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Inland Empire Health Plan (IEHP) seeks a Quality Program Nurse to implement and monitor quality management policies under the DHCS framework. Responsibilities include site reviews, medical record surveys, CAP oversight, and HEDIS data abstraction.

Gallagher Bassett is seeking a nurse for its Clinical Concierge group within GBCARE. The role involves high-velocity, process-driven case management with up to several new cases daily, leveraging modern technology for workflow and communication.

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DaMar Staffing is seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. The role covers claims analysis, provider audits, fraud detection, and...

EMD Serono is seeking an RN, Patient Support Specialist to join the Patient Support Hub, providing individualized clinical education, product training, and ongoing support to patients and caregivers throughout the treatment journey for prescribed...

Job Profile Summary Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following duties:...

Summary: Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the team setting to facilitate quality care for the patient.

Licensed Vocational Nurse (LVN) - Homecare Pay: $30 Done running room-to-room? Slow it down and actually care. If your current role feels rushed, this gives you consistency, structure, and time to do your job...

Description RN - Quality Assurance located at Providence Willamette Falls Medical Center (primary location) and Providence Milwaukie Hospital (secondary location), with rare travel to Providence Newberg Medical Center. The position does not...

Dialysis experience required, shift will be TTS 4th/closer Shift Dialysis experience required PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation...

ComplexCare Solutions, Inc. is seeking a Clinical Quality Assurance Analyst (RN-BSN required) for a temporary remote role lasting up to one year. The position focuses on auditing and training to support clinical data standards across the...

Northwell Health is seeking a Registered Nurse CDI Auditor to validate acute inpatient coded charts and ensure documentation substantiates diagnostic information. This remote position in New York requires a NY RN license, a BSN, and strong...

Medcor is seeking a full-time Registered Nurse for its remote 24/7 Occupational Health triage call center, with 8- or 10-hour overnight shifts (11:00pm–9:00am). The role requires strong phone skills, HIPAA-compliant documentation, and the...

A healthcare solutions company is seeking a remote Case Management Nurse to lead a multidisciplinary team providing holistic care. The role requires a compact RN license and offers a pay range of $37.00/hr - $39.00/hr. Candidates should have 3...

BrightSpring Health Services seeks a part-time Tele-Triage Licensed Practical Nurse (LPN) to provide remote triage and care planning for populations in the assigned locations. Must hold an LPN compact license and have experience in home health or...

To support coding accuracy and clinical documentation integrity, the fully remote HCC Clinical Documentation Specialist will validate chronic conditions, perform prospective reviews of medical records, and utilize Epic to ensure accurate HCC...

A healthcare organization is seeking a full-time Case Manager (Registered Nurse) based in Baton Rouge, LA, to manage injury-related calls and coordinate treatment. This remote role requires a valid RN license and at least two years of nursing...

Registered Nurse RN Department: Nursing - Licensed Job Status: Part-Time Rate of Pay: $45.00 - $47.60 Hourly Position Type: PRN Status: Accepting Applications Position Description...

JX22004061424 - Licensed Practical Nurse - Remote Providence, Rhode Island (Remote) 2 Years Contract (12 Months) Pay Rate USD 27 hourly The Licensed Practical Nurse (LPN) will provide processing and...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

RN - Utilization Management ID 2026-25367 Category Registered Nurse specialties - Case Manager Facility Nationwide - California Job Description Spectrum Healthcare Resources has...

A health services provider is seeking a Care Manager RN for a remote, contract role in Detroit. This position involves leading a multidisciplinary team to deliver holistic care and requires a Nursing Diploma or Associate's degree, with a...

CorVel Corporation is seeking a Telephonic Case Manager to coordinate medical care for injured individuals. This remote role emphasizes clinical assessment, cost-effective care plans, and communication with physicians, patients, and payers.

A healthcare technology firm is looking for a remote RN Care Coach to work part-time, approximately 20-25 hours per week. In this role, you will educate and coordinate care for Medicare patients with chronic conditions through monthly calls.

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