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At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...

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 health-focused organization is seeking a part-time Registered Nurse or board-certified health coach with expertise in nutrition and fitness, particularly for menopausal women. This remote position starts at 20 hours per week with a competitive...

CVS Health Aetna Case Manager RN 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...

CVS Health Aetna Case Manager RN 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...

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...

Join COMPLETE HEALTHCARE as an Ancillary Nurse and immerse yourself in a dynamic and fulfilling work environment. Here, you will play a vital role in enhancing patient care, bringing your skills to the forefront of innovative healthcare practices.

Registered Nurse Disease Managers (RNDM) Spectrum Healthcare Resources has an opportunity for a Registered Nurse Disease Managers (RNDM). These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be...

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...

The Registered Nurse performs a wide variety of job duties during a shift, caring for and educating patients about their medical and psychiatric conditions. Establishing trust and building rapport with patients and their families are key elements of...

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...

RN Case Manager - Remote Helping patients feel supported, heard, and guidedright from your home. At Guidehealth, we're transforming how patients experience healthcare by combining clinical expertise with compassionate,...

Remote HEDIS Nurse Consultant Description HEDIS work typically includes requesting records, abstracting/overreading medical records, performing claims research, preparing medical records for the NCQA HEDIS Auditor, etc. Abstracts...

CVS Health Aetna Case Manager RN 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...

CommuniCare - JobID: R-000####### [CNA / Health Aide] As a STNA Nursing Assistant at CommuniCare, you'll: Assist patients with daily living activities; Monitor and record vital signs; Provide emotional support to patients and families; Assist...

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...

Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong...

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,...

A leading health organization in Rancho Cucamonga, CA is seeking a dedicated care management professional to join their team. The role involves providing high-quality care to members, ensuring seamless transitions, and collaborating with...

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...

The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute's (OSUCCC-James) mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...

A healthcare organization in Atlanta seeks an RN Plan Case Manager to oversee clinical care management for a long-term care population. The role includes conducting assessments, developing care plans, and coordinating with healthcare providers to...

A healthcare staffing organization is seeking a Registered Nurse Behavioral Health & Disease Management to work completely remote from home. This position involves performing assessments and care coordination for dependents of active-duty military...

Health & Clinical Services Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of health ranging...