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Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...

About Clarity Pediatrics Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD. After successfully launching our virtual clinic for ADHD and anxiety, we are expanding our pediatric care platform to...

Area Quality Specialist Registered Nurse Find your purpose giving patient care teams the knowledge and tools they need to better care for patients as an Area Quality Specialist Registered Nurse! This is a rare opening on a...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

Guidehealth is seeking a remote-based Care Manager (RN) to guide patients and families through complex health journeys. You will blend clinical expertise with holistic care, addressing medical, behavioral, and social needs while coordinating...

A healthcare solutions provider is looking for a qualified RN to perform medical reviews and coordinate care for members. This role involves assessing service needs, engaging in patient education, and ensuring compliance with healthcare...

Highmark Inc. is seeking a Case Manager to deliver comprehensive case management services to members, coordinating care plans and monitoring progress to improve outcomes while containing costs. You will assess needs, develop individualized...

Palo Verde Community College District is seeking an experienced Clinical Documentation Integrity (CDI) Specialist (RN) for a fully remote role based in the US. The position supports quality outcomes, reimbursement accuracy, and regulatory...

hireops is seeking a contract role for a discharge care coordination position in Chicago, IL. This role involves responsibilities for episodic case management and counseling, ensuring follow-up for acute conditions. Qualified candidates...

CareXM is hiring a Remote Registered Nurse (RN) for early morning triage on a part-time schedule. The role focuses on secure, compassionate after-hours triage for hospice and home health partners, conducted entirely from the nurse's home.

Cambia Health Solutions is seeking a Remote Care Management Nurse to provide comprehensive clinical care management, including case management, for members in Idaho and surrounding states. Candidates must be Registered Nurses with a minimum of 3...

Overview Provide clinical nursing expertise to support the training and evaluation of healthcare-focused AI systems. Review, annotate, and evaluate clinical data, including patient records and care scenarios. Translate real-world nursing...

Accomplish Health is seeking a Registered Nurse to provide telemedicine obesity care. As part of our mission, you will deliver patient-centered, stigma-free care, ensuring high-quality treatment for individuals living with obesity. Your...

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...

Overview UntiyPoint Clinic - Transitions of Care RN Care Coordinator 16 hours/week Week 1: Sunday/Monday 8AM-4:30PM & Week 2: Monday/Tuesday...

A healthcare quality organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The ideal candidate will have a BSN and an active RN license, along with experience in medical record review.

Aetna in Providence, RI is seeking a qualified Registered Nurse to support clinic operations and patient care. You will perform clinical duties, participate in phlebotomy, vaccinations, vitals, and diagnostic assessments while ensuring...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Experienced Fertility Nurse - Remote - 9:00am - 5:00pm EST Full Time...

Sr. Clinical Coding Nurse ConsultantExplore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for...

Winning Assistants is seeking a Medical Virtual Assistant - Registered Nurse to provide support for a healthcare practice. The role entails submitting prior authorizations, managing referrals, and maintaining patient communications while ensuring...

Wellpath is hiring a Registered Nurse Telehealth to provide remote nursing support and assist in delivering patient care via telehealth services. You will work under the Regional Telehealth Nurse Manager and collaborate with onsite staff to assess...

Guidehealth is seeking a remote Care Manager who can blend clinical nursing expertise with holistic patient care. You will guide patients and families through complex health journeys, coordinate care across providers, and empower members with...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

A leading health care provider is seeking a Massachusetts Telehealth Nurse to assist patients in accessing care through phone consultations. Candidates must have a valid RN license in Massachusetts and 3+ years of clinical experience. The ideal...