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Evaluating and managing catastrophic episodes of illness, the full-time South Carolina Licensed Stop Loss Nurse will provide case management oversight, facilitate cost estimates for underwriting, and consult on claims, all while working...

Utilizing medical knowledge and patient care experience, the part-time RN Clinical Sales Specialist will guide interested individuals seeking innovative healthcare solutions, working remotely with a flexible schedule to assist clients in making...

Seeking a part-time Licensed Peer Reviewer to work remotely in the United States, who will review medical records for standard of care determinations and provide quality improvement recommendations based on clinical expertise in an outpatient...

Collaborating closely with the Chief Nursing Officer, the full-time remote Associate Chief Nursing Officer will lead nursing operations, manage a team of nurses, and assist in AI product development to ensure high-quality patient interactions and...

Overseeing hospice intake compliance, the full-time remote Hospice Clinical Compliance & Audit Associate Director will manage clinical audit activities to ensure documentation accuracy, regulatory compliance, and claim readiness while...

To support the education of future healthcare leaders, the part-time Arizona Licensed Nurse Educator will teach Advanced Pathophysiology and Pharmacology online, delivering high-quality instruction while maintaining compliance with accreditation...

Bilingual Nurse Patient Access Specialist (RN), a full-time remote position responsible for facilitating patient access to therapy by conducting benefit investigations, verifying insurance eligibility, and providing ongoing patient support and...

Providing advanced clinical appeal services, the full-time Remote Clinical Financial Case Manager RN will manage complex patient account denials, conduct clinical reviews, and assist in developing denial prevention strategies while supporting the...

Supporting high- and rising-risk patients, the part-time Nightingale RN Care Coordinator will leverage clinical expertise for comprehensive care coordination and chronic disease management while working remotely between 8:00 AM and 4:30 PM.Key...

Leading the RN-led Complex Care Management program, the contract-to-hire RN Case Management Director will oversee strategy, clinical workflows, and operational performance in a remote setting, ensuring adherence to NCQA standards and driving...

To support a growing healthcare service, the full-time LPN Care Coordinator (Spanish) will manage inbound clinical phone calls from patients, assist in triaging clinical issues, and engage with patients through various communication channels in a...

Certified Charge Capture Analyst, a full-time remote position, is responsible for advising on charge codes, monitoring charge capture and revenue trends, and ensuring compliance with billing guidelines to enhance revenue generation.Key...

RN Utilization Review Manager, responsible for overseeing the daily operations of Utilization Management staff in a full-time, salaried position, including team management, performance monitoring, and compliance with regulatory standards.Key...

Seeking a remote California RN/LVN Utilization Management professional, the full-time nurse will review prior authorization requests for medical necessity across inpatient and outpatient services, applying CMS guidelines and Milliman Care...

Evaluating and managing catastrophic episodes of illness, the full-time remote South Carolina Licensed Stop Loss RN will facilitate cost estimates for underwriting, consult on claims, and provide case management oversight.Key...

To support patient care initiatives, the full-time Bilingual LPN Care Coordinator will manage outbound phone calls to patients, addressing healthcare needs and facilitating access to resources in a fully remote environment.Key...

Leading a team of Utilization Management Nurses, the full-time California Licensed Utilization Management Nurse Lead will review inpatient and prior authorization requests, ensuring timely processing and high-quality medical outcomes while working...

Passionate about shaping future health care leaders, the part-time Arizona Licensed Nursing Educator will teach the Nursing Education Practicum online, delivering engaging instruction while overseeing 150 hours of clinical and educational...

To support a growing virtual heart clinic, the full-time Bilingual Cardiology NP/PA will conduct clinical assessments and develop treatment plans for cardiology patients, primarily through virtual consultations, while working remotely across...

To support nursing staff in a remote capacity, the full-time Pennsylvania Licensed Assistant Nursing Manager will provide on-call support, oversee performance management, and ensure continuity of care while working from home during scheduled hours...

A company is looking for an Associate Manager US Clinical Operations RN.Key ResponsibilitiesManage shift operations and ensure adherence to service level agreementsOversee team performance through coaching, performance reviews, and development...

Referral Authorization Specialist is a full-time position responsible for processing and documenting referral or prior authorization requests, providing customer support for clinical areas and patients.Key ResponsibilitiesOversee data entry and...

Ohio RN Clinical Finance Specialist is a full-time remote position responsible for implementing clinical finance strategies, securing pre-authorizations, and managing clinical denials.Key ResponsibilitiesImplement and support clinical finance...