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HCSC is seeking a remote QOC Nurse under the supervision of the QOC Manager to conduct review and investigation of quality of care issues. The role supports quality improvement activities in compliance with CMS, NCQA and other regulatory...

Job Description Summary of Essential Functions Responsible for routine and emergency care on all patients while they are in the Cardiology Department. Assist in maintaining professional standards of...

CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse...

Cardinal Health, Inc. in the United States is seeking a Nurse for Individualized Care to educate patients, schedule calls, and coordinate services for patients on client products. You will handle inbound and outbound calls, educate on...

Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

Connecticut Children's Center for Care Coordination (The Center) integrates care coordination through innovative programs, providing technical assistance and building partnerships to strengthen families and communities. The Utilization...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

Intermountain Health is seeking an RN Utilization Review Care Management I for flexible, enterprise-wide coverage, including shifts across Peaks/Canyons/Desert regions. The role emphasizes utilization review, clinical decision-making, and...

Mobile health, remote monitoring, and ambulance services.Over 5,000 health professionals with tech-driven care.Position Overview: Remote nurse coordinating employee health compliance programs.Manages OSHA respiratory protection, Hep B, TB...

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to...

Conduct telephonic nursing assessments and triage using protocols.Provide health education and referrals to diverse patient populations.Work Schedule:Full-time evenings with weekend shifts every two weeks.Virtual training for 2-4 weeks, 100%...

Cooper Home Health is seeking a compassionate Clinical Care Navigator (RN) to join our growing team in the Tampa Bay area, with flexible work-from-home options. You will guide patients and families through the home dialysis journey, from referral...

Call 4 Health is seeking experienced Registered Nurses to join our 24-hour remote triage team, delivering high-quality patient care from a home office. You will support providers nationwide, triaging via telephone, documenting in EHR systems, and...

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure...

The University of Texas Southwestern Medical Center in Dallas seeks a Nurse Manager for Care at Home Clinical Services, overseeing Remote Patient Monitoring and Home Infusion Services. The role requires strategic leadership, regulatory expertise,...

GQR Healthcare is seeking a local contract nurse RN Stepdown for a local contract nursing job in Panorama City, California. Job Description & RequirementsSpecialty:...

Concurrent Utilization Review (UR) Nurse The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members...

Founded 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 we still honor today as the "12...

Nursing Assistant PositionUnder the direction of a Registered or Licensed Vocational Nurse, provides basic nursing care and implements selected aspects of the patients nursing plan of care.This position requires providing care/service to an...

UnitedHealthcare is seeking an HSS Clinical Coordinator RN to serve as the primary care manager for a panel of members with complex health needs, including behavioral health, with a focus on coordinating medical, behavioral, and social...

Hi. We're Hummingbird. We're elevating patient access so patients can get healthcare how, when, and where they need it. We partner with healthcare systems to transform how patients access care, enabling their providers to focus on what...

Description: Job Summary: Collaborates with other educators, managers, physicians, and other healthcare providers to develop, design, deliver and evaluate/improve education strategies and programs/classes based on member/patient...

Job Title Employment Type: Full time Shift: Rotating Shift Description: This is a remote position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint...

BlueCross and BlueShield of South Carolina seeks an RN Medical Reviewer II to join the Palmetto GBA Medical Review team. You will perform medical reviews using clinical information, apply guidelines, and help ensure accurate coverage and payment...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...