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A healthcare consulting firm is seeking a Medical Reviewer (DME) to join their team. This remote position requires an active RN license and at least two years of clinical nursing experience. Responsibilities include conducting medical reviews for...

A leader in medical examination services is seeking a Remote Clinical Quality Assurance Nurse Auditor. This role requires a Registered Nurse with critical care and ER experience. Responsibilities include evaluating clinical information, performing...

Details Client Name Ohio State University Hospital Job Type Travel Offering Nursing Profession RN Specialty...

UW Health is seeking a Registered Nurse (RN) Nurse Navigator for a nursing job in MADISON, Wisconsin. Job Description & Requirements Specialty: Nurse Navigator Discipline: RN Duration: Ongoing Employment Type: Staff Description: Work Schedule:...

Position Type: Student Support Services/School Nurse Date Posted: 11/25/2025 Location: Hawthorne ES/Whittier ES Date Available: 12/11/2025...

Job Title Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

A health care organization in Hartford, CT is looking for a Registered Nurse (RN) to join their team. The RN will collaborate with health care givers to provide excellent service and review medical care against established guidelines. This role...

Job Opportunity: Registered Nurse Schedule: Monday to Friday - Eastern Time Location: Remote About the Role: As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and...

Description Acting on physician's orders, administers prescribed medication as directed; maintains medication accountability records, maintains medication equipment and supplies; performs skilled nursing procedures (i.e.,...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions...

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective complimentary utilization and case management strategies for an assigned member panel.

Do you want to make a difference every day? Are you passionate about providing excellent customer service and patient care? PrimaryOne Health is dedicated to improving quality of life though providing access to the highest possible quality...

Registered Nurse As a Registered Nurse, you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. ...

School Registered Nurse The School Registered Nurse oversees the application of the nursing process and the delivery of student care in a school setting. The School RN supports the physical, mental and emotional well-being of students...

Job Type Full-time Description Soleo Health is seeking a Nursing Operations Manager, Provider Services in Dublin, OH. Join us in Simplifying Complex care! Soleo Health...

What You'll Do... Administers medication (e.g., oral intramuscular and intravenous) and monitors patient medication compliance Performs treatments and performs or assists with nurse's sick call Assists...

Specialty Biologics Clinical Reviewer Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by...

A leading healthcare services provider seeks an energetic RN Clinical Compliance Partner experienced in Hospice. Your role involves conducting billing compliance and HIPAA audits while working collaboratively with field teams to ensure high...

Job Opportunity: Registered Nurse Schedule: Monday to Friday - Eastern Time Location: Remote About the Role As a Registered Nurse, you will make an impact by performing advanced level work related to clinical denial...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

Youll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact...

A leading healthcare organization is hiring an RN HSS Clinical Care Coordinator in Boston, MA. This role involves direct engagement with members to assess needs and implement tailored care strategies while managing care plans with a focus on...

Health Services Quality Coach (Remote Eligible / RN Required) Full-time Department: Clinical | Health Networks | Provider Support Work Environment: Remote Eligible *see job footer for more info Pay Grade: 20...