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Purpose Statement/Position Summary: The Registered Nurse II Specialist conducts patient assessments, participates in the development of the plan of care, implements and evaluates care according to patient specific age and/or developmental...

Comagine Health is seeking an experienced Registered Nurse to transition into a remote Clinical Reviewer role supporting the Washington L&I contract. The role focuses on evaluating medical necessity, appropriateness, and quality of healthcare...

Cleveland Clinic Health System seeks an LPN Central Admissions to initiate Home Health, Hospice and Infusion Pharmacy services for referred patients. This remote role includes on-site training at the Independence, Ohio center and scheduling...

CVS Health is seeking a Medicare PAR Provider Appeals Nurse Consultant to remotely support PAR Provider post‑service disputes and appeals from home across the United States. The role covers MPO, Coding, DRG, and UM inpatient/outpatient reviews...

Virtual Care Registered Nurse Work from home as a Registered Nurse. We are looking for experienced and dependable Registered Nurses who are dedicated to providing quality nursing care and mental health, addictions and crisis intervention...

Cambia Health Solutions is seeking a Clinical Care Management RN to provide case management, disease management and care coordination for members across Oregon, Washington, Idaho and Utah. You'll work from home with preference for Idaho and...

UnitedHealth Group is seeking an experienced Behavioral Integration Nurse Case Manager to act as the clinical liaison between OptumCare/Care Delivery and the clinical network. The role focuses on assessing, coordinating, and evaluating care plans...

Fuze Health is seeking a Registered Nurse to support the telehealth care team, focusing on Medicare members and ensuring compliance with new Stars measures. The role emphasizes compassionate, high-quality virtual care and successful ED discharge...

Utilization Management Nurse (RN) (Temporary) Remote in California We believe every candidate deserves thoughtful consideration. That's why we do not use AI or automated systems to review applications. Every application is reviewed...

Case Manager RNBurbank, CA$2537 /Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur8H Days26 Weeks40Short Term Acute Care Hospital368EPICRequirementsAt least 2+ years' experienceEither an...

Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

Sagility is seeking an experienced Senior Care Specialist (Registered Nurse) to deliver telephonic assessments and remote care management opportunities. You will develop individualized care plans, coach members on chronic condition management, and...

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living...

After Hours Service Answer Line Rn The Answer Line After Hours Service provides after-hours exchange and nurse triage services for over 300 subscribing community pediatricians in the St. Louis and surrounding areas. Answer Line RNs...

About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

Clinic RN Opportunity In Waterloo, IA The Iowa Primary Care Association is actively recruiting a full-time Clinic RN to provide care at a vibrant community health center (FQHC) in Waterloo, IA! What is a community health center...

Job Summary and Responsibilities As our CNA Patient Care Assistant (PCA), you will be a central figure on our patient care team, providing direct, compassionate, hands‑on support to patients and assisting nurses and other healthcare...

LVN – Outpatient Clinic (Internal Medicine)Are you an experienced Licensed Vocational Nurse (LVN) who enjoys combining hands-on patient care with the fast pace of a high-volume outpatient clinic? This opportunity supports a busy Internal...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Nurse 3 Job Location: Redondo Beach, CA...

Elsevier Health seeks accomplished Faculty Nurse Educators to evaluate AI-generated responses in the nursing education space. This remote fixed-term contract requires advanced clinical expertise and academic experience to assess educational...

Job Description In this fully remote position as a Skilled Nursing Facility auditor you will apply your expert clinical knowledge to validate the accuracy of billed charges to ensure the integrity of the paid claim including...

Presque Isle, Maine Work from home and patient home visits role for in-home dialysis 1 year RN experience required 32 hours per week (benefits eligible) but potential for more EXTENSIVE training provided...

Crenshaw Nursing in Los Angeles is hiring Certified Nursing Assistants (CNA) for a non-exempt, hourly role with NOC and PM shifts. Pay ranges from $21 to $23 per hour, with opportunities for growth within a supportive clinical team.

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

Job description RN'S NOW HIRING! All SHIFTS! We are looking for a qualified nursing supervisor to oversee patients and manage the nursing team of our facility. Our ideal candidate has solid experience as a registered...