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Directing the standardization of clinical workflows, the full-time Remote Director of Nursing Practice will enhance operational efficiency and improve clinical outcomes through evidence-based practices and data-driven decision-making.Key...

RN Clinical Consultant, a full-time remote position, provides clinical expertise in reviewing disability claims, assessing medical conditions, and collaborating with healthcare providers to enhance treatment outcomes.Key ResponsibilitiesReview and...

To enhance nursing education initiatives, the full-time New York Licensed Clinical Nurse Educator will assess, plan, implement, and evaluate educational programs while providing direct patient care and support in a hybrid role across various...

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...

A company is looking for a Medical Review Manager - Federal Health (CMS).Key ResponsibilitiesOwn and administer the quality assurance process for all medical record reviewsManage inter-reviewer reliability and ensure consistent clinical...

Providing remote patient monitoring and support, the full-time Telehealth Nurse (LPN/LVN) will conduct regular phone visits to educate members on managing chronic conditions such as hypertension and diabetes while ensuring accurate documentation...

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...

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...

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...

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...

To support a growing healthcare team, the remote Texas Licensed Utilization Review LVN will conduct medical reviews, verify benefits, and determine medical necessity for healthcare services requiring authorization, while serving as a liaison with...

Massachusetts Licensed Graduate Nursing Faculty is a full-time, remote, tenure-track or contract position responsible for teaching graduate nursing courses, managing curriculum delivery, and overseeing student experiences.Key ResponsibilitiesTeach...

A company is looking for a Remote Psychiatric Nurse Practitioner.Key ResponsibilitiesConduct thorough psychiatric evaluations and manage treatment plansPrescribe and monitor psychotropic medications and provide psychotherapyCoordinate care with...

Providing telephonic care and support, the part-time Telephonic Nurse Practitioner - OH, MO, WI, IN Licensed will manage patient assessments, coordinate care, and ensure quality documentation while working remotely with flexible scheduling,...

Supporting early care coordination, the remote Texas Licensed Patient Navigator will manage discharge planning, enhance member experiences, and collaborate with healthcare teams to ensure timely transitions from inpatient settings.Key...

Working remotely in a full-time capacity, the RN Appeals and Grievances Specialist will manage the appeals process, review grievances, and ensure compliance with regulatory requirements.Key responsibilitiesManage and oversee the appeals process...

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...

Leading clinical operations across multiple states, the full-time Regional Clinical Services Director - RN will provide nursing leadership, consultation, and resources for patient care departments while ensuring compliance with diverse regulatory...

A company is looking for a Massachusetts Licensed Psychiatric Mental Health Nurse Practitioner (PMHNP).Key ResponsibilitiesProvide clinical care through telehealth, including Psychotherapy and Psychopharmacology servicesConduct comprehensive...

A company is looking for a Utilization Review Clinician - Behavioral Health.Key ResponsibilitiesEvaluate member's treatment for mental health and substance abuse to ensure medical appropriatenessPerform prior authorization reviews and concurrent...

A company is looking for a Remote PMHNP with clinical autonomy and total flexibility.Key ResponsibilitiesConduct high-quality psychiatric evaluations and develop individualized treatment plansProvide ongoing medication management and support for a...

Supporting daily utilization management operations, the full-time Texas Licensed Utilization Management LPN will review authorization requests, ensure compliance with health plan requirements, and maintain documentation accuracy while working...

Leading the remote RN Triage team, the full-time salaried Minnesota Licensed Triage Nurse Manager will oversee quality assurance, staff development, and operational processes to ensure patient-centered triage services across Minnesota, Iowa, and...

Remote Nurse Patient Access Specialist (RN/LPN), this full-time role serves as the primary contact for patients and providers, facilitating access to therapy through benefit investigations, insurance verification, and support for prior...