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Humana is seeking a Telephonic Registered Nurse Care Manager to support patients transitioning into and out of Humana's home-based services. This remote role reports to the Manager, Care Management and focuses on post-acute levels of care,...

A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include...

Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Primary Care - Quailbrook (OKC) Monday-Friday, 40 hours per week *This is a hybrid...

Centene Corp. is hiring a Quality Improvement Coordinator II to conduct reviews of delegated entities for quality, service performance and utilization, and to lead clinical quality initiatives across provider sites. The role involves...

Mass General Brigham is seeking an experienced Peritoneal Dialysis RN to join a dedicated team. You will educate patients to safely manage CAPD and APD at home, conduct home assessments, and coordinate care with nephrologists. The role follows a...

Actalent is seeking a remote Utilization Review Registered Nurse to perform concurrent reviews, validate medical necessity, and ensure appropriate care settings. You will partner with providers and internal teams to support decisions and discharge...

Guidehealth is a fully remote organization seeking a Care Manager to guide patients and families through complex health journeys from a Louisiana base. You will combine clinical expertise with holistic care, coordinating medical, behavioral, and...

Sentara Health Plan is hiring a Supervisor, Integrated Care Management/Registered RN for Nursing Facility/HCBS/LTSS Waiver. Remote with occasional onsite meetings in Virginia Beach or Richmond, VA. Full-time, 40 hours, 8am-5pm EST, M-F.

Responsibilities: Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. ...

Documentation Integrity Specialist IV, Clinical Licensure-Risk Adjustment-RN Primary Location Pleasanton, California Employee Status: Regular Schedule Full-time Scheduled Weekly Hours: 40 Shift Day Salary $133100 - $172150 / year Job...

A major health care provider is seeking a Health Coach Consultant to engage and educate members about health decisions. Candidates must possess an unrestricted RN compact state license and have 5+ years of clinical experience in areas such as...

Building Location: St Marys Hospital - Detroit Lakes Department: 3063470 PACU - DL HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and evaluation.

Senior Clinical Appeals RN Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep...

Lara Health is hiring a Remote Medical Assistant/LPN to join our Chronic Care Management and Remote Patient Monitoring team. This fully remote, US-based role offers flexible scheduling and a minimum of 35 hours per week. The ideal candidate...

UW Health in Wisconsin seeks a Telehealth Nursing Assistant (CNA/NA) to support remote care for critical patients within the eICU network. The role includes admitting, transferring and discharging patients via the eCareManager and ensuring...

Job Description Saint Luke's East has an opportunity for a Pre-Anesthesia Assessment Nurse in Surgical Services. This position contacts patients to obtain medical and surgical history for anesthesia review on all scheduled surgical cases. Provides...

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...

*Job Summary and Responsibilities* As a Clinical Nurse, you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives. Every day you will collaborate...

Mentor Community Services,a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person...

Overview: Mountain Ridge is HIRING MDS Coordinator Flexible Schedule - Full time OR Part time This is not a remote role, onsite is required Offering $10,000 Bonus We are dedicated to improving the lives we touch through the delivery of...

Seeking a fully remote, part-time Tennessee Licensed Nursing Informatics Faculty member, this position will provide mentorship and guidance to students, engage actively in the learning process, and integrate real-world examples into course...

Optum is seeking a SSBV Clinical Claim Review Nurse Manager – Remote to lead a team conducting clinical reviews and ensure determinations meet guidelines and regulatory requirements. The role supports a fast-paced, production-driven environment...

Are you passionate about serving seniors? Do you want to be part of team that strives to create experiences that celebrate our...

A remote healthcare provider is seeking a bilingual Spanish-speaking Licensed Practical Nurse (LPN) to improve patient outcomes through patient-centered care, education, and support focused on Chronic Care Management and Remote Patient Monitoring...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...