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A healthcare solutions provider is seeking a Payment Integrity RN to conduct claim reviews and ensure compliance with medical policies. Ideal candidates should have a degree in healthcare and 3 years of relevant experience, particularly in...

A leading healthcare provider in New Jersey seeks a tech-savvy Registered Nurse (RN) for a Virtual Nurse role in their Hospital at Home program. This remote position emphasizes virtual care delivery, requiring collaboration with in-home clinical...

A leading healthcare provider is seeking an experienced Medical Review Nurse to support medical claim and internal appeals review activities. Candidates must have a valid RN license and at least 2 years of clinical nursing experience, including...

Triage RN - Remote Part Time Job We are hiring for a part-time Triage RN! This is a remote position working 26 hours per week. If you are interested in joining our team, we encourage you to apply today! Must reside in the state of MN, WI,...

A regional health insurance provider is seeking an Inpatient Utilization Management Clinician to evaluate inpatient treatments for medical necessity and facilitate discharge planning. This is a fully remote position requiring strong clinical...

Employer Industry: Healthcare Why consider this job opportunity: Opportunity for career advancement and growth within the organization Work remotely from anywhere within New England Supportive and...

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...

A leading risk and claims administration company is seeking a part-time nurse to join their team in Annapolis. This role involves triaging medical calls to assess needs and offering appropriate care solutions. The ideal candidate should hold a...

Clinical Appeals Rn 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...

Optum CA is seeking a RN Call Center Nurse to join our team in Torrance, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, youll be an...

A healthcare organization in Warrenville, Illinois is looking for a Registered Nurse Triage to provide patient care through inbound and outbound calls. The role requires current Illinois RN licensure and strong interpersonal skills. Ideal...

RN Triage Nurse - Remote job at Get It - Healthcare. Location: Charlotte, NC Job Description: Are you an experienced RN with pediatric and adult care expertise? Do you thrive in fast-paced environments and enjoy...

A large health service provider is seeking a Clinical Care Coordinator to ensure optimal continuity of care for patients in home health services. The role demands an Associate's degree, RN license, and at least 3 years of post-acute experience.

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Employment Type: Full time Shift: Day Shift Description: RN - Neurology MS & Headache - Albany, NY - full time -hybrid/remote after training If you are looking for a full time RN II position...

Clinical Appeals Rn 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...

Remote Registered Nurse (RN) Case Manager Join to apply for the Remote Registered Nurse (RN) Case Manager role at PharmaCord Remote Registered Nurse (RN) Case Manager 1 month ago Be among...

A healthcare provider in New Orleans is looking for an experienced nurse to improve clinical documentation integrity and educate providers. The ideal candidate will have a graduate degree in nursing and at least 3 years of clinical experience.

A healthcare services provider is looking for a part-time Field Case Manager (RN) in Riverside, CA. This role involves making in-person visits to assess patient needs and coordinate care among medical providers and injured workers. The role...

Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

A regional healthcare organization is seeking a Level I Utilization Management Clinician to perform utilization review for medical or behavioral health requests. This fully remote position involves collaborating with healthcare teams and ensuring...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Telephonic Case Manager 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...