix, LLC is seeking a Field Case Nurse Manager (RN/LPN) to work from home with travel to claimants' physician appointments or homes in the Northern New Jersey area. You will coordinate care with providers and insurance carriers while ensuring...

Astrana Health, Inc. is seeking a Care Manager I - RN to remotely support members in the Maryland area. The role requires collaboration with care teams, discharge planning, and advocacy for patients regarding insurance and financial assistance.

To support a growing clinical operations team, the Remote RN Clinical Expert will deliver high-impact clinical work, manage complex clinical operations workflows, and provide quality oversight while collaborating with product and engineering...

WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

Certified Nursing Assistant The Certified Nursing Assistant assists the clinical staff in the care of and treatment for patients in an acute care setting under the supervision of a licensed nurse. Responsibilities may vary based on...

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...

## Centralized Triage Registered Nurse (RN) - RemoteApplyremote type: Remotelocations: Birmingham, ALtime type: Full timeposted on: Posted Yesterdayjob requisition id: R-101012**Job Description:****About Us:**Affinity Hospice is one of the fastest...

Upper Peninsula Health Plan (UPHP) is seeking a Remote Community Based Clinical Coordinator - Care Manager. This full-time role supports UPHP members across Western Upper Peninsula counties, with travel to member homes and UPHP headquarters in...

Highmark Inc. is seeking an experienced RN in a remote role, with weekend availability on Saturdays and Sundays plus three weekdays. The position emphasizes utilization management, care coordination, and provider/member education. The RN...

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

A healthcare company is seeking a Clinical Triage Nurse to assist with inbound patient calls, assess symptoms, and provide medical advice. The ideal candidate will have a valid RN license, strong communication skills, and the ability to work...

UnitedHealthcare is seeking an RN Care Manager to work remotely within Mecklenburg County, NC. In this role you will assess and plan individualized care, coordinate referrals, and advocate for members to ensure access to appropriate services.

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and patient plans of care. The role offers remote work from anywhere in the U.S., with weekend coverage on a rotating basis and a...

CNA Position at Long Beach VAMCLife in Long Beach is so much sweeter... The community – Long Beach, CaliforniaLong Beach is a waterfront playground located right in the heart of Southern California. Here you can experience it all: a deep-sea...

A prominent healthcare organization is seeking an A&G Clinical Specialist to manage health member complaints and appeals. This fully remote position requires expertise in clinical case management, understanding of regulatory compliance, and the...

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...

The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care to the terminally ill patient/family unit. The Triage Registered Nurse provides continuity of care to...

Certified Nursing Assistant (CNA) at Valley Presbyterian HospitalMake a Difference in Patient Care Every DayAt Valley Presbyterian Hospital, our CNAs are at the heart of patient care. We're looking for a compassionate and reliable Certified...

Enlyte is seeking a Telephonic Case Manager (RN) to support injured workers. This full-time, remote role requires an active RN license (compact) and NY RN license, working with physicians, employers, and patients to develop treatment plans and...

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...

ComplexCare Solutions is seeking a Nurse Practitioner for per diem home and telehealth assessments nationwide. The role covers all zip codes in Carter County, OK, with an emphasis on evaluating health status, gaps in care and care management...

Job ID: 32905 *Description*Venice Family Clinic is a leader in providing comprehensive, high-quality health care to people in need regardless of their ability to pay or personal circumstances. The organization has more than 500 staff who serve...