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Working remotely on a full-time basis, the Registered Nurse Clinical Documentation Specialist will conduct concurrent reviews of inpatient medical records to enhance documentation quality, ensure accurate coding, and collaborate with healthcare...

Kaiser Permanente in Downey, CA seeks an experienced Registered Nurse for case management and discharge planning. You will coordinate admissions and post-hospital care with physicians, patients, and families to ensure safe, cost-effective plans.

UnitedHealth Group is hiring for a Dallas-area role that supports care coordination and member advocacy in a dynamic community health setting. The position emphasizes person-centered planning, resource connection, and cross-disciplinary...

Sentara Health is hiring a part-time Registered Nurse for a physician practice/ambulatory clinic. The role supports chronic disease management, patient education, and care coordination, with duties including triage, documenting in the EHR, and...

UnitedHealthcare in Harlingen, TX is seeking an RN to assess, plan, and implement person-centered strategies while coordinating care across the continuum and advocating for members. The role offers remote work flexibility within a defined...

Provides direct nursing care including assessments, care plan, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of...

Details Client Name Cedars Sinai - The Angeles Clinic and Research Institute Job Type Travel Offering Nursing Profession LPN /...

Schedule: Monday–Friday, with shifts available between 9:00 AM–8:00 PM Job Overview We are seeking a Bilingual Spanish LPN/LVN to join a growing remote healthcare team supporting members through telephonic...

Humana's Utilization Management Registered Nurse uses clinical nursing skills to interpret and support coordination, documentation and communication of medical services and benefit determinations for post-acute care (SNF, Home Health, DME). You...

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...

CVS Health is seeking a Minute Clinic Virtual Care Nurse Practitioner to deliver holistic, evidenced-based care via a remote platform. You will assess, diagnose, treat and manage health concerns for patients aged 18 months and older, collaborating...

To support a growing surgical program, the per diem Massachusetts Licensed Pre-Admission Testing Nurse will conduct comprehensive pre-operative assessments, coordinate medical clearances, and educate patients on procedural expectations in a fully...

UnitedHealth Group in Texas is seeking a Registered Nurse to handle incoming calls from patients, physicians, and healthcare organizations, using the nursing process and triage guidelines to offer appropriate care options. The role includes...

Sentara Health is seeking a part-time Registered Nurse for a physician practice/ambulatory clinic, with remote work options. The RN will assess patients, assist with procedures, administer meds and vaccines, and coordinate care across the care...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

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 connecting people with the care, pharmacy benefits, data...

The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential...

Medix seeks a bilingual Spanish/English LPN/LVN to join a remote healthcare team supporting members through telephonic medication management and outreach. This role suits an LPN who communicates by phone, works independently, and thrives in a...

Job Description Why work here? Beyond outstanding employee benefits including...

Humana is seeking an Utilization Management Administration Coordinator to provide non-clinical support for policies ensuring appropriate care for members. This fully remote role sits within Home Solutions, supporting the Skilled Nursing Facility...

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, and...

Seeking an experienced Registered Nurse Medical Reviewer, the full-time remote position will manage the medical review of complex claims, pre-authorization requests, appeals, and fraud referrals, applying clinical expertise to determine medical...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Sentara Health in Williamsburg, VA is seeking a qualified Quality Assurance Coordinator to join our Home Care team on a full-time, day shift. This remote position emphasizes ensuring that Home Care products and services meet quality standards and...

Optum Infusion Pharmacy is seeking a Clinical Administrative Consultant RN (CAC, Clinical Coordinator) to act as a clinical liaison and coordinate home or AIS infusion therapy for patients across the U.S. The role supports initial intake,...