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JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable,...

nTech Workforce seeks a HEDIS Clinical Review Nurse to support an annual HEDIS retrospective project. You will drive medical record retrieval, abstraction, provider outreach, and quality measure management in a team focused on compliance and...

Accucare Nursing and Home Care is seeking nurses for 1:1 nursing positions in various counties. Candidates will fill in as school nurses in Chappaqua CSD locations with patient-specific training provided. Starting compensation is $42/hour, with...

Sedgwick is seeking a Clinical Consultation Triage Nurse for a part-time, remote position. Apply your nursing expertise to assess needs, provide care guidance, and determine appropriate level of care for injured employees, supporting...

SelectHealth - Murray is hiring for a part-time, fully remote role to review medical records for HEDIS audits. The ideal candidate is a registered nurse with clinical experience and BSN pathway, capable of working remotely and meeting audit...

Title: Clinical Review Nurse Concurrent Review Location: Remote Duration: 12 months (Potential Extension) Schedule: Mon-Friday, 11AM to 8pm CST; Weekends and Holidays on a rotation basis based on...

Nurse Advocate Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe employee's primary work location will be the assigned clinic; however,...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...

iMPROve Health is seeking a Michigan-licensed RN to join as a Contingent Utilization Review / LTSS Review Nurse. This fully remote role supports Michigan Medicaid, performing LOC reviews and Home Help quality assessments. Ideal candidates...

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable...

Per-Diem Hours: Sundays 12am to 8am Summary & Objective The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care...

NTT DATA, Inc. seeks a Clinical Reviewer Specialist to perform clinical and medical necessity reviews for member and provider appeals, evaluating records against NCQA standards and Medicaid requirements. Role offers remote work within...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

OR RN $1844 /Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur 12H Days 13 Weeks 36 Short Term Acute Care Hospital Level I 467 EPIC...

SCAN Health Plan Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists...

Virtual Care Registered Nurse (RN) Join our team as a day shift, full-time Virtual Care Registered Nurse (RN). Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team...

AccentCare, Inc. in Dallas, TX is seeking a Director of Clinical Operations for hospice services. This leadership role oversees clinical operations, staffing, and regulatory compliance across the D/FW metroplex. The position requires an RN license...

Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...

Triage Registered Nurse Per-Diem Hours: Sundays 12am to 8am Summary & Objective The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive...

Synthires is seeking experienced Registered Nurses to contribute to a project enhancing AI in healthcare. You will review inpatient documentation, annotate medical records, and assess AI-generated outputs for accuracy and safety. Prior AI...

Title: Nurse Practitioner Location: Long Beach, CA Department: Trauma Center Status: Per-diem Shift: Days (12hr shifts) Pay Range*: $79.78/hr - $99.50/hr MemorialCare is a nonprofit integrated health system that includes four leading hospitals,...

Nurse Practitioner | Family Practice Location: Milipitas, CA Employer: LocumTenens.com Pay: Competitive weekly pay (inquire for details) Start...

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...