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About HCSC At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be...

Knowtion Health seeks an Appeals Nurse to review medical records and support denials appeals for Medicare, Medicaid, and other payers. You will craft detailed analyses and letters, aligning criteria with payer policies to secure appropriate...

Family Service of Rhode Island (FSRI) seeks a per diem School Nurse to join our multidisciplinary team in Exeter, RI. The nurse provides healthcare services to students and staff, manages health needs, responds to emergencies, and supports...

What You'll Do As an Enrollment Nurse, your primary responsibility is enrolling patients in a chronic care management program. You'll call eligible patients, educate them about the program, answer questions, and assist interested patients...

State of North Carolina - Health & Human Services in North Carolina seeks a Nurse Consultant I who conducts regulatory nursing home inspections to ensure compliance with federal and state standards. The role involves travel across Central and...

Essential Duties and Responsibilities: Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. Issue...

argenx SE is seeking a Nurse Case Manager to serve as the primary contact for patients and caregivers across the Western time zone. You will educate patients with gMG, review insurance coverage, and coordinate therapies to support adherence and...

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

Self Fund Health Nurse Navigator Remote · Full time The Nurse Navigator is a remote WI-based RN who acts as the member's single point of contact through the healthcare system — coordinating care, advocating for patients, and steering...

DescriptionYour Role 100% Remote. You will triage calls from our clients in the following manner: 1) assess the needs utilizing injury algorithm guidelines; 2) give appropriate care advice, and 3) disposition to the appropriate...

WellSense Health Plan is seeking a Prior Authorization Clinician to review proposed hospitalization, home care, and inpatient/outpatient services for medical necessity and efficiency to ensure timely, appropriate care for members. The role...

UnitedHealth Group in El Paso, TX is seeking a Field RN Service Coordinator 1 – Case Manager to remotely support members with holistic assessments, care planning, and coordination across health and community services. The role emphasizes...

Job Description Registered Nurse (RN) - Sylmar, CA Local Pay: $52.65 / hour *W2 Join our team and make a meaningful impact by delivering...

CVS Health is seeking a Case Management Coordinator to support Aetna members by coordinating appointments, benefits education, and care planning. The role requires Illinois residency, ability to travel up to 50–75% in Kane and DuPage counties,...

U.S. Army Perioperative Nurses ensure the proper care and safety of our nation's heroes throughout the surgical journey. If your goal is to be part of a fine-tuned surgical team, the U.S. Army can offer you a fulfilling career as a Perioperative...

A leading aesthetics company is seeking a Remote Travel Nurse Trainer for licensed RNs or APRNs. This full-time position involves creating training materials and conducting remote training sessions with occasional travel. The successful candidate...

State of Georgia, Department of Behavioral Health and Developmental Disabilities, seeks a Level of Care Registered Nurse for the Region 5 Field Office in Savannah. The role is part-time with hourly compensation and quarterly travel to meetings.

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

Comagine Health is seeking an RN to perform Clinical Review work and QIDP reviews. The team member will serve as the QIDP (.5 FTE) and as a nurse clinical reviewer (.5 FTE). The role requires applying Alabama Medicaid criteria to determine medical...

LanceSoft is seeking a travel nurse RN Wound Care for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Wound...

Job Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, or Operating Room to perform utilization review duties. The Registered...

Nurse Next Door is seeking a part-time Registered Nurse for New Mexico. You will deliver in-home nursing care, develop individualized care plans, and coordinate with a Care Designer to ensure a premium client experience while supporting families.

JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance...

Asure Wound Solutions seeks a Clinical Specialist, Wound Care Supplies in the Boston area. This is a remote position requiring you to reside in the area, with travel up to 2 hours for nursing homes and long-term care sites. The role...

Molina Healthcare is hiring a remote RN Care Manager. Preference for candidates in Washington State. This role will be working Pacific Standard Time hours. This role supports Medicare members through telephonic case management and...