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WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...

Overview Position Type: Full time Job Title: Care Review Clinician I Location: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH,...

1 day ago Be among the first 25 applicants At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading...

A prominent healthcare company is seeking a Case Management Nurse to conduct comprehensive assessments and develop care plans for beneficiaries. The ideal candidate will have 5+ years of clinical RN experience and a current RN license.

A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must...

10% Bonus Incentive plan Position Overview: The Clinical Manager Home Health works under the direction and guidance of the Branch Administrator to provide supervision of all...

Impact Recruiting Solutions is seeking an RN Health Care Facility Surveyor to join a Quality Improvement Consulting Company. This full-time role involves conducting surveys of healthcare facilities nationwide to ensure compliance with standards,...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and to identify solutions that help members live healthier lives. The role involves reviewing inpatient cases, coordinating...

A leading healthcare consultancy is seeking a Senior LTSS Service Care Manager (RN) for a remote position based in Edinburg, TX. This role requires qualifications including RN licensure, nursing experience, and skills in case management.

A healthcare network is seeking a full-time Registered Nurse for Pre-Admission Testing (PAT) to work remotely. The role involves conducting comprehensive pre-operative assessments, coordinating with the medical team, and ensuring patient readiness...

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.

A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...

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...

Core Measures Abstractor Join the American Data Network family and become part of an established, purpose-driven healthcare quality organization with more than 30 years of experience. At ADN, our work supports hospitals and healthcare...

UnitedHealthcare in Tennessee seeks a Licensed Field Care Coordinator to coordinate care for medically complex members, delivering education, self-management support, and advocacy. This field-based, remote role requires strong clinical skills and...

Nurse Practitioner – Women's Health (Outpatient Primary Care) Direct hire opportunity salary base: $166K. Location: Outpatient clinic in the Highland Park / Northeast Los Angeles area. Overview: A well-established, mission-driven...

WPS Health Solutions in Wisconsin is seeking an Appeals Nurse to evaluate medical records for first-level appeal cases, ensuring medical necessity and Medicare coverage alignment. The RN will collaborate with Appeals Examiners to finalize...

Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...

Travel RN Opportunity In Mission Hills, CA We desire an RN who has L&D specialization and will take a position in Mission Hills, CA. This assignment requires the job seeker travel as the position is not local – salary for this job will...

CareHarmony's Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse to work 100% Remote –...

Job Description Facility: Hospital Sisters Health System Rehabilitation Hospital, a brand-new 40 bed inpatient rehabilitation facility (IRF) now open! Schedule: Full Time Days Your experience matters HSHS...

Astrana Health, Inc. is seeking a Care Manager I - RN to remotely support members in the Maryland area. The role requires collaboration with care teams, discharge planning, and advocacy for patients regarding insurance and financial assistance.

Amergis Healthcare Staffing is seeking an Operating Room Nurse responsible for scrubbing and/or circulating duties for operative procedures; department admissions to the operative suite. He/She is responsible to the Nurse Manager and is directly...

Cross Country Nurses is seeking a travel nurse Correctional for a travel nursing job in Downey, California. Job Description & Requirements Specialty: Correctional Discipline: RN Start Date: 09/07/2026 Duration: 16 weeks 40 hours per week Shift: 8...